03-23-05 09 Feb 2006 page 1 EDS Internal NPI Timeline.

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Presentation transcript:

Feb 2006 page 1 EDS Internal NPI Timeline

NPI Reporting 09 Feb 2006 page 2 EDS Internal NPI Solution Overview NPI Timeline Transition PlanStart DateEnd Date IHCP will only report existing IHCP legacy provider numbers on all outbound transactions IHCP will not accept an NPI on any Web interChange, 278, and 270 transactions IHCP will accept an existing IHCP legacy provider number or NPI on NCPDP. (These transactions do not allow for submission of multiple provider identifiers). IHCP will accept a NPI on all standard HIPAA transactions as long as an existing IHCP legacy provider number is available for processing. IHCP will accept an existing IHCP legacy provider number and/or an NPI on 837 (I & P) from COBC as long as an existing IHCP legacy provider number accompanies it. The IHCP legacy provider number will be used for processing. Web NPI Reporting tool available for providers to report their NPI to IHCP

NPI Reporting 09 Feb 2006 page 3 EDS Internal NPI Solution Overview NPI Timeline (cont.) Transition PlanStart DateEnd Date IHCP will accept an existing IHCP legacy Provider Number and/or a NPI on Web interChange and all EDI inbound transactions. When Both NPI and the IHCP legacy Provider Numbers submitted, IHCP will use the IHCP legacy Provider Number for processing. IHCP returns both NPI and the IHCP legacy Provider Number on all outbound transactions, as long as the NPI was previously reported to the IHCP (NPI cross-walk to IHCP legacy Provider Number is available). IHCP will only accept NPI on all inbound (including NCPDP,EDI, and Web interchange) transactions. IHCP will only accept an NPI on 837 I, P from COBC. IHCP returns only NPI on all outbound transactions, as long as the NPI previously reported to the IHCP is available. IHCP returns only existing IHCP legacy Provider Number on outbound transactions, for Atypical providers, or when NPI previously not reported to the IHCP.

Feb 2006 page 4 EDS Internal NPI Reporting Presentation by Shane Kelly, Business Support Team - EDS

NPI Reporting 09 Feb 2006 page 5 EDS Internal NPI Reporting – Intro Screen Upon receiving an NPI from the National Plan and Provider Enumeration System (NPPES), the Provider must report their NPI to the Indiana Health Coverage Program (IHCP). To report an NPI to IHCP via the Content Site… –Enter Tax ID –Click Continue

NPI Reporting 09 Feb 2006 page 6 EDS Internal NPI Reporting – List Screen Upon clicking Continue, the NPI List screen will display all providers/service locations associated to the Tax ID entered. Providers will then have the ability to enter their respective NPI(s). –Enter a valid Address –Enter the appropriate NPI for one or more provider/service locations –Click Confirm Changes

NPI Reporting 09 Feb 2006 page 7 EDS Internal NPI Reporting – Confirmation Screen Upon clicking Confirm Changes, the NPI Confirmation screen will display the reported NPI and some additional provider enrollment information for each provider/service location. To accept the information displayed and successfully report the NPI to the IHCP... –Click Accept Changes To correct the reported information… –Click Correct Changes

NPI Reporting 09 Feb 2006 page 8 EDS Internal NPI Reporting – List Screen (Conflict) If a provider enters the same NPI for more than one service location having the same 9-digit zip code on the NPI List screen, the NPI Conflict screen will display upon clicking Confirm changes.

NPI Reporting 09 Feb 2006 page 9 EDS Internal NPI Reporting – Conflict Screen To enter an NPI for a specific taxonomy class associated to a particular service location… –Enter the appropriate NPI for one or more taxonomies To add a taxonomy class for a particular service location… –Select the appropriate taxonomy class Once the conflicting information has been corrected… –Click Confirm Changes