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NPI for Payers

MedAvant Meets Payer Needs
MedAvant understands that each Payer will have its own NPI strategy so we are prepared to accommodate virtually any Payer-defined NPI option. To accomplish this MedAvant has created several claims-processing options. Based on your requirements MedAvant can provide any of the following:

  • Legacy Only
    Under this option 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.
  • NPI_Req
    NPI is Required. NPI and Legacy IDs will be delivered to the payer. No Legacy ID edits will be performed.
  • NPI_Only
    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.
  • Dual Use
    Under this option MedAvant will deliver claims or encounters with ONE of the following.

     - NPI and Legacy Provider IDs
     - 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
  • All Use
    This is an "all purpose" option 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.

Select The Option That Works Best for You
Please complete our NPI Options Form to choose the NPI option that works best for you. 

Payer Survey
MedAvant would like to know more about your progress and efforts to implement NPI.

Please take a minute to complete our Payer Survey.

Test With MedAvant
MedAvant does not require Payer testing for NPI however we will test files upon request. If you would like to test with us please email your request.

Call 800-586-6870 or e-mail PayerSolutions@medavanthealth.com for more information.

 

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