Electronic Transaction Changes Effective March 1, 2008


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	Electronic Transaction Changes Effective March 1, 2008 Information posted December 24, 2007: Effective March 1, 2008, electronic claims must be submitted with a National Provider Identifier (NPI) for the billing, performing, attending, ordering, facility, and referring providers. If an NPI is not included or if a legacy provider identifier is submitted, the claim will be rejected. Other electronic transactions, such as eligibility verification and claim status inquiries, must also be submitted with an NPI. If an NPI is not included or if a legacy provider identifier is submitted, these transactions will be rejected. Click on the title to view the details.

Electronic claim and transaction batches containing multiple claims and transactions that do not contain the NPI or contain a legacy provider identifier will not be rejected at the batch level. Electronic claim and transaction batches will be accepted, and only the specific claim or transaction missing the NPI will be rejected.

For additional information about electronic claims, refer to the Electronic Data Interchange (EDI) Companion Guides that are available on the EDI webpage of this website at www.tmhp.com/c5/edi

For more information, call the EDI Help Desk at 1-888-863-3638.

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