Why is it important to use a consistent billing NPI when filing 5010 claims?
By using the same NPI for all payers, providers will no longer have to modify their billing NPI based on the payer being sent a specific claim. This new requirement will also help payers that receive crossover or secondary claims, by eliminating the need to identify providers differently than they do when receiving primary claims.
Related Questions
- If a provider registers an NPI on the Medi-Cal Web site, but the provider’s internal electronic billing system hasn’t been tested for Medi-Cal billing, will the claims be denied?
- 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?
- How does the NPI implementation affect home infusion companies with billing?
