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National Provider Identifier (NPI)
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| Avoid Rejected or Denied Claims! All providers are urged to begin using their NPI number on all claim submissions now! |
Provider may also continue to include their Medicaid ID Number with their required NPI for electronic and paper claim submission. Including both will allow us to fully test our system.
Since May 23, 2008, claims submitted without NPI numbers have been rejected. If a claim has an NPI that we cannot match to our records or provider files, the claim will be denied for invalid NPI.
If you are a health care provider who bills for services, you probably need an NPI. If you bill Medicare for services, you definitely need an NPI! Getting an NPI is easy, and it is free. The first step is to get your NPI. Once you obtain your NPI, it is estimated that it will take 120 days to do the remaining work to use it. This includes working on your internal billing systems, coordinating with billing services, vendors, and clearinghouses, testing with payers. As outlined in the Federal Regulation, (The Health Insurance Portability and Accountability Act of 1996 (HIPAA)) you must also share their NPI with other providers, health plans, clearinghouses, and any entity that may need it for billing purposes. If you delay applying for your NPI, you risk your cash flow and that of your health care partners as well.
NPI Resources
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