If you got a National Provider Identifier (NPI) for each location previously loaded to the BlueCross BlueShield of South Carolina provider file, only minor changes will be reflected on your remittances. For example, the NPI number will be printed on your hard copy remits and My Remit Manager/835s will have the NPI number reflected on them as well.

If you did not get an NPI for each location, your remittances will be summarized at the NPI level. You will not receive separate remittances for each location as you previously have received. Everything will be summarized by NPI and the location-specific information will no longer be available.

Changes to Electronic Funds Transfer (EFT)

As with remittances, we will generate EFTs based on your NPI number. The EFT payment will show the NPI instead of the Tax ID. 

Rendering Provider Information

Before NPI implementation, we could determine the provider's specialty based on the billing number. This is because BlueCross assigned ID numbers based on location and also on specialty. With the implementation of NPI, we can no longer require providers to file with a specific BlueCross ID number to help us identify the provider's specialty. As a result, we must rely on the rendering provider information to identify the specialty. The specialty of the rendering provider affects both reimbursement and benefit payments. It is critical that you include the rendering provider NPI on your claim submissions. 

Learn more about where to place the rendering provider information on Web claims.