Thanks Nurseterr7, I live in Ohio. The client has both private insurance and medicaid. I was told by one person to bill medicaid and by another to bill through insurance. He needs continuous care nursing for about 9 hours per day. I am so confused, but I want to do the right thing. The insurance company doesn't recognize me as a provider obviously but without codes and provider numbers, they won't give me a real answer about coverage. Any thoughts?