Alabama Medicaid

Provider ID Instructions When Operating Multiple Locations

When submitting claims to Alabama Medicaid, it is important to include the Provider ID when the Rendering Provider and/or the Billing Provider operate from multiple locations. This ensures accurate processing and payment of claims.

Alabama Medicaid accepts both the National Provider Identifier (NPI) and Provider ID on claims. Specifically, the Provider ID should be included in the Billing Provider segment (2010BB|REFG2) and the Rendering Provider segment (2310B|REFG2) of the claim submission.

Medicaid Provider ID and NPI Crosswalk

Per HIPAA 5010 X12 standards, Medicaid is not allowed to receive a Medicaid provider ID on electronic claims, if the provider has an NPI.

Medicaid may tell you the wrong provider ID was sent on a claim, but this means their crosswalk did not match the correct provider ID.

The payer is using a table of information that tells them which provider ID to assign to the claim after it has been received.

This table or "crosswalk" of information normally includes:

- Provider NPI

- Provider Address

- Provider taxonomy code