NPI Conversion Instructions
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1 NPI Conversion Instructions WINASAP 2003 May 18, 2007
2 On 5/29/07, ACS will begin accepting HIPAA compliant claims containing the NPI number for billing. In order to update your WINASAP system to bill with a compliant transaction, you will need to follow these steps to update your taxonomy and NPI information in your system. Please note: Do not complete these steps before 5/17/2007 as ACS will not be ready to accept NPI numbers for billing before coming back online after the blackout period on 5/29/07. Before completing the following steps, please verify which WINASAP 2003 version you are currently using. The current version is WINASAP To verify what version of the program you are using follow the instructions below: Choose the Help menu Select the About option
3 In the display window, under the icon, you will see the version of WINASAP2003 that you are using. If you are using version 5.11, go to the next page to begin the NPI conversion process. If you are NOT using version 5.11 and are NOT an Atypical (Waiver) provider, please upgrade to the current version using the following steps and disregard the rest of this instruction packet: 1. The current WINASAP2003 software version is Instructions have been completed to assist in upgrading your softward application, they are located on the EqualityCare website at: 3. You can download WINASAP2003 version 5.12 from the ACS EDI Gateway website at: - Select: WINASAP version 5.12 is now available for download. Click here to download. - Select: Software Download : click on the icon to download the software. Please be sure to print a copy of the release notes for your review. 4. Do not continue with this NPI conversion tutorial.
4 One of the items that will be required to have a compliant transaction will be the taxonomy code of the billing and treating providers involved in the claim. Once we set up a reference file of possible taxonomies, we will be able to use them to indicate which provider numbers have which taxonomies. Choose Reference menu Select Taxonomy Code
5 Select Add to begin entering a taxonomy code that you may use in the future.
6 Enter the 10-character taxonomy code No punctuation, no spaces, no dashes, etc. Example: 207L00000X Enter a description of the taxonomy. Example: Anesthesiologist Select Save to close this window. Repeat these steps until you have listed ALL taxonomy codes you might need to use when billing for your providers.
7 After listing all of your taxonomy codes, select Cancel to close this window. You have already saved each taxonomy entry by selecting save after each entry.
8 The next step to creating a compliant transaction is to update the provider reference files with the associated NPI and taxonomy code. Choose the Reference menu Select Provider
9 Highlight the provider number you would like to update. Select Change to open the provider s file
10 Using the drop down list for the Provider ID Type, select HCFA National Provider ID. In the Provider ID # field enter the NPI number assigned to this provider. Using the drop down list for Provider Taxonomy Code, select the appropriate primary taxonomy code for this provider. Select Next Page to go to the Secondary Identification Page.
11 This page can be blank or it can contain your Wyoming EqualityCare ID number. If there is information in the Identification Type field, verify that it shows Medicaid Provider Number. In the Identification Number field verify that your Wyoming EqualityCare number is entered. Select Save. Repeat these steps for each entered provider. If a provider has multiple taxonomies that will be used for billing, enter a separate record for each NPI and taxonomy combination. When completed, select Cancel to close the Provider List. You have already saved your information each time you have selected Save when in a provider record.
12 When billing a claim, your drop down list for the Billing Provider ID, Pay-to-Provider ID, and Rendering Provider ID will now show you the NPI number and taxonomy code you have previously saved under each provider. Congratulations! You are now ready to send compliant transactions complete with your NPI and taxonomy code information!
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