Share of Cost: Dental Insurance Plans

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Department of Health Care Services (DHCS) will only accept the National Provider Identifier

Tuesday, Aug. 3rd 2010 6:04 AM

Providers are reminded that t he Department of Health Care Services (DHCS) will only accept the National Provider Identifier (NPI) on all Medi-Cal and Child Health and Disability Prevention (CHDP) program claims. This policy has been in effect since October 1, 2008.

To ensure timely payment, pharmacies using the Medi-Cal POS NCPDP Pharmacy Transaction Specifications, Third Party Vendors (Dial-Up and Leased-Line) system must include the NPI of any practitioners prescribing drugs for Medi-Cal recipients. Claims submitted with incorrect or invalid NPIs may cause a delay in payments and lead to an audit of all claims submitted by the pharmacy.

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Posted on Tuesday, Aug. 3rd 2010 6:04 AM | by Share of Cost | in Medi-Cal | No Comments »