Appropriate UPIN Usage

Original Effective Date: 12/12/2002
Revision Effective Date: 11/01/2013

CIGNA DMERC has identified that claims are being submitted with an incorrect Unique Physician Identification Number (UPIN). The UPIN A11111 should only be used to reference the physician to whom this UPIN is actually assigned. This is not a surrogate UPIN or a "wild card" to be used when the UPIN of the referring physician is not known.

Incorrect use of UPIN A11111 will result in denial. Refer to the article in this DMERC Dialogue entitled "Durable Medical Equipment Ordered with Surrogate Unique Physician Identification Numbers (UPINs)" for instructions on the use of surrogate UPINs.

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