Maintain Group NPI Numbers

With the Maintain Group NPI Numbers function you can review, add, edit, or delete Group NPI numbers by Insurance Form type, Insurance Carrier, Doctor and Location, when you have Group NPI numbers that are different for each location.

NOTE: After you select an existing Insurance Form and Insurance Carrier code, press the TAB key to navigate through this screen and view the NPI Number. If you press the ENTER key, the screen will save and refresh with only the Insurance Form code displaying. This is due to an internal programming requirement and cannot be changed.

Upon accessing this function, the Maintain Group NPI Numbers screen displays containing blank data fields.

Data Field Information
Prompt Response Req Len
Insurance Form Type the code you want or select from the Insurance Form list. 2
Insurance Carrier Type the code you want or click the magnifying glass to search the table.   5
Doctor Code Type the code you want or select from the Doctor Code list.   10
Location Code Type the code you want or select from the Location Code list.   20
NPI Number Type the NPI number.   20

When you create insurance claims, CGM webPRACTICE will determine which NPI # to report based on the highest level of data (number of fields) entered. The samples provided below are just a few of a wide variety of scenarios that could occur at each level. The general guideline that CGM webPRACTICE uses to determine the level of data is 'the quantity of fields that have been completed in addition to the NPI Number field.'

Level 1: If all the doctors in the practice are considered a group when they practice at a specific location:

Level 2: If all the doctors in the practice are considered a group when they practice at a specific location for patients with any Blue Cross insurance:

Level 3: If all the doctors in the practice are considered a group when they practice at a specific location for patients with Medicaid insurance:

Level 4: If Medicaid has issued a specific Group NPI when any of 3 specific doctors practice at a specific location (out of the 7 total doctors in the practice):

Deleting an NPI Number
To delete an NPI number, select the Insurance Form type, Insurance Carrier, Doctor and Location first. When the NPI Number displays, confirm it is the one you want to delete and click Delete in the lower-right corner. The message 'This provider number has been deleted' will display.

For information about printing this table, see Print the Group NPI Number Table.