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Hi @nmayle - have you addressed/found solution to this? Looking forward to hearing from you. |
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any solution for this issue? |
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In a Cigna Health in_network_file (https://d25kgz5rikkq4n.cloudfront.net/cost_transparency/mrf/in-network-rates/reporting_month=2022-07/2022-07-01_cigna-health-life-insurance-company_phoenix-az-connect_in-network-rates.json.gz), I am seeing a "providers object" with a tin that contains an EIN for a hospital, but all of the npi's in the list are for individual providers (type 1) and the type 2 npi for the hospital is not in the list.
When I checked the documentation for the npi field in the In_Network File Schema, I found this description that seems to fairly clearly say that if the contract is with an organization, then the type 2 npi for that organization should be in the npi array:
Am I interpreting the rule correctly?
Are other people seeing this same issue in this file or other files?
Here is one example of the JSON in question, but the same issue appears is in every providers object for a hospital in this file. As a matter of fact, this file doesn't appear to contain any type 2 npis:
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