If a provider chooses to obtain one NPI to replace multiple Medi-Cal provider numbers, which provider number must be reported on the UB-04 claim form?
Effective December 17, 2007, providers will no longer need to report the Medi-Cal provider number with the NPI on the claim. DHCS will only accept either an NPI or a Medi-Cal provider number. Providers who are not ready to transition to using the NPI may continue to submit their Medi-Cal provider number until instructed otherwise. Atypical providers will continue to use their Medi-Cal provider number. By choosing to replace multiple Medi-Cal provider numbers with one NPI, the current multiple “pay-to” addresses, electronic funds transfer (EFT) accounts and provider identification numbers (PINs) will no longer be used. The “pay-to” address, EFT account and PIN information on the first Medi-Cal or CHDP number entered in the online registration tool or designated on the hard copy registration form will be transferred to the new NPI record.
