Professional claims — billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

Effective December 1, 2021, Empire BlueCross BlueShield (Empire) will prefer the referring physician name and NPI to be included on professional claims for home infusion therapy (HIT) services in fields 17 and 17a on the CMS-1500 Claim Form.

 

Providers should report the referring physician information in accordance with the Empire guidelines in the Electronic Data Interchange (EDI) Companion Guide for claims submitted electronically.

 

Thank you for your assistance in our ongoing efforts to promote accurate claims processing and payment. We continue to be dedicated to delivering access to quality care for our members, providing higher value to our customers, and helping improve the health of our communities.

 

If you have questions regarding this process, contact your Network Manager.

 

EBSCRNU-0211-21 November 2021