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Important Message from MedAvant

Date Range: Effective May 22, 2008 – Forward

Details:

Medi-Cal NPI Enrollment and Registration Edits

Effective May 22, 2008 MedAvant will enforce NPI Enrollment validation edits for Medi-Cal claim submissions.
What you need to know:
  •  If you have not registered and linked your NPI to MedAvant’s submitter ID (FVJ), your claims will reject at MedAvant with the following rejection message:

"PROVIDER IDENTIFIER IS MISSING, INVALID, OR NOT AUTHORIZED FOR THIS PAYER."

Solo Practices
Each solo practice/provider must have registered their NPI with Medi-Cal.  If you are filing claims as a solo provider, the pay-to-provider NPI must be registered and linked to MedAvant. If filing claims as a solo provider and filing with s group or billing NPI, the group NPI must be registered and linked to MedAvant as the submitter (FVJ).
**Provider registration with Medi-Cal is specific as to whether billing as an individual or group provider**

Group Practices
Group practices must register their NPI with Medi-Cal and must be linked to MedAvant as the submitter (FVJ). Providers within the group must also register their NPI with Medi-Cal.

2010AA (Billing Provider) - NPI must be registered with Medi-Cal and linked to MedAvant as the submitter (submitter ID = FVJ).
2310B (Rendering Provider)  - The NPI # listed in this loop must be registered with Medi-Cal

AGREEMENTS:
Medi-Cal agreements can be accessed on MedAvant’s webpage:
http://www.medavanthealth.com/payerlist/agreements/MC051.D032608.pdf

MedAvant Submitter ID = FVJ

Submitter Actions: Register and Link your NPI with Medi-Cal / MedAvant

Notification ID: 20080721_02

by KareoSupport to Electronic Claims