NPI Implementation problems

June 17, 2008

We've been having a slew of problems getting paid following NPI implementation.

Actually, I don't know if it's a slew really, or just one....we have had several

days of no payment, including one string of four days straight that really got

my attention. And Trailblazer says there is " no problem " , but can't explain the

skipped payments.

Has anybody else had no-pay issues?

These are not denials....Trailblazers says everything is just great with our

claims, and they are " fixin to " pay us a bunch of money...and then they

just...don't. And they can't tell us why they didn't, and really are not

responding to our querries.

Our billing folks are quite confident the problem is that NPI is kicking

Trailblazer's butt, and we are the symptom of that, but Trailblazer is not about

to admit it (especially to their " bosses " at CMS Regional).

I've been talking directly to the Dallas CMS office lately about it, and their

response has pretty much been " huh? "

I know that a few other services have had this issue, but as we escalate our

pressure on Trailblazers and CMS (various Senators are now calling them...) it

would be very helpful to know if it is limited to just the couple folks I've

talked to lately, or if it is more widespread within Trailblazer's base.

Thanks,

From: THEDUDMAN@...

Subject: Re: NPI Question

Date: June 17, 2008 7:07:00 PM CDT

,

One of the issues we had when the NPI went official and we got a ton of denials

was that our EIN had the dash in it after the first two numbers....we got that

removed, turning it into a single 9-digit number and it fixed our issue.? Have

y'all called Trailblazers yet?? They were very helpful with us.

Dudley

--

, BS LP

President

Central Texas Regional EMS

Air Rescue International

Member, Air Medical Committee of GETAC

Adjunct Faculty, Temple College

office

dispatch

cell

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