Availity is making every effort to confirm and communicate the status
of our connected payers. For our most up-to-date list, please review
the NPI Readiness of these payers.
NPI Readiness
Effective
May 17, 2008, Availity is requiring that all connected payers process
any X12 HIPAA standard electronic transactions according to one of the
following options.
The options of NPI readiness are as follows:
Legacy ID Required.
NPI allowed
Legacy identifier required
Dual ID Allows all of the following scenarios: 1. NPI only 2. Legacy identifier only 3. NPI and Legacy identifiers
NPI per Mandate.
NPI required per mandate under HIPAA regulations
Legacy identifier not allowed
NPI per Mandate. Legacy ID also allowed.
NPI required per mandate under HIPAA regulations
Legacy identifier also allowed
Available for EDI and B2B only
If you would like Availity to post or change your current NPI readiness
status, please contact Availity Client Services at 1.800.AVAILITY
(282.4548). We are happy to add your requirements to our NPI Readiness
information and assist you with your edits.
Atypical Providers
An atypical provider does not provide any health-related services, such
as taxi and construction companies. Atypical providers are not eligible
to obtain an NPI. Availity will continue to accept the Tax ID or
existing Legacy ID as the primary identifier for atypical providers.
Atypical providers must register with Availity before they can begin to
submit to a payer that requires an NPI. This registration allows
Availity to relax the NPI requirement in order to properly pass the
transaction to the payer. Availity has no way of knowing every impacted
payer, and therefore cannot notify payers of a provider’s
atypical status.
Atypical providers have been directed to notify applicable payers of
their status so that transactions are not rejected by the payer for a
missing NPI.
