NOTE: Alabama Medicaid requires that all eligible Alabama Medicaid providers submit their NPI information, including taxonomy codes to EDS no later than March 1, 2007.  Failure to submit your NPI information by March 1, 2007 may result in rejection of your claims after May 23, 2007.

To register with Alabama Medicaid go to:
www.medicaid.alabama.gov/billing/NPI.aspx

Download and complete an NPI notification form and submit to EDS Provider Enrollment along with a copy of the notification letter from the enumerator.

Fax:
(334) 215-4118

Mail:
EDS Provider Enrollment
P.O. Box 241685
Montgomery, AL 36124

Questions:
Contact your Provider representative at:
(800) 688-7989 (in Alabama)
(334) 215-0111 (outside of Alabama)

1/26/2007

Ancillary Benefit Systems  (Payer ID: 86062)

Anthem BCBS/Central

Blue Shield IN
(BS049)
Blue Shield KY (BS050)
Blue Shield OH
(BS051)

Anthem BCBS requires notification of your NPI before May 23, 2007.  Providers can register their NPIs at this website:
https://npi.wellpoint.com

Questions?

Contact the EDI Solutions Team - Central (BCBSOH, BCBSKY, BCBSIN, BCBSMO, BCBSWI) at:
(800) 470-9630

Anthem BCBS/East

Blue Shield CT(BS043,BS143)
Blue Shield ME(BS034)
Blue Shield NH
(BS067)

Anthem BCBS requires notification of your NPI before May 23, 2007.  Providers can register their NPIs at this website:
https://npi.wellpoint.com

Questions?

Contact the EDI Solutions Team- East (BCBSME, BCBSNH, BCBSCT) at:
(800) 334-8262

Anthem BCBS/West

Blue Shield CO(BS020)
Blue Shield NV(BS019)

Anthem BCBS requires notification of your NPI before May 23, 2007.  Providers can register their NPIs at this website:
https://npi.wellpoint.com

Questions?Contact the EDI Solutions Team- West at :

(800) 332-7575 or:
EDIAnthemWestSupport@anthem.com.

Update: Blue Cross of CA to accept ONLY NPI for all electronic transactions, effective January 26, 2008.  On this date the 10-digit NPI number will be the only compliant provider number that BC of CA will accept.

About NPI Registration: Blue Cross California requires notification of your NPI. To register an NPI for an individual provider or a group go to: Blue Cross of CA , then click on:
- Providers
- NPI
- NPI Online submission form       

For larger organizations click on:
- Providers
- NPI
- Click here for the instructions and spreadsheets for the
   Bulk Submission process.
- Download Bulk submission spreadsheet

NPI's will be required as of May 23, 2007. If you have not notified Blue Cross California, your claims will reject at the payer.

Questions?
Contact Blue Cross California at
(800) 227-3983

Go to:         www.blueshieldca.com/provider/common/npi.jhtml

If you are a group or facility and need to register a large roster of providers with Blue Shield, please email: EDI_BSC@blueshieldca.com or call:
(800) 480-1221 for a standard format spreadsheet for submission.

When faxing or mailing your registration to Blue Shield, please include:

• Your NPI(s)
• The Tax ID number and/or PINs related to each NPI
• A contact name and number

Blue Shield of CA may need to contact you if they have questions about how you have applied NPI to your practice.    

Fax:
(916) 350-8860, Attention: NPI Project

Mail:
Blue Shield of California
Attn: NPI Project
PO BOX 629017
El Dorado Hills, CA 95762-9017 
          
Questions:
Contact California Blue Shield at:
(800) 480-1221         

Blue Shield of Georgia requires notification of your NPI.
To register an NPI for an individual provider or a group go to: http://www.bcbsga.com
Click on:
- Providers
- NPI
- NPI Online submission form       

For larger organizations click on:
- Providers
- NPI
- Click here for the instructions and spreadsheets for the
  Bulk Submission process.
- Download Bulk submission spreadsheet

NPI's will be required as of May 23, 2007. If you have not notified Blue Shield of GA, your claims will reject at the payer.

8/17/07 - Send NPI only 

Submitters should be sending claims with NPI only. Please discontinue use of  Legacy ID's.

The BCBS GA procssing system will only recognize submitters as being fully migrated to NPI if  there are no legacy ID's in your files.

Questions?
Contact Blue Shield of GA at:
(888) 883-2720

Blue Shield Massachusetts requires notification of your NPI.
To register your NPI go to:
http://www.bluecrossma.com/npicollection.
The online form can be used for up to 10 NPI numbers. If you have more than 10 NPIs numbers, just re-use the form as many times as needed. 

