For individual providers who submit electronic claims with their Employee Identification Number (EIN) rather than their Social Security Number (SSN), a new policy from Florida Blue applies immediately. The policy, which strengthens alignment with the Centers for Medicare & Medicaid Services (CMS), requires such providers to have a valid Type 2 National Provider Identification (NPI) on file with us. For providers who continue to use their Social Security Number and not an EIN, a Type 1 NPI can continue to be used.
For more information please refer to the Frequently Asked Questions or contact Florida Blue at 800-727-2227, Mon. through Fri., 8 a.m. – 8 p.m. ET.
Blogger Widget
Popular Posts
-
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
-
An OPPS payment status indicator is assigned to every HCPCS code. The status indicator identifies whether the service described by the H...
-
Claim Adjustment Reason Codes (CARC) CO-22 or PR-22 This care may be covered by another payer per coordination of benefits. CO-19 This is...
-
This procedure is medically necessary only when it requires the professional skills of a therapist, is designed to address specific ne...
-
Definition: The “-59” modifier is used to indicate a distinct procedural service. The physician may need to indicate that a procedure or...
-
Mohs surgery, also known as chemosurgery, created by a general surgeon, Dr. Frederic E. Mohs, is performed to remove complex or ill-defi...
-
Ambulance transportation is a covered service when the patient’s condition is such that the use of any other method of transportation would...
-
Sentinel lymph node identification and biopsy typically involves a multidisciplinary approach. A nuclear medicine procedure called lymph...
-
AAPC’s Certified Professional Coder (CPC) credential is the gold standard for medical coding in physician office settings and held by more ...
-
This procedure may be medically necessary for training patients whose walking abilities have been impaired by neurological, muscular, o...
