FL Medicaid
  • 27 Jan 2025
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FL Medicaid

  • Oscuro
    Ligero
  • PDF

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Resumen del artículo

The Florida Medicaid NPI Crosswalk facilitates the alignment of National Provider Identifiers (NPI) with Medicaid records, ensuring streamlined billing and regulatory compliance for healthcare providers in the state.

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.

This payer uses a table of information or "crosswalk" to associate the payer assigned provider IDs to each claim. Verify the information sent in these fields matches the provider ID record in the payers system:

  • Provider NPI
  • Provider Address
  • Provider taxonomy code

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