Provider Identifiers Sample Clauses
Provider Identifiers. The parties shall agree on a unique identifier to be used by Provider. Provider is responsible for disclosing the unique identifier to its agents and only as is prudent to maintain appropriate security for the identifier.
Provider Identifiers. The Provider must enter into and maintain a Medicaid provider agreement with the State to participate in the Medicaid Program, and must maintain a National Provider Identifier (NPI).
Provider Identifiers. Provider Federal Tax Identification Number (TIN) – A federal tax identification number or Employer identification number used to identify a business 9 digits. National Provider Identifier (NPI) – HIPAA unique provider identifier 10 digits.
Provider Identifiers. Provider Federal Tax Identification Number (TIN) or Employer Identification Number (EIN) - OR – National Provider Identifier (NPI) A Federal Tax Identification Number, also known as an Employer Identification Number (EIN), is used to identify a business entity A Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered healthcare providers. Covered healthcare providers and all health plans and healthcare clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions Enter the NPI associated to the provider. Only if the provider is atypical and does not have an NPI, enter the provider’s TIN/EIN. Other Identifiers Assigning Authority Trading Partner ID Organization that issues and assigns the additional identifier requested on the form, e.g., Medicare, Medicaid The provider’s submitter ID assigned by the health plan or the provider’s clearinghouse or vendor. For the Connecticut Medical Assistance Program, this is the provider’s nine digit AVRS ID. This field displays “Medicaid”. No additional data is required in this field. This field will display the provider’s 9-digit AVRS ID, if available and is non-updateable. Provider Contact Name Name of a contact in provider office for handling EFT issues Enter the individual to be contacted for any EFT related issues. Telephone Number Associated with contact person Enter the telephone number associated to that contact. Telephone Number Enter the telephone number extension associated to that contact. Email Address An electronic mail address at which the health plan might contact the provider Enter the email address associated to that contact. Financial Institution Name Official name of the provider’s financial institution Enter the name of the provider’s financial institution.