Active National Provider Identifier (NPI) National Plan and Provider Enumeration System (NPPES) user ID and password Personal Social Security number and date of birth Educational information, such as the name of your school and graduation date Information about your professional licenses, such as the...
The NPI that is used on your Medicare claim must be enrolled with Medicaid. Your crossover claims will not be processed if the NPI on your Medicare claim is not enrolled with Medicaid. In this case, Medicaid will reject the crossover claim back to Medicare and Medicare will send a notifica...
Q: Is CAQH required by all insurance providers? A: No, not all payers use CAQH. Some regional plans and government payers likeMedicareandMedicaidrequire separate credentialing processes.
Public management scholars in a number of countries have addressed the relevance of the public value concept [56–62]. Over the last decade, senior government executives and consultant practitioners have also shown increased interest in public value [63–68]. Moore [69] presented four distinct ...