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Frequently Asked Questions

 
Q:

NPI, National Provider Identifier – My claims are getting denied for edit 02067 – Attending Provider not linked to Billing Provider, what does that mean?

A:

For NPI, NYS Medicaid requires that all practitioners entered as attending providers be on file as affiliated with the facility submitting the claim. The affiliation is performed by using the web application available on emedny.org.

(NOTE: A batch method was also developed to accommodate facilities that have a large quantity of affiliations to report to NYS Medicaid. Providers may create and submit this batch to New York State Medicaid utilizing their current batch submission methods (example: eMedNY Exchange or FTP). Preparers will not have the ability to edit the batch once it has been successfully entered through the batch process. However, they will be able to delete records, via the web based application, even if the record was originally submitted in a batch).

Please see the list below of provider types affected.

Provider types required to maintain Attending Provider Rosters
0160 D&TCS: DIAGNOSTIC & TREATMENT CENTER SVCS (FSTNDG)
0260 HHAS: HOME HEALTH AGENCY PROFESSIONAL SVC (FSTNDG)
0285 HOS SVC: INPATIENT
0287 HOS SVC: HOSPITAL BASE OUTPATIENT SERVICES

 

Notes and Comments

Created:

July 17, 2008            

Last Modified:

September 18, 2008 
 
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