I understand that the NPI will be the mandated data element for the primary identifier 
for the billing provider, but until then, billing providers can use their Employer 
Identification Number (Code = 24) or their social security number (Code = 34) as their 
primary identifier.

The IG also requires a secondary identifier in those cases where "a secondary 
identification number is necessary to identify the entity."

Who makes that determination?

To re-state my original question:  since payers will either receive the billing 
provider's EIN or SSN on an 837, can the payers also mandate that billing providers 
send a secondary identifier?  If so, can payers mandate which secondary identifier 
must be sent (e.g. BC number , BS number, etc.)?

Thanks Again,
Paul

>>> [EMAIL PROTECTED] 10/18/01 02:58PM >>>
The use of the secondary identifier may continue even after the NPI is finalized.  
I've brought this up with HHS, but until the NPI is published, they can't really 
comment.  As a payer, we have IRS responsibilities to report income on a 1099.  In the 
proposed NPI, there was a possibility that we would not be able to link the NPI to a 
FEIN because we would have limited access to the information.  We also need to use the 
FEIN to match against provider contracts.  We hope this is corrected in the final rule 
to allow payers to get access to the FEIN, because if it isn't it decreases the value 
of a NPI.  But if it isn't, I would assume we could require that the FEIN go in the 
secondary identifier?  Any comments on how anyone is addressing this?     

>>> [EMAIL PROTECTED] 10/18/01 01:42PM >>>
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] 

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