Q:

What is a Medicare PTAN number?

A:

Quick Answer

A Medicare Provider Transaction Access Number, known as a PTAN, is a way to track Medicare providers during claims processing, according to WPS Health Insurance. Providers also need their number in order to receive information from the Medicare system.

Continue Reading

Full Answer

A provider's PTAN is the same as the previously issued Unique Provider Identification Number, referred to UPIN, which is no longer being used, explains WPS.

Prior to receiving a PTAN, providers must acquire a National Provider Identifier, or NPI, in order to be recognized in the Health Insurance Portability and Accountability Act, or HIPAA, standard process. Once a provider receives its NPI, it can send a completed provider enrollment application to the Medicare Administrative Contractor's Provider Enrollment department. If approved, the MAC Provider Enrollment department issues a PTAN.

Learn more about Health Insurance
Sources:

Related Questions

Explore