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Back  RFI # 451: NPI in the 835 PLB01?

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Submitter

Jodi Fekete

Description

Would the NPI be appropriately placed in the PLB01? The note states "Use this number for the provider identifier as assigned by the payer".

Submitter Assigned Keywords

NPI PLB01

Response

This issue is not explicitly addressed in guide 004010X091. While the guide states to use the provider identifier as assigned by the payer if they are a covered entity, the NPI final rule supersedes the IG notes. Under that rule, the only provider IDs that can be used in Standard Transactions are the NPI and the Federal Tax ID, with extreme limitations on the use of the tax ID. As a result, the NPI is appropriate content for PLB01.
Submission 9/13/2006
Status Date 11/10/2006
Status F - Final
Primary References
Document 004010X091A1
SectionSUMMARY
Page67
Set IDPLB01