Agencies
Services
Provider Notice issued 06/24/08
IMPORTANT INFORMATION Reporting of National Provider Identifier (NPI)
| To: | Audiologists, Chiropractors, Community Mental Health Providers, Durable Medical Equipment Suppliers, Federally Qualified Health Centers, Home Health Agencies, Hospitals, Imaging Centers, Laboratory, Local Health Departments, Nurses, Optometrists, Physicians, Podiatrists, Rental Dialiysis Clinics, School Based Clinics, School Based Health Services (LEA), Therapists |
| Date: | June 24, 2008 |
| Re: |
IMPORTANT INFORMATION Reporting of National Provider Identifier (NPI) |
The NPI requirement for Other Physician IDs, such as, Prescribing, Attending, Operating, and Other is being delayed and will not be implemented July 1, 2008. Providers should continue to bill as they are currently. Information regarding the new implementation date will be forthcoming.
HFS is also reminding providers that the billing provider’s NPI is now required on all paper, direct data entry, and electronic claims submitted to HFS. In an Informational Notice dated April 11, 2008, providers were advised that the billing provider’s NPI would be required by HFS effective May 23, 2008.
On paper claim forms, the NPI must be reported in the same field that the HFS Legacy Provider Number had been reported. The only exception to this is the paper UB04, which has a designated NPI field.
Providers should continue to report the HFS Legacy Provider Number on the following: paper adjustment forms, Optical Prescription Order (OPO) forms, and; paper prior approval forms. Do not report the NPI in place of the HFS Legacy Provider Number on these paper forms.
Questions regarding the reporting of NPIs should be directed to the Bureau of Comprehensive Health Services at 1-877-782-5565.
Illinois Department of Healthcare and Family Services
Division of Medical Programs