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Medicare is a federal health insurance program established by Congress in 1965 to provide health care insurance for seniors and people with disabilities (added in 1972). The Medicare program has two components, Part A and Part B. Part A provides coverage for services from institutional providers such as hospitals and skilled nursing facilities. Part B provides coverage for services from physicians, non-physician practitioners, laboratories and suppliers.

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Effective May 23, 2008 – NPI mandatory for all HIPAA standard transactions. Avoid delays in Medicare payments!

Be prepared! Test NPI-only claims NOW! As of May 23, 2008, claims received with legacy numbers will be rejected!

The notice linked below provides additional information:
http://www.trailblazerhealth.com/Tools/Notices.aspx?DomainID=1&id=12362
 

Click here to access the NPI Web page.
 

J12 MAC Information
On March 6, CMS awarded the Jurisdiction 12 (J12) Medicare Administrative Contract (MAC) to Highmark Medicare Services. J12 includes the states of Maryland, Pennsylvania, New Jersey, Delaware and the District of Columbia metropolitan area. As the J12 MAC, Highmark is responsible for communicating implementation information to Medicare beneficiaries, providers and other stakeholders.  For all implementation information, contact Highmark via its Web site at http://www.highmarkmedicareservices.com/transition/j12/index.html. Until the transition on July 11, 2008, TrailBlazer will continue to serve as the Medicare Part B carrier for Maryland, Delaware and the District of Columbia metropolitan area. Inquiries related to existing operations and claims processing should continue to be directed to TrailBlazer until the transition.

MAC Implementation