NPI Reminder
For full NPI compliance, remember that legacy identifiers, UPINs, state license IDs, rendering provider Tax IDs, etc., are no longer allowed on claim submissions. Including identifiers can cause your claims to delay or even reject. Please check with your vendors to ensure these are not being submitted on our electronic claims.
Use of NPI is Now Mandatory
As of May 17, 2008, Humana began to enforce use of NPI only on HIPAA standard transactions. HIPAA electronic transactions included under the mandate require use of an NPI. Provider claims (HIPAA 837 I, P & D) must contain an NPI, or they will be rejected by the clearinghouses with which Humana has contracted.
Providers are strongly encouraged to obtain an NPI if they have not already done so and to begin using their NPI on all electronically submitted claims to avoid disruption in cash flow. Please ensure that your practice management system or billing service has your NPI(s) implemented for use on electronic claims.
For providers receiving the Electronic Remittance Advice (HIPAA 835 ERA), Humana is including the NPI with the ERA data once Humana has received the NPI on claims submitted. In the spirit of administrative simplification, and in conjunction with CMS recommendations, providers submitting paper claims are also encouraged to use their NPI.
National Provider Identifier (NPI) Dual Identifier Quick Reference Guide
The purpose of this document is to assist providers in understanding which fields on electronic claims submission forms should be modified to support dual identifier use and the National Provider Identifier mandate. “This guide does not replace any of the HIPAA requirements on an 837 claim. This is a guide to assist providers with Humana claims during the dual identifier period for NPI” If you have questions regarding your NPI, please call Humana Customer Service at 1 800 448-6262
- NPI Quick Reference Guide 837 Institutional
- (36KB) - Download PDF
- English
- NPI Quick Reference Guide 837 Professional
- (36KB) - Download PDF
- English
- NPI Quick Reference Guide 837 Dental
- (36KB) - Download PDF
- English
- NPI Quick Reference Guide Dual Identifier 835 Remittance
- (36KB) - Download PDF
- English
- Humana NPI Compliance Contingency Plan
- (36KB) - Download PDF
- English
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