Stage 2 Requirements for Use and Editing of National Provider Identifier (NPI) Numbers Received in Electronic Data Interchange (EDI) Transactions, via Direct Data Entry (DDE) Screens, or Paper Claim Forms
This instruction contains those requirements applicable
to Stage 2 of carrier, DMERC, Fiscal Intermediary, and shared system maintainer
implementation of the NPI. During this second stage, NPIs will be accepted on claims
and other EDI transactions, in DDE screens, and paper claims (once the UB-04 and
revised Form CMS-1500 transition periods begin). The NPIs will be reported on X12
277 and 837 coordination of benefit (COB) outbound transactions if reported on the
corresponding inbound transactions.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 03, 2005
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.