Use of Billing Agents
If a billing agent (person or entity that submits a claim or receives PrimeWest Health payment on behalf of a provider) is used, the name and address of the billing agent must also be listed on the NIR form. PrimeWest Health Provider Services must be notified in writing if a billing agent is hired after enrollment. The notification must include the provider name, National Provider Identifier/Unique Minnesota Provider Identifier (NPI/UMPI)/PrimeWest Health provider ID number, office address, and billing agent's name and address. Send the notice to:
Attn: Provider Services
PrimeWest Health
2209 Jefferson St, Ste 101
Alexandria, MN 56308
Fax: 1-320-762-8750
Payment to Provider or Billing Agent
All PrimeWest Health payments must be made to the provider. However, PrimeWest Health payment may be mailed to a billing agent (such as an accounting firm or billing service) that furnishes statements and receives payments in the name of the provider, if the agent's compensation for these services is:
- Related to the cost of processing the billing;
- Not related on a percentage (or other basis) to the amount that is billed or collected; and
- Not dependent on collection of the payment.
