I do the billing for a mental health care therapist in Oklahoma. Mostly Medicaid. I have situation that I don't know how to handle.

Our client recently got insured under her dad., So his insurance is now primary. Not a problem. I've done crossover claims. The problem I'm having is how to bill the primary when we are out network and we can't bill through Availity, because the primary is no longer using it.

We can't afford another clearinghouse. Oklahoma Complete Health, Medicaid, now goes through Availity.

The only plan I can come up with is to send a paper CMS-1500 to the primary, wait for the denial, then bill to Medicaid through Availity

Is there an easier way that I'm not seeing? It's just this one therapist and me, her admin. I'm not even sure if this is the right forum to ask, but I thought I'd give it a try. We'd like to not spend hours billing one or two sessions a month.

submitted by /u/AuroraBorealis1966
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