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What are BCBSRI’s plans for the NPI (National Provider Identification) number?

April 26, 2017bcbsri Identification National NPI plans Provider

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What are BCBSRI’s plans for the NPI (National Provider Identification) number?

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BCBSRI will be required to handle and accept NPI on all standard HIPAA transactions effective 5/23/2007 , and any standard transaction being sent to a covered entity must use NPI. In addition, any direct data entry into a BCBSRI system, such as our BCBSRI website, is considered an electronic transaction and must be HIPAA compliant. Any electronic claim coming in, regardless of the date of service on 5/23/07 or after must be filed with the Billing Provider NPI and Rendering Provider NPI, if different than the billing NPI. We are making changes to our internal systems, reports and processes for this mandatory change. We are also requiring the NPI on all paper forms such as the UB04 and CMS1500 forms.