National Provider Identifier (NPI)

The NPI is mandated to be used on electronic claims on and after May 23, 2008. If an NPI only is submitted in the billing loop on an 837 electronic claim transaction, ODJFS will reject all claims for that provider that cannot be identified in the ODJFS system. Although the legacy ID is not required, ODJFS will continue to accept claims that contain both the NPI and legacy ID in the billing loop of the electronic claim until further notice. If it is included, a  legacy ID will be validated. An invalid legacy ID will be rejected. Electronic claims that are missing an NPI in the billing loop on the 837 claim transaction will be denied.