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1 Jan 2016 ... Physician, Health Care Professional, Facility and. Ancillary Provider 2016 Administrative Guide ... How to Contact Us. . .... UnitedHealthcare Laboratory Benefit Management Program

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How to fill out tthhee nnaattiioonnaall pprroovviiddeerr iiddeennttiiffiieerr

How to fill out the National Provider Identifier:

01

Start by accessing the official National Plan and Provider Enumeration System (NPPES) website.

02

Create an NPPES account if you do not have one already. This will require providing your personal information, such as name, address, and contact details.

03

Once logged in, locate the option to apply for a National Provider Identifier (NPI) and click on it.

04

Fill out the application form accurately and completely. This includes providing information about your healthcare organization, such as its name, address, and Taxonomy code.

05

Double-check all the information you have entered before submitting the form to ensure its accuracy.

06

Wait for the confirmation email from NPPES regarding your NPI application. This email will also include your unique National Provider Identifier (NPI) number.

07

Keep a record of your NPI number for future reference and use it as a means of identification for healthcare-related transactions and communications.

Who needs the National Provider Identifier:

01

Healthcare providers: Professionals who deliver medical, dental, and other healthcare services, including doctors, nurses, dentists, therapists, and psychologists, need the National Provider Identifier (NPI) to identify themselves in electronic healthcare transactions.

02

Healthcare facilities: Hospitals, clinics, nursing homes, rehabilitation centers, and other healthcare facilities require the NPI to identify themselves in electronic claims submissions, referrals, and other healthcare-related communications.

03

Health plans and insurance companies: Organizations that provide health insurance or administer health plans are also required to have an NPI to identify themselves when processing claims, managing benefits, and communicating with healthcare providers.

04

Business associates: Third-party organizations that handle healthcare-related transactions on behalf of healthcare providers, facilities, or health plans may also need an NPI to identify themselves during electronic communications.

Please note that the specific requirements for obtaining and using the National Provider Identifier may vary depending on the country and healthcare system.

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What is the national provider identifier?

The national provider identifier (NPI) is a unique identification number for covered health care providers.

Who is required to file the national provider identifier?

Health care providers, including individuals and organizations, who meet the definition of a covered entity under the Health Insurance Portability and Accountability Act (HIPAA), are required to obtain and use an NPI.

How to fill out the national provider identifier?

To obtain an NPI, providers must apply through the National Plan and Provider Enumeration System (NPPES) and provide required information about themselves and their practices.

What is the purpose of the national provider identifier?

The NPI is used to identify health care providers in standard transactions, such as electronic claims and remittances, to help streamline administrative processes and improve accuracy.

What information must be reported on the national provider identifier?

Providers must report their legal name, business name, contact information, and other details that identify them uniquely in the NPPES application.

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