Rendering Provider ID, NPI, non NPI - Box 24I; Box 33B-Billing Physician ID# in Chapter 3 - Understanding the CMS 1500 Forum

0 Points

Add Reply New Topic

<< Previous Topic Next Topic >>

Rendering Provider ID, NPI, non NPI - Box 24I; Box 33B-Billing Physician ID#

Author	Comment
sheilsalv	Rendering Provider ID, NPI, non NPI - Box 24I; Box 33B-Billing Physician ID#	Lead	[-]
Posts: 65 May 6 09 12:25 PM Reply Quote More My Recent Posts	Tags : None Just a little confuse on when to use these numbers. In p.36 of the chapter on how to fill up Box 24I, it says "Enter the alpha numeric qualifier for the non NPI provider identifier number that.... ". Does that mean that we will always use the Qualifier Number which is 1B in this example and the "NPI" text is always there? What do you mean by non NPI provider I.D when in fact, it has already the NPI? Also, what is the difference between a Rendering Provider ID vs. NPI vs. Billing Physician ID#?
	Remove this ad
MBC Sawyer	Reference the Study Guide for a List of Qualifiers	#1	[-]
Posts: 69 May 7 09 10:50 AM MBC Student Support Reply Quote More My Recent Posts	Sheila, In your Study Guide, you will find a list of Qualifiers. You will only use a Qualifier in the event that you will be identifying the provider in Box 24J using a provider ID number required by a particular carrier which is a number other than the NPI used at the bottom of the form to identify the provider. You will not always use 1B. You will only use 1B when you are filing a claim to Blue Cross Blue Shield. Your software program will know what fields to pull from and what qualifiers and identifying provider numbers to use based upon the type of insurance you have selected. A non NPI provider number is a provider identification number that is not his/her NPI number. Rendering Provider ID: The ID number that correlates to the physician who actually rendered the services. NPI: National Provider Identification. The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. Covered health care providers and all health plans and health care clearinghouses will use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. Billing Physician ID: This is the number which identifies the provider or group that the claim is billed under. Sawyer MBC Student Support sawyer@medicalbillingcourse.com (865) 286-9124 #14
sheilsalv		#2	[-]
Posts: 65 May 7 09 3:54 PM Reply Quote More My Recent Posts	Thanks! I didn't realize that there is a lot of ID#s assigned to a provider!! That it can have both an NPI and a non NPI #!

<< Previous Topic Next Topic >>

Add Reply