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Frequently Asked Questions

 
Q:

NPI, National Provider Identifier – How will NPI affect my claim status transactions (ePACES and 276 claim status)?

A:

Providers will be able to submit either a Medicaid Provider ID or NPI, as appropriate, in the Claims Status Request criteria (ePACES or 276 transaction). When a Medicaid Provider ID is submitted, claims matching the Medicaid ID will be returned. When an NPI is submitted, claims matching all Medicaid Provider IDs associated with the NPI will be returned. Up to ten most recently adjudicated claims matching the request criteria will be returned on the Claim Status Response (ePACES and the 277 transaction).

 

Notes and Comments

Created:

July 17, 2008            

Last Modified:

July 17, 2008 
 
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