All PlansAdministrativeHigh impact
Make sure your data is current in the National Plan & Provider Enumeration System
UPMC Health Plan·Provider Announcement
We identified it
Aug 7, 2026
Summary
UnitedHealth Care is reminding providers that they are legally required to maintain current and accurate National Provider Identifier (NPI) data in the NPPES system. Providers must review their NPI records immediately to ensure all information is accurate and up-to-date, as outdated provider data can impact claims processing and network status.
Action Required
Immediately: All providers in the practice must log into the National Plan & Provider Enumeration System (NPPES) at https://nppes.cms.hms.gov and verify that all NPI data is current and accurate, including name, address, specialty, contact information, and practice affiliations. Billing team should designate one staff member as responsible for periodic NPPES audits (recommend quarterly). If any discrepancies are found, submit corrections to NPPES without delay. Outdated NPI data can result in claim denials, network termination, or delayed payment. Document completion of this review for compliance records.