Coordination of Benefits Agreement (COBA) and Affiliate National Provider Identifier (NPI) Process Modifications
Through this instruction, the Centers for Medicare and Medicaid Services (CMS) provides requirements to accomplish the following five objectives: 1) cease acceptance of "other" provider legacy identifiers on incoming Medicare, except those needed by all payers for 1099 reporting; 2) auto-exclude claims containing placeholder national provider identifiers (NPIs) from transmission to the Coordination of Benefits Contractor (COBC) for crossover purposes; 3) exclude claims with service lines that contain only Physician Quality Reporting Initiative (PQRI) codes from the crossover process; 4) cease issuance of special provider notification letters upon receipt of "222" error code "N22225" via the COBC Detailed Error Reports; and 5) populate the provider accept assignment code uniformly on all 837 institutional flat files that Part A contractors transmit to the COBC for crossover purposes.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 16, 2008
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