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Since there is only one remittance per NPI, what happens if a provider obtained one NPI for several Medi-Cal group provider numbers and only submits a portion of claims electronically?

April 26, 2017group happens Medi-Cal NPI Numbers obtained portion Provider remittance submits

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Since there is only one remittance per NPI, what happens if a provider obtained one NPI for several Medi-Cal group provider numbers and only submits a portion of claims electronically?

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If a provider obtained one NPI to replace several Medi-Cal group provider numbers, there will only be one remittance advice generated, and it will include all claims submitted electronically or on paper. It will be the group’s responsibility to determine the payment that is due to each provider based on the Remittance Advice Details (RAD) or the 835 transaction issued for the one NPI. Providers may, at their discretion, register separate NPI subparts if the desire is to differentiate payment remittance.