Flu Season Alert!Alerta de temporada de influenza:
Don’t let germs win this season – protect yourself and your family!
The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!
¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!
La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más
Reminder: NPI Requirement for Service Facility Location on Claims
Date: May 30, 2025
Attention: Providers
Call to action: This communication serves as a reminder of the National Provider Identifier (NPI) requirement for the service facility location, as outlined in the Texas Medicaid Provider Procedures Manual (TMPPM), Section 6: Claims Filing, TMPPM, 6.2.3, Claims Filing InstructionsPer the TMPPM:
“Facility Provider field blank or invalid. When place of service (POS) is anywhere other than home or office, the facility’s NPI must be present. If the NPI is not known, enter the name and address of the facility. Consult the software vendor for this field’s location on the electronic claims entry form.”
How this impacts providers: Claims submitted without the service facility NPI number in loop 2310C (CMS-1500) will be rejected at the clearinghouse level.
Next step for Providers: Providers must ensure compliance with this NPI requirement. Please work with your clearinghouse or billing software vendor to confirm that the NPI is correctly captured and submitted.
