The National Provider Identifier (NPI) is expected to become the identifier for health care providers. It has not yet been adopted as the standard (that is, the Final Rule has not yet been published). Therefore, implementation of the NPI is down the road. In the meantime, until there is a standard provider identifier in place, a "secondary" identifier is required in order to identify the billing provider (as well as other providers on the claims). Most likely the identifier currently used to identify the billing provider (UPIN, BC or BS Number, PPO number, etc.) when billing a particular health plan is what would be used.
>>> [EMAIL PROTECTED] 10/18/01 01:55PM >>> Group, I have a question relating to the Billing Provider Secondary Identification data element on the 837 Institutional transaction: Within the notes section (page 82 of 837 - Institutional Implementation Guide) there is a statement that reads: "[the billing provider secondary identification] is required when a secondary identification number is necessary to identify the entity." My question is this: Who makes that determination? What dictates that a secondary identification number must be sent? Any insight is appreciated. Thanks, Paul __________________________ Paul V. Costello Senior Consultant CGI (formerly IMRglobal Corp.) 3100 Zinfandel Drive, Suite #250 Rancho Cordova, CA 95670 Phone: (916) 631-7645 ext. 30 Fax: (916) 631-7647 E-Mail: [EMAIL PROTECTED] ***Confidentiality Notice*** Proprietary/confidential information belonging to CGI (formerly IMRglobal) may be contained in this message. If you are not a recipient indicated in this message (or responsible for delivery of this message to such person), or you think for any reason that this message may have been addressed to you in error, you may not use or copy or deliver this message to anyone else. In such cases, you should destroy this message and kindly notify the sender by reply mail. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
