If you're already submitting claims through TheraNest using a different clearinghouse or if you've already requested Insurance Claim Service and wish to switch to Apex EDI please know Apex Enrollment will be available to you soon.
When enrolling with Apex Clearinghouse, a provider may not know how to enroll. See Below:
Healthcare providers who are individuals and sole proprietors. An individual is eligible for only one NPI.
Health care providers who are organizations, including physician groups, and the corporation formed when an individual incorporates him/herself.
How should I enroll?
You should enroll as how you are credentialed with your payers. You may be credentialed as type 2 with one payer and then type 1 with another. In this case you need to complete enrollment for each payer, based upon the type you're credentialed with them, also known as a combination.
You will need to complete the enrollment form with the group information, only selecting insurance companies that issue checks to the group.
Then you will need to complete the form separately for each individual provider, with that provider's information, only selecting those insurance companies that issue checks to that provider.
My payers are BCBS, Medicare, and Tricare.
I'm credentialed as a group with BCBS but Individual with Medicare and Tricare.
Therefore, I will complete the enrollment survey process with my group NPI for BCBS.
Then I will then return to the enrollment survey to complete it with my individual NPI for Medicare and Tricare. Again, this means I completed the Enrollment Survey two separate times - each way for how I'm credentialed with my payers.