Different providers accept or do not accept assignment for same patient/insuance

[Sarah_Graff]

Hello!

We are excited to add on a new provider in our office running OEMR. The only issue is that I do not accept assignment from most insurances (including Medicare, as I’m non-par) BUT our new provider accepts assignment from practically every insurance.

Since the only accept assignment field is in the patients demographics (other than the facility), does anyone know a trick around this?

Ideally we’d like to be able to set assignment based on care provider (which is a field in demographics).

This is a huge issue for us because copays are different, even Medicare rates are different.

Please help

Thanks in advance dear OEMR colleagues!!

[htuck (htuck@mi-squared.com)]

Hi @Sarah_Graff
Sorry to see nobody has responded to your plea!
I do not consider this an authoritative idea, but the sound of crickets was getting loud, and this may be a starting point for investigations.

The only option for accepting assignment is in the Facility settings, right?
What do you think about creating a facility with a different name that does accept assignment and have the provider work with that facility as their default?

Bear with me here.
A new facility would be added to the list for a provider who has different assignment settings.
I’m fairly sure clearinghouses/ ins cos don’t really care what this facility NAME is, just its identifiers in the facility listing (but I could be wrong).

In the facility info, make it so that it does or does not accept assignment (oval at bottom)

And in the provider’s user profile, you select the default facility as whichever one matches the provider’s assignment preference…

The rendering provider would have to be correctly entered in the fee sheet, but the only problem I can think of with this is if somebody somewhere has a problem with 2 different- named facilities having the same identifiers, like taxonomy and facil NPI.

What do you think?
Good luck!

• Harley