Why do the new forms include the medical providers National Provider Identification number when the previous C-4 did not?
The requirement that all physicians have an NPI number is a relatively recent development. Although the Board is not using the NPI numbers at this time, a field for the NPI number is included on the C-4 forms to be consistent with nationally recognized electronic billing practices. This is not a mandatory field. • Are ancillary physicians who do not directly treat claimants, such as radiologists and pathologists, required to complete and submit the new C-4 form, even though a majority of the form applies to medical treatment? Sections E through I of the form apply to the treating physician, so radiologists, pathologists and other ancillary medical providers cannot complete these sections of the form. Can these sections be left blank? If so, will the Board and carriers reject the paper and electronic submittals with these sections not completed? Can we continue to submit the previous C-4 form? The Board has released form C-4AMR, Ancillary Medical Report, to be used for ancillary medical
Related Questions
- What are the repercussions for the medical provider if the previous version of the C-4 or HCFA-1500 forms are submitted to the Board and/or the carrier after March 31, 2009?
- Do the various paper versions of the C-4 forms require an actual signature of the medical provider, and if so, does it have to be an original signature?
- Why do the new forms include the medical providers National Provider Identification number when the previous C-4 did not?
