Important Notice: Our web hosting provider recently started charging us for additional visits, which was unexpected. In response, we're seeking donations. Depending on the situation, we may explore different monetization options for our Community and Expert Contributors. It's crucial to provide more returns for their expertise and offer more Expert Validated Answers or AI Validated Answers. Learn more about our hosting issue here.

Should the referring provider’s NPI or license number be entered on the claim?

April 26, 2017claim license NPI Provider referring

0

Posted

Should the referring provider’s NPI or license number be entered on the claim?

1 Answer

0

Posted

The referring physician’s NPI is required in the referring NPI field on the claim effective December 17, 2007. However, the Department of Health Care Services (DHCS) is allowing one exception. The exception allows the billing provider to use the referring provider’s license number should they be unable obtain the NPI.