Question

If the information on CMS 1500 in 24J is the same individual as the information in 32a, what is the most likely cause?

1) It is a mistake that you need to call credentialing about.
2) The provider's NPI is wrong in 24J.
3) The provider is enrolled as a sole proprietor and only has an individual NPI.
4) The provider makes home visits.

Answer 1

The most likely cause for the information on CMS 1500 in 24J being the same as the information in 32a is that the provider is enrolled as a sole proprietor and only has an individual NPI.

Step-by-step explanation:

The most likely cause for the information on CMS 1500 in 24J being the same as the information in 32a is that the provider is enrolled as a sole proprietor and only has an individual NPI. When a provider operates as a sole proprietor, they don't have a separate NPI for their business entity, so their individual NPI is used for both 24J and 32a. This is a common scenario for healthcare providers who are not incorporated or part of a larger organization.