CareFirst BlueCross BlueShield
About Us Careers CareFirst Community Contact Us Glossary Media Center Search the CareFirst Site
Providers and Physicians
Resources and Seminars Electronic Services Medical Policies Prescription Drugs Forms
CareFirst.com Providers & Physicians National Plan Identifiers

National Provider Identifiers (NPI)

Welcome | News | News Archives | Frequently Asked Questions | Submission Form | Other Resources

What are National Provider Identifiers (NPIs)?

National Provider Identifiers (NPIs) are new and unique identification numbers that are required for all eligible health care providers. A single 10-digit NPI number will ultimately replace your current provider identification number(s) used to conduct standard transactions with health plans. While this may sound simple, the process to make this work is complex. The transition involves many internal and external steps, and if not handled properly, will affect the processing and payment of claims.

Should I notify CareFirst/CareFirst BlueChoice when I obtain my NPI?

Yes. Providers should provide us with their NPI as soon as it is received. We are adding NPI information to our records and will link the NPI to your legacy ID (your provider ID number(s) assigned by CareFirst/CareFirst BlueChoice). NPIs cannot be extracted from claims. As a result, you must submit your NPI information directly to our Provider Information & Credentialing Department. Please send your NPI as soon as possible. Also, be sure to share your NPI with other health care providers (and payers) with whom you do business.

Who can we contact if we have additional questions about how CareFirst and CareFirst BlueChoice will handle the NPI?

Please send your questions via e-mail to NPI@CareFirst.com. You may also refer to the Frequently Asked Questions page in this section.

 

Solution Center
Need Claim Status or Eligibility?
Phone Numbers and Claim Addresses
Provider Manuals
Register for a Seminar - Professional, Institutional, Dental
Find a Doctor
Find My Provider Representative - Professional, Ancillary & Institutional, Dental
Credentialing
Update Practice Information PDF
Thomas/Love Settlement
Disease Management
Center for Provider Education & Training
Pay for Quality Programs:
<empty> CareFirst Quality Rewards - Surgeons
<empty> CareFirst Quality Rewards
National Provider Identifiers (NPI)
Options Discount Program - Alternative Therapies, Vision, Hearing and More
Health and Wellness -
My Care First
(En Español)
HIPAA
News & Updates

General Information Manual Update

NASCO Referrals

New State of Maryland Health Plan Options

Voucher Communication for FEP Dental Providers - Alert Reminder

Enzyme Replacement Codes Policy Change

FACETS Migration Continues

Updates to CareFirst General Information Provider Manual

Receive News Via E-mail

Prescription Drug News

Nutritional Supplements and Over-the-Counter FDA Safety Information

Newsletters

Latest News & Archives


 
Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc., an affiliate company, also offers health benefit products and services on this site.

CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association.

® Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc.
This site is best viewed in IE 7.0 or higher or Firefox 3.0 or higher.