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  2. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    A data structure file is available separately from CMS. [6] As of June 2024, the file download size is 947.84 MB, and the raw database file (npidata_pfile_20050523-20240512.csv) is 9.3 GB when extracted. [7] The size of the data has been steadily growing over time. The size of the raw database file was 8.8GB in June 2023, and 8.2GB in June 2022.

  3. ANSI 834 Enrollment Implementation Format - Wikipedia

    en.wikipedia.org/wiki/ANSI_834_Enrollment...

    An 834 file contains a string of data elements, with each representing a fact, such as a subscriber’s name, hire date, etc. The entire string is called a transaction set. The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer.

  4. Health Insurance Portability and Accountability Act - Wikipedia

    en.wikipedia.org/wiki/Health_Insurance...

    The NPI is 10 digits (may be alphanumeric), with the last digit being a checksum. The NPI cannot contain any embedded intelligence; in other words, the NPI is simply a number that does not itself have any additional meaning. The NPI is unique and national, never re-used, and except for institutions, a provider usually can have only one.

  5. NPI - Wikipedia

    en.wikipedia.org/wiki/NPI

    Narcissistic Personality Inventory, a standard personality test for evaluating self-centredness; National pollutant inventory; National Provider Identifier; Negative polarity item, grammatical form used during negation

  6. Category:Number templates - Wikipedia

    en.wikipedia.org/wiki/Category:Number_templates

    [[Category:Number templates]] to the <includeonly> section at the bottom of that page. Otherwise, add <noinclude>[[Category:Number templates]]</noinclude> to the end of the template code, making sure it starts on the same line as the code's last character.

  7. DEA number - Wikipedia

    en.wikipedia.org/wiki/DEA_number

    A valid DEA number consists of: 2 letters, 6 numbers, and 1 check digit; The first letter is a code identifying the type of registrant (see below) The second letter is the first letter of the registrant's last name, or "9" for registrants using a business address instead of name.

  8. Unique physician identification number - Wikipedia

    en.wikipedia.org/wiki/Unique_physician...

    A unique physician identification number (UPIN) was a six-character alpha-numeric identifier used by Medicare to identify doctors in the United States. They were discontinued in June 2007 [ 1 ] and replaced by National Provider Identifier , or NPI numbers.

  9. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    [2] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [ 4 ] The payor returns the claim back to the medical biller and the biller evaluates how much of the bill the patient owes, after insurance is taken out.