BC Advantage - 2007 Issue 9

Testing Your NPI on Medicare Claims Submitted to Carriers and MACs

Unlike some health plans, there is no fax number, phone number or special website you need to use to communicate your NPI to Medicare, except including your NPI on your Medicare claims. To date, Medicare has encouraged providers to submit both an NPI and a legacy identifier on claims. At this time, only Fiscal Intermediaries and the CIGNA Idaho and Tennessee carrier are editing the NPI against the Medicare NPI Crosswalk file when the NPI/legacy identifier is submitted.  If you are billing these contractors and claims are not rejecting, your reporting of the NPI is successful. For claims...

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