1 / 59

Standard Unique Health Identifier for Health Care Providers: The National Provider Identifier

I. P. N. Standard Unique Health Identifier for Health Care Providers: The National Provider Identifier. Use in HIPAA Standard Transactions. Standard Unique Health Identifier for Health Care Providers: The National Provider Identifier. Purpose of this slide set:

adem
Download Presentation

Standard Unique Health Identifier for Health Care Providers: The National Provider Identifier

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. I P N Standard Unique Health Identifier for Health Care Providers:The National Provider Identifier Use in HIPAA Standard Transactions

  2. Standard Unique Health Identifier for Health Care Providers:The National Provider Identifier • Purpose of this slide set: • To identify the HIPAA transactions that will use the NPI. • To identify segments within transactions where the NPI is used. • To help frame and understand NPI usage in the transactions so capability requirements can be identified.

  3. Characteristics of NPI in HIPAA Transactions • 10 numeric characters • 10th digit is a check digit • No intelligence built into the identifier • To be assigned and managed by the National Plan and Provider • Enumeration System (NPPES)

  4. Uses of NPI in HIPAA Transactions Code set source:

  5. Uses of NPI in HIPAA Transactions NPI used in the following transactions: • 270: Eligibility Request • 271: Eligibility Response • 275: Claims Attachment • 276/277: Claims Status Request and Response • 277: Claim Request for Additional Information • 278: Referral/Authorization Request and Response • 834: Enrollment • 835: Claim Payment/Advice • 837: Dental, Institutional, Professional Claims • NCPDP 5.1: Pharmacy

  6. Uses of NPI in HIPAA Transactions(270 Eligibility Request)

  7. Uses of NPI in HIPAA Transactions(270)

  8. Uses of NPI in HIPAA Transactions(271 Eligibility Response)

  9. Uses of NPI in HIPAA Transactions(271)

  10. Uses of NPI in HIPAA Transactions(271)

  11. Uses of NPI in HIPAA Transactions(271)

  12. Uses of NPI in HIPAA Transactions(275 Claims Attachment)

  13. Uses of NPI in HIPAA Transactions(276/277 Claims Status Request and Response)

  14. Uses of NPI in HIPAA Transactions(276/277)

  15. Uses of NPI in HIPAA Transactions(276/277)

  16. Uses of NPI in HIPAA Transactions(276/277)

  17. Uses of NPI in HIPAA Transactions(277 Claim Request for Additional Information)

  18. Uses of NPI in HIPAA Transactions(278 Services Request for Review and Response)

  19. Uses of NPI in HIPAA Transactions(278)

  20. Uses of NPI in HIPAA Transactions(278)

  21. Uses of NPI in HIPAA Transactions(834 Enrollment)

  22. Uses of NPI in HIPAA Transactions(835 Claim Payment/Advice)

  23. Uses of NPI in HIPAA Transactions(835)

  24. Uses of NPI in HIPAA Transactions(837-D Healthcare Claim Dental)

  25. Uses of NPI in HIPAA Transactions(837-D)

  26. Uses of NPI in HIPAA Transactions(837-D)

  27. Uses of NPI in HIPAA Transactions(837-D)

  28. Uses of NPI in HIPAA Transactions(837-D)

  29. Uses of NPI in HIPAA Transactions(837-D)

  30. Uses of NPI in HIPAA Transactions(837-D)

  31. Uses of NPI in HIPAA Transactions(837-I Healthcare Claim Institutional)

  32. Uses of NPI in HIPAA Transactions(837-I)

  33. Uses of NPI in HIPAA Transactions(837-I)

  34. Uses of NPI in HIPAA Transactions(837-I)

  35. Uses of NPI in HIPAA Transactions(837-I)

  36. Uses of NPI in HIPAA Transactions(837-I)

  37. Uses of NPI in HIPAA Transactions(837-I)

  38. Uses of NPI in HIPAA Transactions(837-I)

  39. Uses of NPI in HIPAA Transactions(837-I)

  40. Uses of NPI in HIPAA Transactions(837-I)

  41. Uses of NPI in HIPAA Transactions(837-I)

  42. Uses of NPI in HIPAA Transactions(837-P Healthcare Claim Professional)

  43. Uses of NPI in HIPAA Transactions(837-P)

  44. Uses of NPI in HIPAA Transactions(837-P)

  45. Uses of NPI in HIPAA Transactions(837-P)

  46. Uses of NPI in HIPAA Transactions(837-P)

  47. Uses of NPI in HIPAA Transactions(837-P)

  48. Uses of NPI in HIPAA Transactions(837-P)

  49. Uses of NPI in HIPAA Transactions(837-P)

  50. Uses of NPI in HIPAA Transactions(837-P)

More Related