August 2016
Provider Steps Following
Receipt of or Update to NPI and/or Group Number
Important Note
1) Florida Blue should match the Centers for Medicare & Medicaid (CMS)/Medicare regarding
NPIs and Electronic Transactions; therefore, if a provider is registered with a Type 2 NPI,
then that Type 2 NPI should be registered with both Medicare and Florida Blue. Florida
Blue no longer requires every EIN to be linked to a Type 2 NPI.
2) If a provider is using a billing service or clearinghouse, the provider must coordinate
appropriate NPI changes with their billing service or clearinghouse.
3) A provider new to Availity®¹ and/or Florida Blue must be registered with Availity in order to
use electronic tools. The link to register for Availity access is as follows: Availity Portal Access
Step
A. New NPI
Update
Availity
Action
1. Go to: Availity > Payer Spaces > View and Update your Provider
Information
2. A provider who is updating NPI or EIN values must also update them on
Availity to maintain electronic capabilities.
 Administrator will go to Admin Dashboard
 Maintain Organization
 Update NPI
 Review the Specialty type and Administrative Systems boxes (that are
required) at the bottom. If it is blank then the provider will need to
choose the appropriate Specialty and Administrative System to reflect
in the box at the right side of screen. See below Attachment A.
3. Update express entry with new/accurate NPI and Payer Assigned Provider
ID information
B. Claims
Reconciliatio
n Tool and
New Type 2
NPI
1. If the provider is changing from one billing NPI (Type 1) to a new billing NPI
(Type 2):
 The provider will not be able to see claims previously submitted under
the old billing NPI, via CRT or the Claim Status (276/277) Transaction.
2. CRT is only searchable by the billing information submitted on the claim,
not the rendering provider.
3. Only one provider identifier is required in the search field (either the NPI or
the Florida Blue Provider number but not both). Due to changes to NPIs,
sometimes information can be found under one or the other. Search under
both individually if nothing returns.
C. Enroll
Electronic
Remittance
Advice
(ERA)/835
For a new Group registration or updates to the provider’s registration (such
as: group number & EIN)
1. Availity > Payer Spaces > PassPort > 835 Registration (Gold Box)
2. Complete the 835 Registration
Step
D. Electronic
Funds
Transfer
(EFT)
Enrollment
E. 837
(Claims
Submission)
Attachment A
900-1865-0716
Action
For a new EFT enrollment or updates to the provider’s enrollment (such as:
EIN or billing NPI)
1. Electronic Enrollment
 Availity > Availity Menu > Administrator Dashboard.
2. Paper Enrollment:
 EFT Enrollment
1. Providers with Billing Companies or Clearinghouses:
 The provider must coordinate appropriate NPI changes with their billing
service or clearinghouse.
2. Link to the Claims Submission Professional (837) Provider Companion
guide available on the Florida Blue Internet site.
 Companion Guide
 Please pay special attention to pages 24-27 regarding the importance
of NPI usage.
3. The provider should submit to Florida Blue with the same identifiers that
they would submit to CMS/Medicare.