AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
Look up npi number5/1/2023 ![]() You do not need to use a taxonomy code for billing unless you have been instructed to do so by the MassHealth Customer Service Provider Enrollment Unit. As some prov i ders may h ave one N PI t h at correspo nd s to multiple service locations, and therefore multiple MMIS provider numbers, Mas s Health may require a taxonomy code for claims submission. Ma ss He a l th processes claims by map pin g the NP I sub m itt e d on a c l aim to the MMIS p r ov i de r number. It is issued to health care professionals and covered entities that. To help find your provider quickly, the search results can be sorted by clicking on the. Search the NPI database by NPI Number, first & last name, medical entity or group name. Claims billed without a billing provider’s NPI will be denied. An NPI is a unique 10-digit identification number used in standard health care transactions. The NPI number is a unique 10-digit identification number issued to covered health care providers by the CMS (Centers for Medicare and Medicaid Services). P roviders who bill MassHealth a r e requ i red to subm i t NPIs o n all of their claims. A physician, other health care provider, or organization may access NPI information through CMSs. The provider’s PID/SL w ill be displayed o n MassHealth reports as well as correspondence and remittance advices. NPI Registry - Opens in a new window: The NPI Registry is a query-only database which is updated daily to enable users to query the NPPES (e.g., search by NPI, provider name, etc. Thi s PID/SL is 10 c h aracters, m ade up of a 9 - digi t base n u mber and a n al pha se r vice locatio n (e.g. Each provide r 's NPI is associated in MassHealth’s Medicaid Management Information System (MMIS) w ith a co rr es ponding MassHealth provider I D and serv i ce l oca tion (PID/SL). ![]()
0 Comments
Read More
Leave a Reply. |