National Provider Identifier - Optional Uses

Optional Uses

The NPI must be used in connection with the electronic transactions identified in HIPAA. In addition, the NPI may be used in several other ways:

  1. by health care providers to identify themselves in health care transactions identified in HIPAA or on related correspondence;
  2. by health care providers to identify other health care providers in health care transactions or on related correspondence;
  3. by health care providers on prescriptions (however, the NPI will not replace requirements for the Drug Enforcement Administration number or State license number);
  4. by health plans in their internal provider files to process transactions and communicate with health care providers;
  5. by health plans to coordinate benefits with other health plans;
  6. by health care clearinghouses in their internal files to create and process standard transactions and to communicate with health care providers and health plans;
  7. by electronic patient record systems to identify treating health care providers in patient medical records;
  8. by the Department of Health and Human Services to cross reference health care providers in fraud and abuse files and other program integrity files;
  9. for any other lawful activity requiring individual identification

Read more about this topic:  National Provider Identifier

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