Provider Resources

As always,  we want to enable you to provide the best service possible. Please let us know if any of these processes could be made simpler so you can focus on patients instead of paperwork.

Have a question you don’t see an answer for? Please reach out to the Decent team directly at support@decent.com.

 

How to Credential / Contract with Decent

We are excited that you want to join Decent’s network. In 2019, we are building our network in Texas, and will expand to other states soon,  please reach out if you’re interested in joining us.

Here is how to join our network:

1. Request a provider agreement at support@decent.com.

2. Once you receive the contracting packet

  • Review and sign the Contract

  • Complete the enclosed W-9 and Profile documents

  • Fill out the 835 Enrollment form to receive Electronic Remittance Advice

  • Fill out the EFT form to get reimbursed faster

  • If you are an individual provider or provider group, please complete the enclosed Group information for billing purposes.

3. You may submit your completed documents through any of the following methods: 

• Email to: support@decent.com

• Mail to: Decent, P.O. Box 4366, Seattle, WA 98194-0366

(Please retain a copy for your records)

4. Remember that we’re here to help - if you ever have any questions, feel free to either reach us by chat on our website,  by email at support@decent.com,  or by phone at:

866-HEART-US (866-432-7887) 

Decent supports the following EDI Transactions:

Description

Type (ANSI v5010)

276/277

270/271

835

837

Eligibility Request and Response

Claim Status Inquiry and Response

Remittance Advice

Health Care Claim

 

Submitting claims

Electronic Submission

Decent highly recommends that providers submit claims electronically via your billing software and clearinghouse of choice using Decent’s Electronic Payer ID: DECENT

 

If you are having any issues setting up the ability to submit claims electronically, please contact your billing vendor to ensure they have Decent’s Payer ID in their system. Our clearinghouse is Healthcare IP.

 

Paper Claim Submission

If a claim cannot be submitted electronically, a paper UB-04 or CMS-1500 should be submitted to:

Decent

P.O. Box 4366

Seattle, WA 98194-0366

 

Review Decent’s Provider Manual  to learn more about:

  • Referral & Pre-approval requirements

  • Claim processing

  • Appeals

  • And other important topics

 

Review our Reimbursement Policies for more information on the following topics:

  • Bundled Services

  • Drug Testing

  • Non-Reimbursable Services

  • Transfer

  • Evaluation and Management Service

  • Radiology

  • Physician-Administered Drugs

  • Durable Medical Equipment

  • Intraoperative Neuromonitoring

  • In-Office Laboratory Testing & Procedures

  • Obstetrical Care Bundling

  • Assistant Surgeon

  • Co-Surgeons / Team Surgeons

  • Anesthesia

  • Hospital Based Clinics

  • Bilateral Procedures

  • Multiple Procedures

  • Unlisted and Unspecified Procedures

  • Medically Unlikely, Mutually Exclusive, and Component Procedures

  • Services Incidental to Admission

  • Observation Stays

  • Surgical Supplies

  • Emergent Admissions

  • Readmissions

  • Mid-level Providers

  • Never Events

  • Surgical Techniques

  • Add-on Codes

  • Incident-to services

 
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Call us at: (512) 643-4173

We are open 9am - 5pm CST, Monday - Friday

1000 East 8th Street, Austin, TX 78702

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