Valid NPI Required on All Submitted Claims/Encounters
To satisfy a requirement by the Centers for Medicare & Medicaid Services (CMS), Humana must begin receiving provider claims/encounters data with a valid National Provider Identifier (NPI) as soon as possible and no later than the end of November 2011. Claims/encounters submitted without the NPI will be rejected and returned to the submitting provider.
CMS requires that all Medicare Advantage plans submit full claims/encounters data with a valid NPI beginning Jan. 1, 2012. Any claims/encounters submitted without a valid NPI number will be rejected by CMS.
For more information:
- Review this FAQ
- Visit this CMS website
- Contact provider relations at 1-800-626-2741 with questions pertaining to Humana and its use of NPIs
