Attention All Providers: Are You Preparing for NPI?
All providers should be preparing for National Provider Identifier (NPI), getting enumerated, determining their vendor readiness, and preparing their billing systems.
How will you know if you have potential NPI issues? Start using your NPI as soon as you are able.
The Electronic Media Claims (EMC) system reviews every claim for a number of pre-pass edits to ensure that claim data is valid; this includes NPI validation and verification. Your Batch Detail Control Listing returns information regarding NPIs sent on your electronic claims; validating the structure of the NPI and verifying the NPI or NPI/legacy number combination are on the crosswalk.
Watch for pre-pass edits in the M340 - M351 range. The edits in this range indicate there is a problem with your NPI. Providers not receiving edits in M340 - M351 range do not have problems with NPI.
It is extremely important to use the Legal Business name when applying for the NPI. The Legal Business name is the name reported to the Internal Revenue Service (IRS). Also, be sure to add any of your current legacy ID numbers, Medicare PIN, UPIN, etc., when applying for an NPI or if you need to update your record within NPPES.
The NPI enumerator Website is:
https://NPPES.cms.hhs.gov/NPPES/Welcome.do 
Once you have updated NPPES if you still continue to receive the informational errors on your report, please contact the EDI Hotline for assistance at:
IL, MI, WI: 877-567-7261
MN: 952-885-2811, 952-885-2881, or 952-885-2882.
Page Last Updated: Tuesday, 15-Jul-2008 10:45:22 CDT
