Local Medicaid Managed Health Insurance in Pennsylvania
Allentown Altoona Back Mountain Bethel Park Bethlehem Chester Drexel Hill
Easton Erie Harrisburg Hazleton Johnstown Lancaster Lebanon Levittown McCandless
Township Medicaid McKeesport Mount Lebanon Municipality of Monroeville New
Castle Norristown Penn Hills Philadelphia Pittsburgh Plum Pottstown Radnor
Township Reading Ross Township Scranton Shaler Township Springfield State
College Upper St. Clair West Mifflin Managed Care Wilkes-Barre Williamsport
York
Hospitals in the Philadelphia / Pennsylvania Area
Children's Hospital, Cooper Medical Center, Einstein Hospital, Episcopal Hospital,
Fox Chase Cancer Center, Frankford Torresdale Hospital, Frankford Frankford
Hospital, Managed Care, Friends Hospital, Graduate Hospital, Hahnemann Hospital,
Holy Redeemer Hospital, Jeanes Hospital, Jefferson Hospital, J.F.K. Hospital,
Lankanau Hospital, Vencor Hospital, Lower Bucks Hospital, Methodist, Moss
Rehab Hospital, Nazareth Hospital, Northeastern Hospital, Pennsylvania Hospital,
Presbyterian Hospital, Rolling Hill Hospital, Shriners Hospital, Saint Agnes
Hospital, Saint Christopher's Hospital, Saint Joseph's Hospital, Saint John
Neuman Home, Saint Mary's Hospital, Temple University Hospital, University
of Pennsylvania Hospital, Vencor Hospital, Will's Eye Hospital, Women's Medical
Hospital
Pennsylvania Medicaid, Pennsylvania Health Plan, Pennsylvania Health Insurance, Pennsylvania, Medical Assistance, Pennsylvania Medical Assistance, Pennsylvania Medicaid, Pennsylvania Health Plan, Pennsylvania Health Insurance, Pennsylvania Medical Assistance, Pennsylvania Medical Assistance, Pharmacy Benefit Management Solutions (PBM) Perform Rx, Pharmacy Benefits Management, Prescription Drug Plan for Medicare Perform Rx PDP, Kentucky Medicaid, Medicare Advantage Kentucky, Medicare Advantage South Carolina, New Medicare Drug Plan, Prescription Drug Benefit
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| Providers | | Home > Providers > Provider Communications > National Provider Identifier (NPI) | |||
National Provider Identifier (NPI)
Provider may also continue to include their Keystone Mercy ID Number with their required NPI for electronic and paper claim submission before and after May 23, 2008. Including both will allow us to fully test our system. On May 23, 2008, claims submitted without NPI numbers will be rejected. If a claim has an NPI that we cannot match to our records or DPW’s files, the claim will be denied for invalid NPI. NPI Resources
DPW NPI Guidance & Bulletins
If you are a health care provider who bills for services, you probably need an NPI. If you bill Medicare for services, you definitely need an NPI! Getting an NPI is easy. Getting an NPI is free. The first step is to get your NPI. Once you obtain your NPI, it is estimated that it will take 120 days to do the remaining work to use it. This includes working on your internal billing systems, coordinating with billing services, vendors, and clearinghouses, testing with payers. As outlined in the Federal Regulation, (The Health Insurance Portability and Accountability Act of 1996 (HIPAA)) you must also share their NPI with other providers, health plans, clearinghouses, and any entity that may need it for billing purposes. If you delay applying for your NPI, you risk your cash flow and that of your health care partners as well. |
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