NPI Now Required on All EDI Forms
Effective immediately, as a condition of EDI enrollment, your National Provider Identifier (NPI) is required on all Electronic Data Interchange (EDI) documents. This business decision is to both encourage and facilitate implementation of NPI for claims which goes into effect in less than 200 days.
May 23, 2007, is not when the process starts, but when the process must be completed.
The NPI requires a transition period of no less than 120 days. Providers must begin to test and use their NPIs in electronic health care claims well before the compliance date.
EDI forms that currently require Medicare Part B Provider Numbers; for example, Enrollment Form, Electronic Remittance Advice, Electronic Funds Transfer, Submitter Profile, and PC Ace Pro32 Request, will now require the NPI number in order to be processed.
Until testing is complete within the Medicare processing systems, Medicare urges providers to continue submitting Medicare claims with both their NPI and their legacy Medicare number.
National Provider Identifiers (NPIs) will be required on claims sent on or after May 23, 2007. Learn more about NPI and how to apply by visiting http://www.cms.hhs.gov/NationalProvIdentStand/
on the CMS Website. For technical questions about the NPI, the application process, and to receive a paper application, call the NPI Enumerator Helpline at (800) 465-3203.
If you have any questions, please contact the EDI Hotline at the numbers below.
Illinois, Michigan, Wisconsin
877-567-7261
Minnesota
952-885-2811
952-885-2881
952-885-2882
Page Last Updated: Monday, 09-Jun-2008 13:34:24 CDT


