BC Advantage - 2005 Issue 11

Feds Explain Provider ID Plans

The Centers for Medicare and Medicaid Services has published a six-page tutorial on the national provider identifier. Covered entities under HIPAA must use only the national identifier in HIPAA standard transactions by May 23, 2007. Small health plans as defined in HIPAA have an additional year to comply. Providers can apply for their identifier at https://nppes.cms.hhs.gov.The tutorial includes a previously announced transition plan for migrating to the identifier. Beginning Jan. 3, 2006, and for the next nine months, Medicare will accept claims with a national provider identifier, but a legacy Medicare identifier also must be...

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