MedAvant NPI - NPI Payer Requirments Request Form


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NPI for Payers

Registration Requirements

NPI Payer Requirments Request Form

MedAvant understands that each Payer will have its own NPI strategy so we are prepared to accommodate virtually any Payer-defined NPI condition. To accomplish this MedAvant has created several claims-processing options. If you would like to request a specific edit to be put in place, please check the appropriate edit below and provide us with the requested effective date for the edit.

Payer Name:

Payer ID:

Contact Name:

Contact Number:

Legacy Only Effective Date:

Under this condition MedAvant will only deliver legacy Provider IDs, even if a submitter sends NPI and Legacy Provider IDs to us. If there are any existing Legacy Provider ID edits they will not be changed.

Dual Use Effective Date:

Under this condition MedAvant will deliver claims or encounters with ONE of the following:
1. NPI and Legacy Provider IDs
2. Legacy Provider IDs only

If there are any existing Legacy Provider ID edits they will not be changed MedAvant will perform an NPI Check digit validation, unless disabled by the Payer.

NPI Req Effective Date:

NPI is Required. NPI and Legacy IDs will be delivered to the payer. No Legacy ID edits will be performed.

NPI Only Effective Date:

NPI is Required. Under this option only NPI values will be delivered to the payer.

MedAvant will perform an NPI Check digit validation, unless disabled by the Payer. If Legacy Provider IDs are submitted they will be stripped from the outbound payer file.

All Use Effective Date:

This is an "all purpose" condition in which MedAvant will deliver any of the following:

Legacy
NPI
NPI and Legacy
If NPI is present, MedAvant will ignore any existing Legacy Provider ID edits.

MedAvant will perform an NPI Check digit validation, unless disabled by the Payer.