When completing the form you must provide the following information:

• First name, middle initial and last name or Group Name
• BCBSMA provider (Legacy) number
• NPI number(s)
• Tax ID (if incorporated) or Social Security Number
• Provider Type
• Organization name (if applicable)
• Contact name with telephone number and email address.

As an alternative, Providers can use this new toll-free NPI telephone number: (888) 781-1309

Using this number, a provider can enter as many NPIs as necessary. Providers will be asked to enter their:

• NPI
• Current BCBSMA provider (Legacy) number
• Tax ID

NPI's will be required as of May 23, 2007. If you have not notified Blue Shield Massachusetts, your claims will reject at the payer.

Questions?
Contact Blue Shield MA at:
(888) 781-1309

Blue Cross & Blue Shield of Mississippi (BS047) requires NPI by August 23, 2007

Providers have until August 23, 2007 to obtain and use their NPI for claims submitted to BCBS of Mississippi. Claims submitted with no NPI, after that date, will reject.

Use this link to obtain the necessary forms to submit your NPI. BCBS of Mississippi 

To register your NPI go to:
http://www.bcbsneprovider.com/forms/download/ 

- Go to Provider forms
- Select NPI Individual Notification Form
- Download Provider Forms

Providers can fax or mail their form to Blue Shield NE

Fax:
(402) 343-3455

Mailing Address:
ATTN:HNS
P O Box 3248
Omaha, NE 68180-0001

NPI's will be required as of May 23, 2007. If you have not registered your NPI with Blue Shield NE, your claims will reject at the payer.

Questions?
Contact Blue Shield NE

Blue Shield Louisiana requires notification of your NPI.
Providers can register their NPI in one of the following ways:

1. Include it on your Louisiana Standardized Credentialing Application, Health Delivery Organization Application or Blue Cross re-credentialing application.

2. Include it on the Provider Update Form.
Go to:  http://www.bcbsla.com/web/provider/ and click on Provider. Then scroll down to Notifying Blue Cross of your NPI.

3. Submit it along with your name and Tax ID or Social Security number printed on your office letterhead.

You can fax it to:
(225) 297-2750

Or mail it to:
BCBSLA
Attention Network Administration
PO Box 98029
Baton Rouge, LA 70898-9029

NPI's will be required as of May 23, 2007. If you have not notified Blue Shield Louisiana, your claims will reject at the payer.

Questions?
Contact Blue Shield Louisiana at:
(800) 716-2299

Blue Cross Blue Shield of Missouri requires notification of your NPI.

To register an NPI for an individual provider or a group go to: http://www.bcbsmo.com

Click on:
- Providers
- NPI
- NPI Online submission form       

For larger organizations click on:
- Providers
- NPI
- Click here for the instructions and spreadsheets for the Bulk Submission process.
- Download Bulk submission spreadsheet

NPI's will be required as of May 23, 2007. If you have not notified BCBS of MO, your claims will reject at the payer.

Questions?
Contact BCBS of MO.

To register your NPI go to:
http://www.bcbsok.com/providers.html 

Click on National Provider Identifier (left side)
Select Submit your NPI to us here -Online version
OR
Submit your NPI to us here - PDF Version.

Complete the forms and follow the instructions.

NOTE: You must include a copy of the confirmation letter or email from NPPES.

NPI's will be required as of May 23, 2007. If you have not registered your NPI with Oklahoma Blue Shield, your claims will reject at the payer

Questions?
Please contact Oklahoma Blue Shield at
(800) 722-3730 Option 5

Go to:      
www.bmchp.org/pages/providers/provider_home.aspx

- National Provider Identifier (NPI)
- Complete the electronic form
- Follow the instructions

BMC HealthNet Plan requires all eligible healthcare providers, clinics, hospitals, and other healthcare facilities to submit written notification of their NPI prior to claim submission.

Questions?
Contact BMCHP at:
(888) 566-0008

Update for 06/14/2007

Please register your NPI value with the payer now. On 06/21/07 you must submit NPI values in your claims or the payer will reject your claims. In addition they will not generate EOB and ERA for claims that do not contain NPI values.

Registering your NPI

Provider action is required. After receiving your NPI you are required to register the NPI with Connecticut Medicaid.
The NPI registration form is available at: http://www.ctmedicalprogram.com 

From the Home Page select:
- NPI Information
- NPI Provider Information Form

Complete the form and mail to:
EDS
ATTN: Provider Enrollment
P O Box 5007
Hartford, CT 06104

NPI's will be required as of May 23, 2007. If you have not registered your NPI with Connecticut Medicaid, your claims will reject at the payer.

