Managed Care that Works for Everyone
Prime Network Provider Spotlight

   About Us
Evolutions Healthcare Systems, Inc.

NPIs are available free of charge online at: Visit the National Provider Identifier Standard from CMS and the US Department of Health and Human Services for more information, or you may call the NPI Enumerator Call Center at (800) 465-3203 with questions.

Important Facts:

  • May 23, 2007 is the deadline for all health plans to accept and use NPIs to identify providers in transactions involving claims, eligibility, referrals, and remittance advices.
  • EHS is prepared to capture and record your NPI in our TRX® System to assist our Payers with the HIPAA mandate.  Providers must continue to include their Tax ID Number on all claims for tax (1099) purposes.
  • EHS will maintain NPIs (along with any other identifying information) in the strictest confidence and will only be shared as it pertains to claims adjudication.
  • Contractually, all EHS participating Providers are required to maintain their demographic information (including, but not limited to their NPI) for the purposes of providing our members with current, accurate data as well as information necessary to manage our network and assist Payers to efficiently adjudicate our Providers’ claims.

Evolutions’ Participating Providers may update their NPI or demographic information here.