Important Alert: National Provider Identifier (NPI) Update for 5/23/2008
On May 23, 2008, Blue Cross & Blue Shield of Mississippi will transition to using only NPI numbers to process your claims. It is very important that you file your claims with the correct combination of NPI numbers to ensure no disruption in claim payments to your office. See the general guidance provided below for more information.
Providers are Not Submitting Accurate NPI Numbers on Claims
There is an issue with providers who have obtained their NPI not submitting their NPI numbers in the correct fields on their claims. If this issue is not corrected, it will delay claims payments and may cause claims to be rejected. Because of this NPI accuracy issue, please review the guidelines below to ensure you submit your claims with the correct NPI number.
General guidance for NPI claims submission:
UB-04 Claims
CMS-1500 Claims (Non-Hospital Based Professionals*)
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Sole Practitioner without a billing NPI:
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Sole Practitioner with a billing NPI:
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Clinic with multiple providers:
*Filing guidelines for hospital based professionals vary by hospital. If you submit claims for hospital-based professionals and need assistance with filing guidelines, please call our NPI Compliance Hotline at 1-877-643-5138.
The Majority of Providers Have Obtained Their NPI
We're pleased to announce that the majority of providers have obtained and reported their NPI number to Blue Cross & Blue Shield of Mississippi. We want to thank these providers for their timely response and compliance.
For those providers who have not yet obtained and reported their NPI, you must report your NPI to us to prevent your claims from being rejected. If you have not reported your NPI to us, please do so immediately. For faster reporting, please use our on-line form submission utility available below.
How do I provide my new NPI to Blue Cross & Blue Shield of Mississippi?
The links below will let you open, complete and submit your NPI to Blue Cross & Blue Shield of Mississippi immediately. Please be sure to submit the correct form for your type of practice or organization:
NPI Submission Form for Group Practices: This is for organizations that submit claims on behalf of multiple individual healthcare providers who are a part of one group. The form has space for the names and NPI of several individual healthcare providers.
NPI Submission Form for Individual Practitioners: This is for individuals or organizations that submit claims on behalf of one individual healthcare provider. The form has space for the name and NPI of only one individual healthcare provider.
NPI Submission Form for Facilities and Other Organizations: This is for organizations that submit claims but are not individual healthcare providers. This includes hospitals, clinics, home health agencies, ambulance companies, DME suppliers, pharmacies, and any entity type code 2 providers.
How do I apply for an NPI?
There are three ways to apply for your NPI. You can:
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Complete a paper application and mail it to the NPI Enumerator, the CMS contractor responsible for processing NPI applications. You may contact the NPI Enumerator by calling 1-800-465-3203 or 1-800-692-2326 (TTY). The mailing address is:
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Have your application information, with your permission, submitted to the NPPES electronically by an organization on your behalf.
Where can I find more information about the NPI?The following links, to the CMS website or other sources, provide a quick and easy reference source of information about the NPI:
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