Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims
In an ongoing effort to promote accurate claims processing and payment, we request that the referring physician name and national provider identifier (NPI) be included on professional home infusion therapy services claims in field 17 and 17a on CMS 1500 claim forms.
Providers should report the referring physician information in accordance with the Anthem guidelines in the EDI Companion Guide for electronically submitted claims.
If you have questions regarding this process, please contact your local Network Manager.
November 2021 Anthem Maine Provider News