Since May 2006, providers have been required to obtain a National Provider Identifier (NPI) prior to initial Medicare enrollment, or before updating their enrollment records, but were not required to have an NPI, as a condition for enrollment, in order to begin using electronic data interchange (EDI) transactions. 

Of course Logik Solutions is already submitting claims in a variety of configurations, including with or without an NPI Number and for some payers both Legacy Provider Numbers and NPI’s.   We’re as flexible as the payer community is inconsistent.  If you have a unique combination of provider number requirements, contact us to profile your specific billing needs. 

Effective October 1, 2007 providers will need to obtain an NPI, as a condition for initial enrollment, for the use of EDI. 

You can find more information about the requirement for an NPI to use EDI transactions, by going to CR 5637 at: http://www.cms.hhs.gov/Transmittals/downloads/R1283CP.pdf.