Provider id texas 2025

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The Solo Provider Record ID Information Form Packet is designed for individual healthcare providers who do not employ others, use their Social Security Number for tax purposes, have a Tax Identification Number in their name, and are not incorporated. The packet includes necessary forms to obtain a Blue Cross and Blue Shield of Texas (BCBSTX) Solo Provider Record ID, which must be completed and submitted along with the provider's State License and W-9 form. It outlines billing information requirements, the process for notifying BCBSTX of any changes, and clarifies that obtaining a Solo Provider Record ID does not equate to being a participating provider until contracted and credentialed. Additionally, it introduces the ParPlan program for providers interested in joining BCBSTX's network.

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Is provider ID number the same as NPI?

The NPI is 10 digits in length and will replace health care provider identifiers in use today, including the nine-digit Medi-Cal provider number.

Is an NPI the same as a provider ID?

National Provider Identifier (NPI) Number Covered health care providers and all health plans and health care clearinghouses must use the individual providers NPI number in administrative and financial transactions adopted under HIPAA. The NPI number is a 10-digit number that is used as a providers identifier.

Where can I find provider ID number?

In most cases, the Provider ID can be found by searching for the provider on an insurance carriers Find A Provider tool on their website. If the carrier does not show the Provider ID number in their directory, the provider themselves can give their ID number.

What is a Texas provider identifier number?

Depending on your selection you may receive a new Texas Provider Identifier (TPI)A unique 9-digit number used to identify state health-care program providers..

Is provider number the same as ein?

The federal taxpayer identification number (TIN) that identifies the provider/physician/practice/supplier to whom payment is made for the service. This number may be an employer identification number (EIN) or social security number (SSN).