It is true that hipaa section 244 public law 104-191 10th Congress title 11 subtitle e states that a provider that submits a false claims to any carrier could be fined and imprisoned for up to 5 years.
It is a transportation provider, typically an ocean carrier, providing service to a specific localized market.
If the provider exceeds timely filing limits with the insurance carrier the provider cannot bill the patient. The provider must have a participating contract with the insurance carrier also.
This will depend on your insurance carrier and your provider. I would suggest calling your insurance carrier to ask for help. In general, if your provider is out of network, you will need to appeal the denial with the insurance carrier and provide details about why you didn't call to do the pre-approval. If your provider is in network, they usually cannot bill you if they fail to do a pre-approval. (check with your insurance carrier to verify this) In that case I would contact the provider and tell them they can't bill you for it. If they insist they can, contact your insurance carrier and ask them to send a letter to the provider stating they cannot bill you for the service due to their failure to pre-approve it.
You need to get your Port Authorization Code (PAC) from your current provider. Give the PAC to your new provider - this gives them permission to swap your number from the old carrier to the new one. Your current provider should give you your PAC for free.
Yes per the provider contract, they are required to file claims to the insurance carrier within specifiec time periods. The provider can NOT bill the patient if they have not done so.
EOB
A commercial insurance company or a managed care plan participating provider is a provider that is in network of participating providers. These providers can be doctors, nurses, dentists, or other practitioners.
competetive access provider
With most major carriers it will have the carrier name or logo somewhere on the phone. If it is unlocked it can go on any carrier with the same technology. All carriers are identified by their ICCID number
It depends on the provider. Call your carrier for specifics in your situation.
Once you register it with your provider, yes.
PUK codes can only be obtained from the carrier or service provider.