Get the free *REVISED - NPI CMS 1500 (version 08/05) Paper ... - Anthem

October 15, 2007 *REVISED NPI CMS 1500 (version 08/05) Paper Claims Filing Update Providers should use the following guidelines when utilizing the new paper CMS 1500 Claim Forms for filing claims

How to fill out revised - npi cms

How to fill out revised - npi cms:

1. Start by accessing the revised - npi cms form online or obtaining a physical copy from the appropriate healthcare organization.
2. Fill in the personal information section, including your name, contact information, and unique National Provider Identifier (NPI) number.
3. Provide details about your practice or organization, such as the legal name, address, and any associated group or clinic name.
4. Indicate the type of healthcare provider or organization you are, whether it is an individual practitioner, a group practice, or a non-physician organization.
5. Include information about your specialty or specific services provided, if applicable.
6. Fill out the enrollment information section, including the effective date of enrollment, any reassignment of benefits, and your Medicare payment options.
7. Provide information about any affiliations you may have with other healthcare organizations or practitioners.
8. Indicate if you are participating in any federal or state healthcare programs, such as Medicaid or the Children's Health Insurance Program (CHIP).
9. Complete the certification section, confirming the accuracy of the provided information and agreeing to comply with all applicable laws and regulations.
10. Review the completed revised - npi cms form for any errors or missing information before submitting it to the appropriate healthcare organization.

Who needs revised - npi cms:

1. Healthcare providers who have completed the initial NPI enrollment and need to make changes or updates to their information.
2. Individuals or organizations who have experienced a change in their practice or organization details, such as a change in address, contact information, or payment options.
3. Healthcare providers or organizations seeking to enroll or reassign benefits with Medicare or other federal or state healthcare programs.
4. Any healthcare provider or organization in need of a revised - npi cms form as required by the appropriate healthcare organization or regulatory body.
5. Individuals or organizations needing to update their NPI information due to changes in their specialty, services provided, or affiliations.

Note: It is important to consult with the specific healthcare organization or regulatory body to determine if the revised - npi cms form is required and to understand any additional requirements or documents needed for submission.

For pdfFiller’s FAQs

What is revised - npi cms?

The revised - npi cms is a form used by healthcare providers to update their National Provider Identifier (NPI) information with the Centers for Medicare & Medicaid Services (CMS).

Who is required to file revised - npi cms?

All healthcare providers who have been assigned an NPI number must file the revised - npi cms.

How to fill out revised - npi cms?

To fill out the revised - npi cms, healthcare providers need to provide updated information such as their contact details, practice locations, specialties, and any changes to their organizational structure.

What is the purpose of revised - npi cms?

The purpose of the revised - npi cms is to ensure accurate and up-to-date information about healthcare providers in the NPI registry, which is used by various healthcare organizations and payers.

What information must be reported on revised - npi cms?

On the revised - npi cms, healthcare providers must report any changes to their contact information, practice locations, specialties, organizational structure, and any other required fields as specified by the CMS.

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