Medicare Claims Processing Manual (Pub. 100-04), Ch. 17 § 100.1.3

Physician Information for the Vendors

Last amended: 2006Year: 2006Length: 274 wordsOfficial source
100.1.3 - Physician Information for the Vendors (Rev. 866, Issued: 02-17-06, Effective: 07-01-06, Implementation: 07-03-06) One month before the beginning of the calendar year, the designated A/B MAC (B) shall transmit the following information to each vendor on the physicians who have elected that particular vendor: the name, the street address, city, state, zip code, and phone number of each practice address/shipping address (physical location where the drugs will be administered), UPIN (or NPI when effective), e-mail address (if available) of the physicians who have elected to participate in CAP with that vendor and the drugs they have chosen. If the mailing/correspondence address (where the participating CAP physician can be contacted directly) is different from the practice/shipping address, the mailing/correspondence shall be included. If the group or individual practice has more than one practice location where drugs are administered, each practice address/shipping location where drugs will be administered shall also be included. (NOTE: For the 2006 claims processing period, the information must be sent by June 1, 2006). For group practices that elect to participate in CAP, the individual UPINs (NPI when effective) shall be included. Each year the date the designated A/B MAC (B) shall transmit information to each vendor on the physicians who have elected that particular vendor shall be 7 calendar days after the final date the A/B MACs (B) forward to the designated A/B MAC (B) the list of all the physicians who have elected to participate in CAP. Should that date fall on a weekend, it shall be extended to the following Monday. The designated A/B MAC (B) shall not send a vendor any information pertaining to other vendors.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 17 § 100.1.3: Physician Information for the Vendors | Justis AI