CareSourceMedium ImpactAdministrative
[Indiana] NPI for Service and Billing Provider on Professional Claims Submission
Published May 9, 2026
AI Summary
CareSource Indiana now requires specific NPI identification for both the service provider (who performed the service) and billing provider (who submits the claim) on all professional claims submissions. This ensures proper provider identification and claim processing accuracy.
Action Required
Immediately: Billing team must verify that both service provider NPI and billing provider NPI are correctly populated in all professional claims submitted to CareSource Indiana. Update billing system configuration to require both NPI fields before claim submission. Train staff to distinguish between rendering provider and billing provider NPIs to prevent claim rejections.
Plan Types
Medicaid
States
IN
Specialties
all-specialties