Npi Numbers and heritage Numbers - New Rules As of May 23, 2008 For Billing healing guarnatee Claims

Health Insurance - Npi Numbers and heritage Numbers - New Rules As of May 23, 2008 For Billing healing guarnatee Claims

Good evening. Yesterday, I learned all about Health Insurance - Npi Numbers and heritage Numbers - New Rules As of May 23, 2008 For Billing healing guarnatee Claims. Which is very helpful if you ask me so you. Npi Numbers and heritage Numbers - New Rules As of May 23, 2008 For Billing healing guarnatee Claims

On May 23, 2008 assurance carriers were suppose to accept Npi only on all paper & electronic claims. Not only were you required to contain the Npi number, but you were required to Exclude the heritage numbers. Some assurance carriers were not ready for the deadline and applied for an extension (like Nys Medicaid). But Medicare was ready and if you contain your Ptan (legacy) number on your claims they are being rejected.

What I said. It isn't the conclusion that the true about Health Insurance. You see this article for info on anyone want to know is Health Insurance.

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For the assurance carriers who were ready for this deadline, you must make sure you do not have the heritage number in the shaded area of box 24J or box 32A & 33A. If your software is set up to automatically print the heritage number in this box you need to remove it. If you submit claims electronically, make sure your seller has it set up to exclude the heritage number.

For the assurance carriers who were not ready and applied for an extension, you will need to continue including the heritage number until they have complied. This makes things a slight messy. You need to make sure you are submitting the claims that require the heritage number with it, and the ones that do not allow it, without. Crazy, but it is what we billing citizen have to do to make sure the money keeps arrival in.

Another slight crazy thing to worry about is the Npi number entered in 24J. If you are set up with Medicare as an personel provider (not a group) and you only have a type I Npi, you must leave the Npi part of box 24J blank. You cannot contain the personel Npi number here. If you are an personel provider and you put your Npi number in 24J, Medicare may reject your claims.

If you are a group with Medicare then you need to continue putting the rendering providers personel Npi in box 24J and the group Npi (type Ii) in box 33A. If you are not sure if you are an personel or a group you can tell by your Ptan number. If you only have one Ptan number then you are an individual. If you have a Ptan for the personel provider and a separate Ptan for the practice name then you are a group. Just when you opinion it couldn't get much more confusing!

If you want to keep your cash flow steady it is foremost to make sure you are submitting the claims correctly. If you have any ask as to what a single assurance carrier requires, give them a call. Good to have it right the first time than to have to resubmit!

Copyright 2008 - Michele Redmond

I hope you have new knowledge about Health Insurance. Where you may put to used in your life. And most importantly, your reaction is passed about Health Insurance.