No NPI Means No Payment Income


As you know, beginning March 1 of this year, claims without a National Provider Identifier (NPI) number in the primary provider field and claims with only a Medicare legacy number in the primary provider field are being rejected

and not reimbursed. Effective May 23, 2008, only the NPI will be accepted for all HIPAA electronic transactions, paper claims (UB-04 and CMS-1500), and Standard Paper Remittance (SPR) advices. This means that, in less than two

months, you should no longer report Medicare billing numbers in primary or secondary provider fields if you want the claims accepted, processed, and paid.

See article for more information.

LOADING PDF: If there are any problems, click here to download the file.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Ober|Kaler | Attorney Advertising

Written by:


Ober|Kaler on:

JD Supra Readers' Choice 2016 Awards
Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.

Already signed up? Log in here

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.