Questions?
Please contact Connecticut Medicaid at:
(860) 832-9259

Click here to register with Health Options HMO

• Go to News and Note and click on National Provider Identifier (NPI)
• Select NPI Notification form and follow instructions
                

NPI's will be required as of May 23, 2007. If you have not notified Health Options HMO by that date, your claims will reject at the payer.         

Questions? Contact Health Options HMO at :
(904) 791-6111

Idaho Medicare (MR003)

Go to: cignagovernmentservices.com/enrollment/info.html

Update: Providers will be REQUIRED  to submit their NPI's ONLY for all claims beginning Tuesday, May 22, 2007.

To register you NPI with this payer go to: http://www.massmedboard.org/physician/ Assorted Downloadable Forms
- NPI Reporting Form

Complete, sign, and mail the ORIGINAL to:
Board of Registration in Medicine
560 Harrison Ave G - 4
Boston, MA 02118

Questions?
Contact Massachusetts Medicaid at:
(800) 322-2909

Update: Providers will be REQUIRED  to submit their NPI's ONLY for all claims beginning Tuesday, May 22, 2007.

Provider action is required. After receiving your NPI, you will need to notify Michigan.

To enter your NPI go to: http://www.bcbsm.com. From the home page select:

• Provider
• HIPAA/NPI (Located in left side navigation box)
• How do I submit NPI to BCBSM?
• Complete an NPI Excel Collection Template
• Download the template for your Provider Type and line of business.
• Once you have completed your NPI spreadsheet return to the NPI page.
• Use the appropriate link to email your completed spreadsheet.
• Michigan WILL ONLY accept their template, sent via their email address.

NPI's will be required as of May 23, 2007. If you have not notified Michigan, your claims will reject at the payer.

Questions?
Please contact Michigan at:
(800) 822-2761

Starting October 1, 2007 all providers who wish to bill Montana's Healthcare Programs for services must re-enroll by September 28, 2007 and provide your NPI. Atypical providers will be assigned a new proprietary provider number. 

Organizations that provide services under multiple provider types are reminded to re-enroll in Montana's Healthcare Programs for each type of service to be billed.  For example, hospitals that also provide ambulance services must re-enroll once for hospital and once for ambulance.  In addition clinics with multiple locations must enroll each participating location.

To re-enroll on-line, or to down load enrollment forms, follow this link:

Montana Medicaid Provider Site

To register your NPI with MVP Healthplans go to:   www.mvphealthcare.com. From the Providers drop down list select Providers Home

• Click on the NPI Link in the top right corner
• Click on the Report Your NPI at the top of the page
• Login and you will see two options for reporting your NPI.
• Follow instructions for your situation.

NPI's will be required as of May 23, 2007. If you have not registered your NPI with MVP Health Plan, your claims will reject at the payer.

Questions?
Please contact MVP Health Plan at:
(800) 893-4357

NC Medicare
(MR020)

Your NPI number is required by May 23, 2007 to process all Medicaid claims. A delay in reporting your NPI may cause your payments to be interrupted.  Use any of these methods to report your NPI to Ohio Medicaid.

Email, fax or mail your NPI Enumerator confirmation email or letter  Include your 7-digit Ohio Medicaid provider number.

Email to:
NPI_OHIO_MEDICAID@odjfs.state.oh.us

Mail to:
NPI Ohio Medicaid
PO Box 1461
Columbus, OH. 43216-1461

NPI Ohio Medicaid Fax:
(614) 995-5904

For more information go to: http://jfs.ohio.gov/OHP/providers/npi.stm

Trading partners must be prepared to continue sending both the NPI and Medicaid legacy ID in the 837 claim transaction beyond May 23, 2007, in the event that the dual identifier period is extended.

Provider action is required. After receiving your NPI, you will need to notify Oklahoma Medicaid.

Providers are required to send the following information:

• NPI confirmation notice from NPPES
• Provider Name
• Medicaid Provider Number

Fax:
Providers can fax the information to (405) 530-3224 (no cover letter is required)

Beginning March 1, 2007 Missing NPI warnings will post on all 837 transactions.

NPI's will be required as of May 23, 2007. If you have not notified Oklahoma Medicaid, your claims will reject at the payer.

Questions?
Please contact Oklahoma Medicaid at:
(800) 522-0114 Opt 5.

To register go to:
http://www.regence.com- Select the appropriate state   

Physicians
Click on NPI to obtain a Provider Information Update Form
Follow the instructions and use this online form to submit your NPI information

You can also print and fax a completed Provider Information Update Form with supporting documentation.

Fax to Oregon:
(503) 225-6911

Questions?
Contact Regence Blue Shield at:
(888) 344-5583.

