Participating providers may also register their NPIs with us by mailing their completed custom NPI submission form.
This form has been included in mailings to participating provider offices.
Is a health care provider required to obtain an NPI? Under the National Provider Identifier Regulation (published in the Federal Register on January 23, 2004), a health care provider who is a covered entity, as defined in 45 C. NPIs allow for simpler electronic transmission of HIPAA standard transactions.
The NPI is the only health care provider identifier that can be used for identification purposes in standard transactions by covered entities.
If providers choose to enumerate their subparts further than they currently have today with payer legacy numbers, will Independence require enrollment of their additional subparts?
Does Independence currently require different NPIs when there are different provider numbers?
NPIs replace health care provider identifiers used for standard transactions under the Health Insurance Portability and Accountability Act (HIPAA).
Those numbers included payer-specific IDs and Medicare legacy IDs (e.g., UPIN, OSCAR, PIN, and National Supplier Clearinghouse). It will remain with the provider regardless of job or location change(s). § 160.103, and who transmits any health information in connection with a HIPAA standard transaction in electronic form, is required to obtain an NPI. HIPAA requires the adoption of a standard unique identifier for health care providers.
A sole proprietor/sole proprietorship cannot have subparts and cannot designate subparts.Billing information can be found in our Claims submission toolkit for proper electronic and paper claims submissions as well as in our companion guides.Additional information can be found in issues of Will Independence allow providers to bill legacy and/or NPI?NPI's can be verified to be valid using the Luhn Algorithm, the same algorithm used for a variety of such important things like Credit Card Numbers, IMEI's, some Social Security Numbers, etc. Is a health care provider required to obtain an NPI? Where are the Independence billing instructions and companion guides? Will Independence allow providers to bill legacy and/or NPI? Will Independence require Tax ID in addition to NPI on paper claims?
How do I enumerate; and does Independence require different NPIs when there are currently different provider numbers?