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Healthcare Provider NPI Search Activity

Custom Activity

Custom Activity

Updated: September 14th, 2020

Published: January 17th, 2019

Downloads: 85

Industry: health-care-and-social-assistance

Language compatibility: Visual Basic

Community Support

Healthcare Provider NPI Search Activity

Custom Activity

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)

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

Details

Benefits

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.

Compatibility

UiPath Studio 2018.3+

Dependencies

Newtonsoft.Json >=10.0.3

Resources

- Activity_UserGuide.pdf

Licensing

By clicking download you agree to the following license.