NPI Information

Important Information on How to Submit NPI Numbers to HCAS Health Plans

The National Provider Identifier (NPI) is a unique, government issued standard identifier mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The purpose of the NPI is to improve the efficiency and effectiveness of the electronic transmission of health information.

All providers must submit their NPI numbers to each health plan in which they have a contract.

Listed below are the website links (where available) and general instructions on how to submit NPI numbers to each of the HCAS participating health plans:

Blue Cross Blue Shield of Massachusetts:
www.bluecrossma.com/npicollection

Fallon Community Health Plan:
1. Online submission: https://www.fchp.org/Extranet/Providers/Secure/submitNPI.aspx
2. Send to your Provider Relations Representative and include name, address, FCHP legacy number and NPI number
3. Fax to: 508-368-9902. Include name, address, FCHP legacy number and NPI number
4. Include NPI number on your credentialing application submitted to CAQH

Harvard Pilgrim Health Care:
http://www.harvardpilgrim.org/portal/page?_pageid=253,232935&_dad=portal&_schema=PORTAL

Health New England:
1. Email: PEnrollment@hne.com
2. Fax: (413) 233-2665
3. Mail: Provider Enrollment, Health New England, One Monarch Place, Springfield, MA 01144-1500

Please include the following information in your submission: provider name; provider practice address; telephone number; email address; provider tax ID number; provider NPI number

Neighborhood Health Plan:
http://www.nhp.org/apps/nhp/providers.nhp?file=providers/hipaa/home.xml&folder=
providers&subSection=policies

Network Health:
http://www.network-health.org/tpl/providers_418.asp?contid=prov_claims_npi

Tufts Health Plan:
http://www.tufts-health.com/providers/provider.php?sec=news&content=news_NPI_imp