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Understanding Individual NPI (Type 1) vs. Group NPI (Type 2)

Updated over 11 months ago

It is extremely important to understand the difference between setting up a Group NPI (Type 2 NPI) and an Individual NPI (Type 1 NPI) in ChiroHD.
Proper setup ensures accurate claims submission and avoids billing issues.


Group NPI (Type 2 NPI)

  • The Group NPI must only be entered under Office Info.

  • It should never be created or listed under Providers.

Where to Enter the Group NPI

  1. Go to Settings > Office > Office Info.

  2. Enter the Group NPI into the Group NPI field.

Important:
Group NPIs are tied to the clinic entity itself and should not be associated with individual providers in the system.


Individual NPI (Type 1 NPI)

Individual NPIs must be entered at the Provider level, tied to each doctor.

How to Set Up an Individual Provider

  1. Create a User:

    • Set up the doctor as a user in Settings > Users.

    • Ensure the user is associated with a provider role and has a calendar.

  2. Add the Provider:

    • Go to Settings > Providers.

    • Click Refresh Providers if a newly created user does not appear immediately.

    • Click New Provider.

    • Link the provider to the correct user account.

    • Enter:

      • First Name

      • Last Name

      • Suffix/Title (if applicable)

      • Individual NPI (Type 1)

      • EIN (Employer Identification Number)

  3. Submit once all necessary fields have turned green (indicating completion).


Additional Notes on Taxonomy Codes

  • If a specific Third Party Payer requires taxonomy codes:

    • You must add the taxonomy code inside the provider’s setup.

    • You must also ensure that when setting up the Third Party Payer, the option for "Uses Taxonomy Codes" is enabled.


Quick Summary

Item

Where It Belongs

Notes

Group NPI (Type 2)

Settings > Office > Office Info

Should never be linked to individual providers

Individual NPI (Type 1)

Settings > Providers

Tied to each doctor's user and calendar

Taxonomy Codes

Provider setup + Third Party Payer setup

Only if required by payer


Proper NPI setup is critical for claim acceptance, insurance billing compliance, and preventing unnecessary rejections or delays.

If you would like a step-by-step setup checklist for new providers (including NPI, EIN, and taxonomy setup), please contact ChiroHD Support — we’re happy to help!

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