Date: September 23, 2019
To: Institutional Providers – Hospitals; Renal Dialysis Facilities; Ambulatory Surgical Treatment Centers; Hospice Agencies; and Birth Centers
Re: Attending Provider NPI Requirements Delay to November 1, 2019
This notice informs providers that submit claims on the UB-04 or 837I claim formats that the new edits regarding the Attending Provider NPI will be delayed until November 1, 2019.
The Department released a provider notice dated July 18, 2019 that informed institutional providers that the Department will begin rejecting claims if the Attending Provider is not an individual or is not enrolled.
The Department is delaying implementation of the Attending Provider requirements one month, from October 1, 2019, to November 1, 2019. Effective with dates of service on and after November 1, 2019, the Department will reject claims if the Attending Provider is not an individual or is not enrolled.
Any provider not enrolled must go to the IMPACT webpage to start the enrollment process.
Questions regarding this notice may be directed to the Bureau of Hospital and Provider Services at 877-782-5565.