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February 2013

Reminder: Include rendering practitioner NPI on group provider claims

Please include the rendering practitioner’s national provider identifier on any claims originating with group health care providers, including clinics, multi-specialty groups and physicians providing durable medical equipment or supplies.

Enter the NPI in field 24J on the CMS-1500 paper claim or in field 2310B/2420A on the 5010 electronic claim. All applicable fields will require verification with EDI.

Inclusion of the NPI will help us to more quickly process claims. Failure to provide this information may result in claims processing delays or denials.

If you have any questions, please contact your provider consultant.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
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