Submit your National Provider Identifier (NPI) to Regence now

Centers for Medicare & Medicaid Services (CMS) recently released contingency guidance to help facilitate compliance in using the NPI for electronic claims submission.

You must enter your NPI number on all electronic claims. Although it is no longer required, you may continue to include your Regence provider number if desired. We will notify you at a later date when the Regence identifier will no longer be accepted.

Note: All claims require your tax identification (ID) number in addition to your NPI for accurate payment processing.

1. Obtain your NPI
If you have not applied for your NPI or if you are an Organizational provider and you need assistance, Centers for Medicare & Medicaid Services offers sub-part enumeration guidelines and many other NPI-related resources.

2. Submit your NPI to Regence now

• Use our online form:
  • Type 1 providers (physicians, dentists and all sole proprietors who are individuals eligible for only one NPI)
  • Type 2 providers (organizations such as physician groups, hospitals, nursing homes, and corporations which may have "subparts" that need their own NPIs).
• Call your provider services consultant to report your NPI
• Send your NPI via standard mail to:
  Regence BlueShield of Idaho
  Attn: Provider Operations                                        
  PO Box 1106 MS/LB1W                                                                  
  Lewiston, ID 83501

More about NPIs and Regence:

• Regence NPI training: Learn more about the NPI and Regence.
• Regence NPI FAQ: Your frequently asked questions about NPI answered.
• The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all physicians, health care professionals and facilities who use electronic transactions must obtain, and use an NPI. Regence requires you to submit your NPI on all electronic claims beginning March 1, 2008. The NPI will be the primary identifying number used for health care providers in standard health care electronic transactions. Early submission helps us map your NPI information to your Regence provider numbers for a smooth transition.