NPI Help Requested Responses
Melissa Edwards
Description
Collection
Title:
NPI Help Requested Responses
Creator:
Melissa Edwards
Date:
10/17/2019
Text:
So the overall responses I got were:
- Have you logged into your profile and tried to change all the information there?
And to be honest, you may need to call NPPES multiple times to get someone who actually can help you or get you to the right person. I know they have people who work directly with this kind of stuff.
- It would be difficult to bill under your company without you knowing it. NPI's are important, but Provider ID's, Tax ID's and remit addresses are more important. If she tried to bill under your company, the payments and EOB's would go to you. Medicare allows only one remit address.
It's the same for other payors. If she billed under your group, payors like Medicaid, BC/BS and UHC would also send the payments to you.
I did get a few phone calls about this as well. the overall here is that the physician is NOT in the registry nor the NPPES registry under our NPI. The CMS database is the only place the physician appears to be showing. I have confirmed with parties that where it counts we are solely listed. I have never determined how remove it from CMS Datatbase as the Contact Us links are endless links of seemingly unrelated departments.
Melissa Edwards
Business Operations Manager
[New Logo- VP&O B&W]
4338 Williamson Rd. NW
Roanoke, VA 24012
P:(540) 366-8287
F: (540) 767-0010
<Email Address Redacted>
THE DOCUMENTS ACCOMPANYING THIS TRANSMISSION CONTAIN CONFIDENTIAL HEALTH INFORMATION THAT IS LEGALLY PRIVILEGED. THIS INFORMATION IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY NAMED ABOVE. THE AUTHORIZED RECEIPIENT OF THIS INFORMATION IS PROHIBITED FROM DISCLOSING THIS INFORMATION TO ANY OTHER PARTY UNLESS REQUIRED TO DO SO BY LAW OR REGULATION AND IS REQUIRED TO DESTROY THE INFORMATION AFTER ITS STATED NEED HAS BEEN FULFILLED.
IF YOU ARE NOT THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY DISCLOSURE, COPYING DISTRIBUTION, OR ACTION TAKEN IN RELIANCE ON THE CONTENTS OF THESE DOCUMENTS IS STRICTLY PROHIBITED. IF YOU RECEIVED THIS INFORMATION IN ERROR, PLEASE NOTIFY THE SENDER IMMEDIATELY AND ARRANGE FOR THE RETURN OR DESTRUCTION OF THESE DOCUMENTS.
- Have you logged into your profile and tried to change all the information there?
And to be honest, you may need to call NPPES multiple times to get someone who actually can help you or get you to the right person. I know they have people who work directly with this kind of stuff.
- It would be difficult to bill under your company without you knowing it. NPI's are important, but Provider ID's, Tax ID's and remit addresses are more important. If she tried to bill under your company, the payments and EOB's would go to you. Medicare allows only one remit address.
It's the same for other payors. If she billed under your group, payors like Medicaid, BC/BS and UHC would also send the payments to you.
I did get a few phone calls about this as well. the overall here is that the physician is NOT in the registry nor the NPPES registry under our NPI. The CMS database is the only place the physician appears to be showing. I have confirmed with parties that where it counts we are solely listed. I have never determined how remove it from CMS Datatbase as the Contact Us links are endless links of seemingly unrelated departments.
Melissa Edwards
Business Operations Manager
[New Logo- VP&O B&W]
4338 Williamson Rd. NW
Roanoke, VA 24012
P:(540) 366-8287
F: (540) 767-0010
<Email Address Redacted>
THE DOCUMENTS ACCOMPANYING THIS TRANSMISSION CONTAIN CONFIDENTIAL HEALTH INFORMATION THAT IS LEGALLY PRIVILEGED. THIS INFORMATION IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY NAMED ABOVE. THE AUTHORIZED RECEIPIENT OF THIS INFORMATION IS PROHIBITED FROM DISCLOSING THIS INFORMATION TO ANY OTHER PARTY UNLESS REQUIRED TO DO SO BY LAW OR REGULATION AND IS REQUIRED TO DESTROY THE INFORMATION AFTER ITS STATED NEED HAS BEEN FULFILLED.
IF YOU ARE NOT THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY DISCLOSURE, COPYING DISTRIBUTION, OR ACTION TAKEN IN RELIANCE ON THE CONTENTS OF THESE DOCUMENTS IS STRICTLY PROHIBITED. IF YOU RECEIVED THIS INFORMATION IN ERROR, PLEASE NOTIFY THE SENDER IMMEDIATELY AND ARRANGE FOR THE RETURN OR DESTRUCTION OF THESE DOCUMENTS.
Citation
Melissa Edwards, “NPI Help Requested Responses,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 26, 2024, https://library.drfop.org/items/show/209703.
