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Healthcare Provider NPI Search Activity

Healthcare Provider NPI Search Activity

by Internal Labs

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Activity

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Summary

Summary

UiPath custom activity for real time NPI lookup through the API provided by National Plan & Provider Enumeration System and bring provider list results(Payer claims, referral provider, credentialing)

Overview

Overview

An Activity for NPI lookup through the API provided by National Plan & Provider Enumeration System.

WHAT IS NPI

The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for health care providers and health plans.

An NPI is permanently associated with a specific individual regardless of any changes in practice location or additional specialty training.

This activity will connect with the provider NPI database provided by CMS in real time via NPI lookup API and bring below listed results as an output.

Provider’s Basic details like First Name, Last Name, Organisation Name, Credentials etc

Address details like Address line 1, Address Line 2, City, State, Postal code, Telephone no etc.

Taxonomies like Code, License, description etc.

Identifiers like Issuer**,** code, state etc.

*Please go through the activity manual before activity integration, Plesae use "https://npiregistry.cms.hhs.gov/api" for UPI URL

Features

Features

UiPath robot can directly access the NPI details without navigation to multiple screens, details can be manipulated as per the business process requirement for processes like Provider Credentialing, Out of network Provider verification for Medical Claims, Referring Provider updates and NPI Verification.

Additional Information

Additional Information

Dependencies

Newtonsoft.Json >=10.0.3

Code Language

Visual Basic

Runtime

Windows Legacy (.Net Framework 4.6.1)

Publisher

Internal Labs

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License & Privacy

License Agreement

Privacy Terms

Technical

Version

1.0.0.24

Updated

Jul 23, 2020

Works with

Studio: 21.10 - 22.10

Certification

Silver Certified

Support

UiPath Community Support

Resources

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