CMS-1500 form
Effective May 23, 2007, NPI is the standard identifier for health care providers to use when filing and processing health care claims and other transactions.
The new "red" CMS-1500 vs the old HCFA-1500 forms:
* CMS-1500 replaces the HCFA-1500 forms
* CMS-1500 has eight new fields, four for the new NPI numbers, and four for the legacy PINs
Medisoft versions that support NPI and the new CMS-1500 forms:
* Medisoft 11 Service Pack 3
* Medisoft 12 and newer (version 14, 15, etc)
* Click here for Medisoft Service Packs
CMS-1500 box field descriptons and how they relate to Medisoft fields:
Box 17a - Referring Physican ID, or UPIN
* If Medicare is the primary coverage and there is an inside lab provider, the inside lab attending provider's UPIN is printed in this box. This information comes from the
Referring Provider edit window, PINs and IDs tab, UPIN field.
Box 17b - Referring Phycian National Provider ID
* This information comes from the Referring Provider window, National Provider ID field.
Box 24j - Legacy code for attending provider
* The top part of the box comes from the Transaction, Attending Provider, PIN. If the PIN is blank, it prints the UPIN.
* The bottom part of the box comes from the Transaction, Attending Provider, NPI.
Box 32a - Comes from the Case or Transactions, Facility, NPI
Box 32b - Comes from the Case or Transactions, Facility, NPI Qualifier, and the NPI (legacy code with qualifier)
Box 33a - Comes from the Claim, Provider, National Provider ID
* If you have a Class, it will get the NPI number from the Class
Box 33b - Legacy Code
* Comes from Claim, Provider, PIN Qualifier, followed by the Claim, Provider, PIN.
"Access Violation" after upgrading to a version of Medisoft that supports the new CMS-1500 and NPI fields:
* Result of your practice containing data that is not compatable with the new CMS-1500
* Must be manually corrected
* Run the CMS Invalid Character utility - correct what it finds