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NPI Number Transition
The NPI (National Provider
Identifier) will be addressed in a two-stage process by Clinic Pro Software. In the first
stage, the NPI Number will be printed on the new 1500 form along with provider
identifiers from BCBS, Medicare or other carriers. Likewise, the NPI
number will be sent electronically with the other identifiers. This first
stage is currently being tested.
In the second stage, the NPI
Number will be the only number printed on the 1500 or sent electronically.
This release will be timed to correspond with the carrier's readiness to receive
the NPI (National Provider Identifier) Number.
To apply for your NPI Number:
Click Here
Additional Information from Medicare about NPI Implementation:
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January 2, 2007-March 31, 2007
Medicare will accept either the
CMS-1500 (12/90) or the revised CMS-1500 (08/05) form. CMS-1500(12/90) forms
will continue to be rejected as unprocessable if submitted with one or more NPIs.
NPIs can be submitted when a revised CMS-1500 (08/05) is submitted, but NPIs are
not yet required onthese claims. If one NPI or more is reported on a revised
CMS-1500 (08/05),
the submitter is strongly encouraged to also submit the Medicare legacy provider
identifier that corresponds to each NPI reported on the claim. Failure to report
a legacy identifier with an NPI could result in a delay in processing of the
claim.
April 1, 2007-May 22, 2007
Medicare will
reject any CMS-1500 (12/90) form received with or without an NPI. Only the
revised CMS-1500 (08/05) form will be accepted. An NPI is not yet required on
the CMS-1500 (08/05) form, but should be entered if a provider has obtained an
NPI. It is still highly recommended that claim submitters enter the Medicare
legacy number that corresponds to each NPI reported on the revised CMS-1500
(08/05) to avoid a possible processing delay.
Phone: (866) 333-2776
Contact us for more info
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