RFI Browser

Back  RFI # 398: 278 Hlthcare Svcs Review-NPI

Formal vs. Informal Help Informal Formal

Submitter

joanne hoagland

Description

In the 278 Healthcare Services Request (4010X094) - After NPI mandate date, we will be getting the NPI @ the NM1 in the 2010B Requestor Loop. Is it acceptable to require a tax ID in the Requestor Supplemental ID REF segment? We can do this on a claim transaction, but not sure whether we are allowed to do the same on this transaction. Thanks.

Submitter Assigned Keywords

NPI and Tax ID

Response

Reference from CMS FAQ on NPI:
After May 23, 2008 for standard transactions to or from small health plans, and after May 23, 2007 for all other standard transactions:
* A covered health care provider must use only its NPI to identify itself as a health care provider in standard transactions. If any of its subparts have been assigned NPIs, the covered health care provider must ensure that the subparts use only their NPIs to identify themselves as health care providers in standard transactions.

Additional Note from the workgroup:
The X094A1 is not a financial transaction and therefore, the tax ID would not be needed. The 5010 guides do not have the tax ID as an option.
Submission 4/3/2006
Status Date 6/12/2006
Status F - Final
Primary References
Document 004010X094A1
SectionNM1 REF
Page58
Set IDX094A1