Why do I need a ptan number for Medicare?
Obtaining a provider transaction access number (PTAN) is necessary for all health care providers who provide services to Medicare patients. This identifier is used to bill Medicare for medical services provided. Without a PTAN number medical provider billings to Medicare will be rejected and returned.
When is a ptan deactivated by Medicare?
OSCAR (Online Survey Certification and Reporting) Medicare is mandated by CMS to deactivate PTANs not being used. The deactivation process occurs every month. A provider's PTAN is deactivated when an organization has not billed the Medicare program for four consecutive quarters.
How do I enter a ptan or Medicare number into IVR?
This IVR conversion tool was created to assist providers in entering the PTAN, beneficiary's Medicare number or name into the IVR. In the fields below, simply type in the PTAN, Medicare number or the first six letters of the beneficiary’s last name exactly as they appear (including the #) in the corresponding box below.
How do I apply for an NPI or ptan number?
The NPI system and PTAN number is only for the use of health care providers. Use the information on your prepared lists to fill in details on the application. This application is relatively straightforward and should only take around 20 minutes to complete.
What is an alpha prefix?
alpha prefix. The three characters preceding the subscriber identification number on BCBS member ID cards. It identifies the member's Blue Cross Blue Shield company or national account in order to properly route the claim. ambulatory care facility (ACF)
How do you enter letters in BCBS IVR?
To key an alpha, press the * key to signal that you are entering a letter and press the key that includes the letter. Then press the corresponding number that denotes where the letter is located on the number key.
What is the alpha prefix for Blue Shield of California?
XEA through XEZNote: Alpha prefixes XEA through XEZ represent local Blue Shield of California accounts.
How do I enter Ptan in Medicare IVR?
Provider Transaction Access Number (PTAN)Your PTAN consists of a letter-number combination. Enter the first letter.If your PTAN has a second letter press "1", otherwise press two.If your PTAN has a third letter press "1", otherwise press two.Now enter the numbers followed by the "#" key.
What is the IVR number for Medicare?
866.238.9650To use the IVR, call 866.238. 9650.
Is Blue Shield of California the same as Blue Cross Blue Shield?
Blue Cross and Blue Shield may be merged under the Blue Cross and Blue Shield Association in the majority of states. In California, however, Anthem Blue Cross and Blue Shield of California are two separate—and competing—health insurance companies with large networks.
What is a suffix on insurance card?
The second part of the claim number is the suffix. It is usually a letter, which may or may not be followed by a digit. The suffix indicates the type of benefits the claimant receives.
What is the alpha prefix for Florida Blue?
PXNThe alpha prefix PXN is displayed in front of the member identification number and copay information shows on the front of the card. A sample Publix ID card is provided below. For questions or additional information, call the Florida Blue Publix Dedicated Customer Service Unit at (866) 782-5495.
What is a PTAN number?
A PTAN is a Medicare-only number issued to providers by Medicare Administrative Contractors (MACs) upon enrollment to Medicare. MACs issue an approval/notification letter, including PTAN information, when an enrollment is approved. While only the National Provider Identifier (NPI) is submitted on claims, the PTAN is a critical number directly ...
How often does Medicare deactivate PTAN?
Medicare is mandated by CMS to deactivate PTANs not being used. The deactivation process occurs every month. A provider's PTAN is deactivated when he or she has not billed the Medicare program for four consecutive quarters.
What is a PTAN?
A PTAN is given an end-date when it is deactivated, meaning claims can get submitted prior to the end-date within a year of the service date. There are two options to find a provider PTAN. Notification Letter: The MAC will issue a notification/approval letter with the PTAN once the Provider's enrollment is approved.
Can you use multiple PTANs?
A PTAN's use should generally be limited to a provider's communication with their MAC. Multiple PTANs for Different Practice Locations May be Appropriate. Noridian may determine and issue more than one PTAN depending only upon the reasonable charge locality of your practice locations.
What is a PTAN number?
A PTAN is a Medicare-only number issued to providers by Medicare Administrative Contractors (MACs) upon enrollment to Medicare. MACs issue an approval/notification letter, including PTAN information, when an enrollment is approved. Navigation.
When is a PTAN deactivated?
The deactivation process occurs every month. A provider's PTAN is deactivated when an organization has not billed the Medicare program for four consecutive quarters. A PTAN is given an end-date when it is deactivated, meaning claims can get submitted prior to the end-date within a year of the service date.
Is CMS a government system?
Warning: you are accessing an information system that may be a U.S. Government information system. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems . Users must adhere to CMS Information Security Policies, Standards, and Procedures.
How long does it take to get a PTAN number?
Use the information on your prepared lists to fill in details on the application. This application is relatively straightforward and should only take around 20 minutes to complete.
How many digits are required for NPI password?
The ID cannot contain more than four digits. Determine a password for your NPI account. The password should consist of 8 to 12 characters that contains at least one character and one number. The user ID and password cannot be the same. The system will not accept any special characters in the user ID or password.
What is a PTAN number?
Obtaining a provider transaction access number (PTAN) is necessary for all health care providers who provide services to Medicare patients. This identifier is used to bill Medicare for medical services provided. Without a PTAN number medical provider billings to Medicare will be rejected and returned.
What is taxonomy code?
The taxonomy code is used to identify precisely what type of health care provider category that you are applying for. These codes are specialized according to group or individual provider, type of practitioner and subspecialty (see Resources.) Create an National Provider Information (NPI) user ID.
What is a PTAN report?
PTANs in one report. (NPI), telephone and fax numbers. The NPI and the PTAN are related to each other for Medicare purposes. A provider must have one NPI and will have one, or more, PTAN (s) related to it in the Medicare system, representing the provider’s enrollment.
How are NPI and PTAN related?
The NPI and the PTAN are related to each other for Medicare purposes. A provider must have one NPI and will have one, or more, PTAN (s) related to it in the Medicare system, representing the provider’s enrollment.
When did Medicare require NPI?
Since May 23, 2008, Medicare has required that the NPI be used in place of all legacy provider identifiers, including the Unique Physician Identification Number (UPIN), as the unique identifier for all providers, and suppliers in HIPAA standard transactions.
What is a PTAN number?
Provider Transaction Access Number (PTAN) A PTAN is a Medicare-only number issued to providers by MACs upon enrollment to Medicare. When a MAC approves enrollment and issues an approval letter, the letter will contain the PTAN assigned to the provider.
Do all providers and suppliers have to have an NPI?
All providers and suppliers who provide services and bill Medicare for services provided to Medicare beneficiaries must have an NPI. Upon application to a Medicare Administrative Contractor (MAC), the provider or supplier will also be issued a. Provider Transaction Access Number (PTAN).