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NATIONAL PROVIDER IDENTIFIER (NPI) & HEALTHCARE CLAIM SETTLEMENT

Payformance Corporation, January 1, 2007
The looming requirement for the National Provider Identifier (NPI) holds significant ramifications for the claim settlement process. Current claim management systems operate based on Provider Identification Numbers (PINs) that were assigned to providers by health plans. NPI will require major changes to these systems to allow the association of payments with providers using NPIs rather than PINs. This white paper reviews the NPI requirement, outlines possible impacts to claim management systems, and offers steps payers should take to be ready.

BY:

Lisa Miller
Payformance Health CTO, Jacksonville, FL
www.payformance.com/

(PDF format - click here to download the latest version of acrobat reader)
Download this Whitepaper