I submit written claims and do not use the Internet to verify patient eligibility or benefits. Do I still need an NPI?

If you do not conduct electronic transactions governed by the Health Insurance Portability and Accountability Act (HIPPA), you are not required to obtain an NPI. However, we suggest that you get one as you can use it as a unique and unique identifier with all payers.

How is the NPI determined?

The National Providers and Plans Enumeration System (NPPES) is responsible for issuing NPIs. The NPI does not contain embedded data, that is, any coding that can identify the dentist’s status or professional license number. It is simply a random number that does not expire.

How will the NPI affect other numbers I have used before?

The NPI replaces other identification numbers used in electronic transactions, such as:

  • Medicaid
  • Blue Cross and Blue Shield
  • UPIN
  • CHAMPUS
  • Another class of “legacy” numbers

The NPI will not replace the following numbers, used for purposes other than general identification:

  • Social Security
  • DEA
  • Tax Identification
  • Taxonomy
  • State professional license
     

Where can I get help applying for the NPI?

The NPI enumerator will help you with the application and update your information in NPPES.

Leave a Reply