Submit NPI on All Paper Claims - CMS 1500 and UB-04
April 15, 2011 - Effective July 1, 2011, CareFirst will require that all paper claims submitted (CMS 1500 and UB-04) include your National Provider Identifier (NPI) in the appropriate fields. Though prior to this the NPI number was optional, this new requirement ensures improved efficiency of claims processing.
Where do I put my NPI number on the CMS 1500?
Enter your NPI number in:
- The non-shaded area of Box 24J
- Box 33a
Note: You should continue to enter your CareFirst 8-digit rendering ID number in the shaded area of box 24J. Additionally, the BlueShield ID Qualifier (1B) and CareFirst legacy ID number can continue to be entered in box 33b.
For more information about completing the CMS 1500 08/05, visit the National Uniform Claim Committee’s website.
Where do I put my NPI number on the UB-04?
Enter your NPI number in field FL56.
Note: Your legacy ID can continue to be entered in FL57a. There are no other changes in the requirements for NPI information in other FL fields.
More information on completing the form is available on the National Uniform Billing Committee website.
If you still need an NPI:
Apply through the National Plan and Provider Enumeration System (NPPES) developed by the Centers for Medicare & Medicaid Services (CMS).
Once you receive your NPI you will need to submit it directly to our Provider Information and Credentialing Department. For instructions on how to submit your NPI to CareFirst/CareFirst BlueChoice and to access the submission form, visit our website.