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Children's Community Health Plan - A member of Children's Hospital and Health System.
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NPI Documents

 

NPI Information

All providers will obtain a National Provider Identification number by May 2007. Below is the information needed for this process.

 

CCHP & NPI

The Health Insurance Portability and Accountability Act (HIPAA) provides an important regulatory safeguard for the privacy of health information. This act mandates a National Provider Identifier (NPI) for health care providers.

All HIPAA covered health care providers, whether they are individuals or organizations, must obtain an NPI for use to identify themselves in HIPAA standard transactions. Once enumerated, a provider's NPI will not change. The NPI remains with the provider regardless of job or location changes.

CCHP realizes that the planning and implementing of the NPI will require good communication and collaboration with you, our network providers, throughout this process. 

 

Send Us Your NPIs

CCHP would like to receive your NPIs so that we can map them into our systems. We are using the HIPAA COW standard file formats to capture your Type 1 (Individual) and Type 2 (Organizational) NPIs. All you need to do is download the Excel templates and instructions below. When you have finished filling out the files, e-mail them back to us using the address listed. 

Type 1 NPIs
Please use the template and links below to send CCHP your Type 1 NPIs. Since we are collecting Type 1 and Type 2 NPI's in different file layouts they do not have to be sent at the same time.

Type 1 (Individual) Excel Template: NPI_Type1_Template (Excel)
Type 1 (Individual) Template Instructions: NPI_Type1_Template_Instructions (Word)
 
Please e-mail the file to: jantholine@chw.org.

Type 2 NPIs
When you are ready to send us your Type 2 NPIs, use the template and links below. Please send only the Type 2 NPIs that you will be using on your claims to Children's Community Health Plan. We realize that you might be billing claims differently between health plans, so we only want the NPIs necessary for our crosswalk. Based on the NPI mandate, you will receive a separate payment and EOP for each Type 2 NPI you send us. For example, if you have 3 NPIs for a current CCHP vendor number, you will receive 3 separate checks and EOPs.

Type 2 (Organizational) Excel Template: NPI_Type2_Template (Excel)
Type 2 (Organizational) Template Instructions: NPI_Type2_Template_Instructions (Word)

Please e-mail the file to: jantholine@chw.org.

If you have any questions, please call CCHP Provider Services at (800) 482-8010.

 

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