Where should the NPI number be entered on the CMS-1500 form?

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The National Provider Identifier (NPI) number is a unique identification number for healthcare providers in the United States, used for billing and administrative purposes. On the CMS-1500 form, the appropriate location to enter the NPI number is in Block 17b. This block is specifically designed for the provider's NPI, allowing the payer to easily identify the billing provider associated with the claim.

Block 10, Block 12, and Block 18 serve different purposes on the CMS-1500 form, such as capturing information related to patient insurance coverage, the patient’s release of information, and the location of the service, respectively. By placing the NPI in the correct block, it ensures that claims are processed efficiently and associated with the proper healthcare provider. Proper adherence to these guidelines helps in avoiding claim denials or delays, which is critical in medical billing and coding.

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