The NPI will be Required for all HIPAA Standard Transactions on May 23, 2008:
- For all primary and secondary provider fields, only the NPI will be accepted and sent on all HIPAA electronic transactions
(837I, 837P, NCPDP, DDE, 276/277, 270/271 and 835), paper claims (UB-04 and CMS-1500) and SPR remittance advice.
- The reporting of Medicare legacy identifiers in any primary or secondary provider fields will result in the rejection
of the transaction.
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HIPAA version 5010 is coming:
Industry government watchers expect the Department of Health and Human Services this year (2008) to publish a proposed
rule to migrate HIPAA transactions to the forthcoming version 5010. HHS realizes it can't move forward with adoption
of the ICD-10 code set without 5010, which will support the greatly expanded diagnosis and procedure codes.
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