Under the National Provider Identifier (NPI), what are primary and secondary providers?
Providers are categorized as either “primary” or “secondary” providers: • Primary providers include billing, pay-to, rendering, or performing providers. In the DMERCs, primary providers include ordering providers. • Secondary providers include supervising physicians, operating physicians, referring providers, and so on.
Related Questions
- When a provider is billing Medi-Cal for a surgery, do they need to include the facility’s National Provider Identifier (NPI) on the claim?
- Does Wells Fargo Third Party Administrators, Inc. have any special requirements for use of the National Provider Identifier (NPI)?
- When are providers required to bill Medi-Cal using their National Provider Identifier (NPI) on the new CMS-1500 claim form?
