PREFERRED is your liaison to many Health Plans and PPO’s.  Our most critical job is submitting your correct and accurate clinic data to each payor with whom you choose to participate, and informing payors of any changes to critical data which may impact accuracy of payment when you submit claims.

THE INFORMATION WE SUBMIT TO PAYORS IS ONLY AS GOOD
AS THE INFORMATION WE HAVE ON RECORD.  

The PREFERRED team enters your data into our database EXACTLY as you submit it to us, particularly as it is reflected on the W-9 and Sample CMS 1500 (HCFA) forms.

Some payors request a copy of your W-9 or CMS 1500 form, to ensure that what they load in their system is identical to how you will submit your claims.

YOUR TIN, COMPANY NAME, AND DBA ON SUBMITTED CLAIMS MUST MATCH EXACTLY WITH THE W-9 AND CMS 1500 FORM EXAMPLES YOU PROVIDE TO PREFERRED.

If these elements do not match, it is highly likely that you will end up with claims payment issues.

If you move, change your TIN, change your billing information, add a therapist, etc. please tell PREFERRED as soon as you know the change will be occurring.  Remember that it generally takes 30 – 90 days to get your information into any given payor’s system, and often that long for them to make any changes after we submit our monthly data reports.