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National Provider Identification Number (NPI)

To comply with the national mandate for NPI [National Provider Identifier], effective May 23, 2008, CareSource requires your NPI number and your Tax ID number, on all electronic claims.

Claims that do not include your NPI and Tax ID will be rejected.
To help with this transition, we strongly encourage you to submit your CareSource provider ID on the claim, in addition to your required NPI and Tax ID numbers.

Please confirm these billing arrangements with all of your billing team and any claims clearinghouse.

The latest claim forms include a position for the NPI. Instructions for completing the following claim forms can be found online: http://www.caresource-ohio.com/en/Providers/Instructions+for+NPI+forms

  • 1500 Claim form
  • UB-04
  • ADA J400

Apply for an NPI:
If you have not obtained your NPI, you can submit your application online [at no cost] through the National Plan and Provider Enumeration System at https://nppes.cms.hhs.gov – or by calling 1-800-465-3203 (TTY: 1-800-692-2326).

Thank you for your help to make this a smooth transition. If you have additional questions, call our provider service center at 1-800-488-0134 (TTY: 1-800-750-0750 or 711).

   
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This page was last updated on 06/17/2008