RCPA - Rehabilitation and Community Providers Association


NPI Implementation Smooth
June 30, 2008

The Department of Public Welfare (DPW) reports that implementation of the National Provider Identifier (NPI) has gone smoothly since May 23. Some providers have not registered NPIs with DPW, but many of these may never register. Some claims have been denied. DPW identified several of the most common errors during the June Medical Assistance Advisory Committee meeting. Error Status Code (ESC) 1101 indicates that providers have registered the same NPI number for multiple service locations, but are not using the taxonomy or nine-digit zip code to enable an exact match to a service location. ESC 1100 indicates that the NPI could not be linked with a provider and the NPI may not be registered with DPW. ESC 1150 indicates that the legacy number was used with no NPI registered. DPW has issued Medical Assistance Bulletin 99-08-07, Revised Error Reconciliation Recommendations for the National Provider Identifier, to identify ESCs and recommend solutions for those who have received claim denials related to NPI post-implementation.

DPW has also scheduled additional teleconference training for healthcare billing providers and billing vendors on NPI on July 15 at 1:00 p.m. The call will accommodate 100 telephone lines, but multiple participants can meet together to use one line. Register online at www.dpw.state.pa.us/omap/promise/provconfcalltrng_process.asp. A handout for the training is available by clicking on the link NPI Provider Awareness for Electronic Billers. Contact Betty Simmonds with questions.

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