Get the free NATIONAL PROVIDER IDENTIFIER GUIDELINES - Cigna

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California Department of Health Care Services July 1, 2022Managed Care Quality and Monitoring DivisionMedical Record Review Tool Health Plan: ___Review Date: ___Site ID: ___ Site NPI: ___Reviewer

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How to fill out national provider identifier guidelines

01

Obtain an NPI number from the National Plan and Provider Enumeration System (NPPES) website.

02

Make sure you have all the necessary information and documentation handy, such as your personal information, practice information, and any supporting documents.

03

Fill out the online application form on the NPPES website accurately and completely.

04

Review your application carefully before submitting it to ensure all information is correct.

05

Submit your application and wait for confirmation of your NPI number.

Who needs national provider identifier guidelines?

01

Healthcare providers such as doctors, nurses, therapists, and other medical professionals who need to bill insurance companies or government programs for their services.

02

Healthcare organizations such as hospitals, clinics, and medical practices that need to identify individual providers for billing and record-keeping purposes.

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What is national provider identifier guidelines?

National Provider Identifier (NPI) guidelines are standards established by the Centers for Medicare & Medicaid Services (CMS) for healthcare providers to obtain a unique identification number.

Who is required to file national provider identifier guidelines?

All healthcare providers who meet the definition of a covered entity under the Health Insurance Portability and Accountability Act (HIPAA) are required to file for a National Provider Identifier (NPI).

How to fill out national provider identifier guidelines?

To fill out the National Provider Identifier (NPI) application, healthcare providers can apply online through the National Plan and Provider Enumeration System (NPPES) website.

What is the purpose of national provider identifier guidelines?

The purpose of National Provider Identifier (NPI) guidelines is to uniquely identify healthcare providers and streamline electronic healthcare transactions.

What information must be reported on national provider identifier guidelines?

Healthcare providers must report information such as their name, contact information, taxonomy code, and practice location on the National Provider Identifier (NPI) application.

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