Olympic Online NPI Provider Reference

Important Information Concerning the National Provider Identifier (NPI)


All providers billing Olympic will be required to submit their NPI, regardless of whether or not they bill electronically, by May 23, 2007. Olympic supports the transition strategy advocated by WEDI in its white paper entitled Dual Use of NPI & Legacy Identifiers. This paper is available at: www.wedi.org/npioi/public/articles/index.cfm?fuseaction=link


Olympic’s implementation of the NPI will occur in separate stages, as shown in the schedule below. For access to educational resources on NPI and the process for obtaining an NPI, visit the CMS website at: http://www.cms.hhs.gov/NationalProvIdentStand.


Readiness Schedule Olympic NPI Implementation


January 2, 2006 - January 1, 2007
  • Olympic will accept electronic claims with an NPI in accordance with the 837 implementation guide, but an existing legacy Medicare number must also be on the claim.
  • Providers should submit paper claims using only their existing legacy Medicare number.
  • NPIs are edited to verify they meet basic structure requirements established for NPIs.

January 2, 2007 - May 22, 2007
  • Olympic will accept electronic claims with an NPI in accordance with the 837 implementation guide, but an existing legacy Medicare number must also be on the claim.
  • Revised CMS-1500: The National Uniform Claim Committee (NUCC) has approved a revised CMS-1500 claim form and has announced that payers should begin to accept the revised form effective January 2, 2007.
    • Between January 2, 2007 and March 30, 2007, Olympic will accept either the current or the revised CMS-1500 form. Both the NPI and the legacy Medicare number can be reported on the revised CMS-1500 form, but only the legacy Medicare number is required regardless of form submitted during this time.
    • Effective April 2, 2007, only the revised CMS-1500 form will be accepted
    • The NPI will be required by Olympic on the revised CMS-1500 form effective May 23, 2007.
  • UB-04: The National Uniform Billing Committee (NUBC) has announced the replacement of the UB-92 (CMS 1450) claim form with the UB-04. Payers should begin to accept the UB-04 claim form effective March 1, 2007.
    • Between March 1, 2007 and May 22, 2007, Olympic will accept either the UB92 or UB-04 form. Both the NPI and the legacy Medicare number can be reported on the UB-04 form, but only the legacy Medicare number is required regardless of form submitted during this time.
    • Effective May 23, 2007, only the UB-04 form will be accepted.
    • The NPI will be required by Olympic on the UB-04 effective May 23, 2007.
  • NPIs are edited to verify they meet basic structure requirements established for NPIs.

May 23, 2007 - Forward
  • Olympic will accept NPI numbers, legacy numbers, or both on paper and electronic claims as specified by the NPI Contingency Plan.
  • Note that tax IDs are not considered legacy Medicare numbers and will continue to be required.
  • NPIs are edited to verify they meet basic structure requirements established for NPIs.
  • NPIs are edited against Medicare files to validate the submitted NPI.

Questions?

Please contact our Customer Service Department. We are available Monday through Friday, 5:00 a.m. to 5:00 p.m. Pacific Time by calling 1-888-858-8551.

NPI Information Exchange

The implementation of the NPI will have implications as to how we identify providers and provider organizations. In order to minimize claims processing delays during the transition period, Olympic strongly recommends that you notify us of your NPI(s).

Data Elements Requested
Individual Providers (Type 1)
  • NPI
  • Medicare lagacy ID (i.e., UPIN)
  • Last Name, First Name
  • Mailing address
  • Practice location address (list all that apply)
  • Telephone Number
  • Federal Tax ID
  • Taxonomy Code
  • NPI Contact Name/Number
 Organizational Providers (Type 2)
  • NPI
  • Medicare legacy ID (i.e., NSC supplier number or OSCAR number)
  • Entity Name
  • Mailing address
  • Physical address
  • Telephone Number
  • Federal Tax ID (EIN)
  • Taxonomy Code
  • NPI Contact Name/Number

Submit NPPES Confirmation Page to:

Mail:
Attn: Provider File
Olympic Health Management
P.O. Box 5348
Bellingham, WA 98227-5348

Or Fax:
Attention:
Provider File (888) 858-8552