Question |
Response |
| Have you implemented the NPI? |
Yes, you
are now required to submit
an NPI on all electronic claims, with or without
your Regence provider number. We will notify
you when the Regence identifier
will no longer be accepted.
Note: Hospitals, other facilities and
medical groups submitting professional claims
either electronically or on a CMS-1500 should
continue submitting their Regence identifier
in addition to their NPI to facilitate proper
payment assignment. We will notify you when
this is no longer necessary. |
| Do I still need to include my
tax identification (ID) number on my claims submissions? |
Yes, the NPI does not replace
the tax ID number. Your tax ID number is a critical
element that helps us correctly process your
payments. |
| Are NPIs validated as part
of the adjudication process or claims submission
process? |
Yes, for electronic claims submissions,
the NPI is validated to ensure formatting
of the NPI is correct. For adjudication, the
NPI on the claim is validated against the
NPI information submitted to Regence by the provider. |
| How can I be sure you have my
correct NPI? |
The NPI on file is printed
on your payment voucher.
- Please verify the NPI on your
voucher is correct.
- If you think it is incorrect,
please contact Provider
Services immediately.
|
| Are taxonomy codes required
to adjudicate claims? |
Regence does not require the use
of taxonomy codes. |
| How do you process same provider/multiple
locations claims/remittance advices? |
Regence continues to process and
distribute payments using processes currently
in place. |
| Do you have subpart requirements? |
No. See CMS
guidelines related to subparts (PDF) for more information. |
| Do you require new Trading Partner
Agreements? |
No. |
| Do you require the NPI on paper-based
transactions? |
While we are not requiring the
NPI on paper-based transactions, we do recommend
that the NPI be included on all transactions
whether submitted electronically or on paper. |
| Do you require providers to update
you in addition to the Enumerator? |
Yes, you must notify us of your
NPI prior to submission of claims-based transactions. |