Provider action is required. If you haven't submitted your NPI and taxonomy code(s) yet, submit them today.
Oregon Medicaid is collecting National Provider Identifier's (NPI) from Providers in preparation for use in DHS payment systems. In order to cross match Providers from their DHS numbers to their NPI, DHS requests your NPI and taxonomy code(s)as soon as possible. This will help to ensure uninterrupted payments as your electronic claims may either suspend or deny.

To obtain the DMAP registration fax form go to:

http://dhsforms.hr.state.or.us/Forms/Served/OE1038.pdf
Return your completed form via mail, fax or email:

DHS EDI Support Services
DMAP Operations
500 Summer St. NE, E-44
Salem, OR 97301-1079

Fax: (503) 947-5359

Questions?

Contact DHS EDI Support Services at:
dhs.hipaatesting@state.or.us

(888) 690-9888 (Option 2)
(503) 947-5347

Click here to register with Priority Health. 

• Click on General Office Setup and Standards
• Select NPI Numbers
• Go to Notify Priority Health of Your NPI Number and follow instructions to register your NPI

NPI's will be required as of  May 23, 2007. If you have not notified Priority Health Michigan by that date, your claims will reject at the payer.
               
Questions? Contact Priority Health Michigan at:
(800) 942-4765

South Carolina Medicaid requires registration of your NPI.
To register your NPI go to: www.dhhs.state.sc.us  
 - Click on Share Your NPI with SC Medical and select from these options:

• Group/Organization Registration
• Individual Registration
• Large Provider Registration Template

To share your NPI with South Carolina Medicaid
you must include your:

• Six (6) character SC Medicaid provider ID
• Taxonomy code
• Zip+4 zip code

Providers can also mail, fax or email a copy of the NPPES
to South Carolina Medicaid

Mailing Address
Medicaid Provider Enrollment
P O Box 8809
Columbia, SC 29202-8809

Fax Number: (803) 699-8637

Email: provider.enrollment@bcbssc.com.

NPI's will be required as of May 23, 2007. If you have not registered your NPI with South Carolina Medicaid, your claims will reject at the payer

Questions?Please contact South Carolina Medicaid at
(803) 264-1650

Go to: cignagovernmentservices.com/enrollment/info.html

Tufts (04298)

Updated:  06/14/2007

After careful consideration, Tufts has agreed to process claims using Legacy ID or NPI until September 30, 2007 by temporarily lifting their NPI-only claims requirement..

Unicare
(80314)

Unicare
(Old John Hancock)
(65009)

Unicare of Texas
(47195)

Go to:
https://npi.wellpoint.com 

If you are registering more than one NPI, please complete one form for each NPI.

If you have a large quantity of NPI's to submit (provider practice or large organization), UniCare has implemented a bulk submission process.

Preparation for NPI may require providers to assess and upgrade their existing systems or have discussions with their electronic vendors to ensure compliance with NPI requirements.  Please contact your vendor today.

In addition, testing is a key component of the NPI preparation process. A physician office or facility may be able to minimize problems by testing early with electronic vendors and UniCare.

With advanced preparation providers can help ensure a seamless conversion to NPI, minimizing any potential payment disruptions in their operations with UniCare.

Go to:

https://www.unitedhealthcareonline.com/                 

NPI can be registered in one of the following:
1. Call the Voice Enabled Telephone Self-Service System (VETSS) at 1-877-842-3210.
 - Select the "Health Care Professional Services" prompt. 
 - State "Demographic changes" and your call will be directed to the Service Center to collect your NPI, corresponding NUCC Taxonomy Codes, and other NPI related information.

2. Fax your NPI and Related Information -
United HealthCare's regional "Provider Demographic Update" forms have been updated to include NPI, NUCC

Taxonomy Codes and other NPI related information. 
Forms can be downloaded from the links shown on the website.

Questions?
Contact United Health Care at:
(877) 842-3210

To register your NPI go to:
Vermont Medicaid- Click on NPI Excel Collection form and follow the instructions.

NOTE: You must include a copy of the confirmation letter or email from NPPES.

Providers can fax or mail their form to Vermont Medicaid

Fax:
(802) 878-3440
Attention: Provider Enrollment

Mailing Address:
EDS

PO Box 888
Williston, VT 05495
Attn: Provider Enrollment Dept.

NPI's will be required as of May 23, 2007. If you have not registered your NPI with Vermont Medicaid, your claims will reject at the payer.

Questions?
Please contact Vermont Medicaid at:
(800) 925-1706

Fax your NPI information to Enrollment: 

(304) 348-3380

Questions?
(888) 483-0793