Validating national provider identifier

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If the claims reject, go into your NPPES record and validate that the information you are sending on the claim is consistent with the information in NPPES.

If it is different, make the updates in NPPES and resend a small batch of claims 3-4 days later.

This is especially important if the organization health care provider is experiencing any Medicare claims processing issues.

It has come to CMS' attention that some clearinghouses continue to strip NPIs, as well as other information, from Medicare claims.

If your clearinghouse continues to strip your NPI from your claims for any reason, notify your Medicare Contractor immediately so that CMS can work with your clearinghouse to resolve the issue.