The following information was sent via the Trailblazer Listserv. Please review this information to assure that your practice setting is fully aware of all current requirements surrounding the NPI.

Thanks,

Angela S. Brooks, PT

VPTA Payer Relations Specialist

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Part B Only: Updated - How to Use Your NPI When Billing Medicare – Effective Monday, October 8, 2007, TrailBlazer will begin rejecting NPI/Legacy ID combinations that do not match on the NPI crosswalk file.

How Do I Share My NPI With Medicare? – Please share your NPI with Medicare by submitting it on Medicare claims. Unlike some health plans, there is no fax number, telephone number or special Web site providers need to use to communicate their NPI to Medicare. As stated previously, Medicare is now asking that submitters send a small number of claims using only the NPI. If no claims are rejected due to provider legacy number errors, the submitter can gradually increase the volume. More information about NPI is available on the TrailBlazer NPI Web page.

Important – Providers Should Submit Both NPIs and Legacy Numbers on Medicare Claims – Until further notice, providers should submit both NPIs and legacy provider numbers on Medicare claims to ensure they are properly processed.