How will Empire be able to associate a provider with his or her NPI?
The NPIs will be maintained in a database in the National Plan and Provider Enumeration System (NPPES). CMS will provide a method of extracting data from the NPPES database. Empire is developing a strategy for acquiring NPI data from the database and will use it to identify providers submitting HIPAA transactions. In most cases, it will probably mean modifying current processes to include the NPIs.
Related Questions
- If a provider registers an NPI on the Medi-Cal Web site, but the provider’s internal electronic billing system hasn’t been tested for Medi-Cal billing, will the claims be denied?
- If I join a New York City managed care plan, will I be able to continue seeing a provider who is located in a neighboring county?
- How will Empire be able to associate a provider with his or her NPI?
