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Frequently Asked Questions

 
Q:

NPI, National Provider Identifier – I receive a roster, will I see any changes?

A:

Yes, the changes to the rosters are:

Transportation Roster for Billing Provider: The field heading of “Ordering Provider ID” will be changed to “Ordering Provider Num.” The Ordering Provider Num field will contain the Medicaid Provider ID. The Ordering Provider NPI will be displayed to the right of the Medicaid Provider ID. The “Prior Approval Number” heading will change to “PA Number.” A new column will be added – “PA CHGD.” This column will contain an asterisk when the PA has been updated since the original determination (adjudication).

Transportation Roster for Ordering Provider: The roster will be changed to include Billing Provider NPI. The column heading of “Billing Provider ID” will change to “Billing Provider Num.” This field will contain either the NPI or Medicaid Provider ID depending on which was submitted. A new column will be added – “PA CHGD.” This column will contain an asterisk when the PA has been updated since the original determination (adjudication).

PCA Roster for Billing Provider: The column heading of “Ordering Provider ID” will be removed from the report. A new column will be added – “PA CHGD.” This column will contain an asterisk when the PA has been updated since the original determination (adjudication).

Nursing Home / Bed Reservation Rosters for Billing Provider: The roster will change to include Billing Provider NPI. The roster will be updated to display the NPI as part of the PA Header information.

 

Notes and Comments

Created:

July 17, 2008            

Last Modified:

July 17, 2008 
 
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