NAME TYPE LENGTH
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59. Carrier Claim Referring CHAR 10
Physician NPI Number
The national provider identifier (NPI) number
of the physician who referred the beneficiary
to the physician who performed the Part B
services.
NOTE: Effective May 2007, the NPI will be-
come the national standard identifier for
covered health care providers. NPIs will
replace current OSCAR provider number, UPINs,
NSC numbers, and local contractor provider
identification numbers (PINs) on standard
HIPPA claim transactions. (During the NPI
transition phase (4/3/06 - 5/23/07) the
capability was there for the NCH to receive NPIs
along with an existing legacy number (UPIN,
PIN, OSCAR provider number, etc.)).
NOTE1: CMS has determined that dual provider
identifiers (old legacy numbers and new NPI)
must be available on the NCH. After the 5/07
NPI implementation, the standard system main-
tainers will add the legacy number to the claim
when it is adjudicated. We will continue to re-
ceive any currently issued UPINs. Effective May
2007, no new UPINs (legacy number) will be generated
for new physicians (Part B and Outpatient claims)
so there will only be NPIs sent in to the NCH
for those physicians.
DB2 ALIAS : RFRG_PHYSN_NPI_NUM
SAS ALIAS : RFR_NPI
LENGTH : 10
SOURCE : CWF