When will a provider begin using the National Provider Identifier (NPI) on standard transactions?
Healthcare providers should be using the NPI on standard transactions now. Before May 23, 2008, the Legacy Provider Identifier (LPI) can also be submitted. Be sure to check remittance advices (RAs) for any NPI-related explanation of benefit (EOB) messages to ensure there is a successful NPI to LPI crosswalk. Effective May 23, 2008, only your NPI can be submitted and there must be a one-to-one NPI to LPI match or your claim or inquiry will be rejected. Only atypical providers, those ineligible to receive an NPI, are exempt from this deadline.
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?
