Healthcare News and Updates: NPI Deadline - GATEWAY Clients

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Thursday, May 22, 2008

NPI Deadline - GATEWAY Clients

NPI/Legacy Identifier Update
Beginning May 23, 2008, Medicare will not pay for claims where the NPI is not provided. This will affect claims submitted to Gateway EDI after 2 p.m. CST on May 21, 2008. No changes are required on your end related to Legacy Identifiers. Gateway EDI will remove the Legacy Identifiers for all Medicare payers.
Many commercial payers have not communicated their NPI implementation plan. Please make sure you are sending your NPI, but do NOT stop sending your Legacy Identifiers. Gateway EDI will continue to send the NPI/Legacy Pair until we are notified that the payer will no longer accept the Legacy Identifier.
For more information regarding Medicare NPI numbers, please refer to the CMS Bulletin at http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5890.pdf.

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