We’re changing billing instructions for prenatal visits

In the past, we asked you to bill the last prenatal visit in the “from” field on the claim form and the first prenatal visit in the “to” field. Going forward, if the billing is for prenatal care only, enter the date of the first prenatal visit in the “from” field and the last prenatal visit in the “to” field on the 1500 form.

Do not hold claims for non-returning patients who have not been seen by the attending physician or another physician within the same group practice within 60 days. Professional providers should submit claims prior to the filing limits (180 days) to avoid rejections.