Are you using your registered NPI?
Claims submitted without a registered NPI will reject. You must register your NPI with AmeriHealth prior to submitting claims. Register your NPI online with AmeriHealth now.
General NPI Information
The NPI is a unique, ten-digit identifier that is issued by the Centers for Medicare and Medicaid Services (CMS) to all health care providers as mandated by the federal government via the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The NPI eliminates the need for multiple identifiers from different health plans. All covered entities under HIPAA must obtain an NPI.
View AmeriHealth’s Frequently Asked Questions about NPI.
Claims submitted with invalid NPIs will be rejected
Each claim must pass an NPI check-digit validation to ensure that it has a valid NPI. To date, many claims are not passing this check-digit validation. Claims that fail the check-digit validation will be rejected. The most common reasons why claims are not passing the NPI check-digit validation are:
- the wrong provider identifier is entered in an NPI field;
- the NPI is entered incorrectly;
- the number entered is not a valid NPI.
For more information on how to submit claims, please refer to the Claims submission toolkit for proper electronic and paper claims submissions.
How to obtain an NPI
Providers who have not yet obtained their NPI may apply for it through an easy, Web-based application process that takes approximately 20 minutes to complete online.
You may also call the National Provider Identifier Enumerator call center at 1-800-465-3203 to request a paper application.
Note: The most time-efficient way to obtain an NPI is to complete the Web-based application process.
Once an NPI application has been successfully processed, the applicant will receive an NPI confirmation notice, including a ten-digit NPI issued by the Enumerator. Web applicants will receive confirmation by email; paper applicants will receive confirmation by standard mail.
How to Register your NPI with AmeriHealth
Registering your NPI with AmeriHealth is easy. Once you have obtained your NPIs, you may register online using our NPI Provider Registration Web Form. All providers (participating and nonparticipating) may register using the appropriate online form.
Participating providers may also register their NPIs with us by mailing their completed custom NPI Submission Form. This form has been included in mailings to participating provider offices.
Contact your Network Coordinator with questions regarding the new Provider Registration Web Form or your custom NPI submission form.
Additional NPI resources on the web
