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Physician Assistant Rendering NPIs Required

September 29, 2011

Our August Blue Review included a reminder that rendering provider NPIs would be required as of Oct. 1, 2011, for each service line on professional claims. This article specified that claims will be rejected if the rendering provider NPI is missing, or not on file with BCBSIL. 

The rendering provider NPI requirement also applies to Physician Assistants (PAs). This means that services rendered by PAs may no longer be billed under the supervising physician's NPI. Also, when the rendering NPI for a PA is included on a claim, that NPI must be on file with BCBSIL in order for your claim to be accepted. 

If you haven't done so already, please send us the Type 1 Individual NPI for each PA in your practice so that we can update our provider file. Update your information by completing the appropriate form now.