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The Centers for Medicare
& Medicaid Services (CMS) has announced that the National Provider
Identifier (NPI) will become the standard, unique identifier for all health
care providers by May 23, 2007. It will eliminate the need for providers to
track and use multiple identifiers assigned to them by health plans and other
payors. On May 23, 2005, providers can begin to
apply for their individual NPI. Please refer to the Web site https://nppes.cms.hhs.gov/ for
information on how to apply for your NPI.
If you are not familiar with NPI, you can obtain more information from the
CMS Web site:
http://www.cms.hhs.gov/hipaa/hipaa2/regulations/identifiers/default.asp
Schaller Anderson Healthcare is prepared to accept and store NPI received
from participating providers. Schaller Anderson Healthcare is also able to
use the NPI in any electronic claim transmissions as required by CMS. Please
communicate your NPI in writing directly to the Schaller Anderson Healthcare
Provider Services Department as soon as possible.
Until further notice, it is critical that you continue to provide to Schaller
Anderson Healthcare the ID that you are currently using on all electronic and
paper claims in addition to using your NPI.
If you submit claims electronically through EDI, please work with your vendor
to ensure that your NPI is placed in NM109 using the Identification Code
Qualifier of 'XX' in NM108.
Until the UB-92 and HCFA forms are updated to accommodate NPI, we ask that
you document your NPI in Box 11 of the UB-92 form, or Box 19 of the HCFA
1500 form.
Should you have any questions, please contact your Schaller Anderson
Healthcare Provider Services Representative at (602) 659-1760.
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