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NPI Reverse Lookup Using POST Add Business

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Getting Started

  1. Confirm NPI lookup has been enabled by contacting your Customer Success representative.
  2. Add NPI related name fields to payload.
  3. POST

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NPI Reverse Lookup Payload Additions

In the body of the payload during an Add Business call, the following fields MUST be added for a reverse lookup:
  • npi_first_name - the first name of the provider to be checked
  • npi_last_name - the last name of the provider to be checked
These additional fields will prompt Worth systems to do a reverse lookup of the provider and associate their NPI info with their case.
For reverse lookup to find a match, the provider must match to a business registered within the NPI database. If the provider is not associated with a business, no match will be found. If the business is not found, even with a valid provider, no match will be made.

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Example Add Business Payload with Lookup Fields:

{
    "external_id": "abc-123",
    "name": "Medical Office, LLC",
    "tin": "123456789",
    "address_line_1": "123 Testing Blvd",
    "address_city": "Townsville",
    "address_state": "IL",
    "address_postal_code": "12345",
    "npi_first_name": "Fessor",
    "npi_last_name": "Utanium"
}