CommercialOctober 31, 2021
Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
In an ongoing effort to promote accurate claims processing and payment, Empire BlueCross BlueShield (“Empire”) prefers the referring physician name and national provider identifier (NPI)to be included on professional home infusion therapy services claims in field 17 and 17a on CMS1500 claim forms.
Providers should report the referring physician information in accordance with the Empire guidelines in the EDI Companion Guide for electronically submitted claims.
If you have questions regarding this process, please contact your local Network Management Consultant.
PUBLICATIONS: November 2021 Newsletter
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