Providers must have Billing Agent in Provider Record

Providers who use a Billing Agent need to ensure their NCTracks provider record reflects the correct information. Follow the "Instructions to add a Billing Agent" (see link below) to add (or confirm) a Billing Agent relationship in NCTracks.

This is important to ensure that the Billing Agent can submit claims to NCTracks on your behalf. Without the Billing Agent relationship established on the provider record in NCTracks, the Billing Agent will not be able to submit claims on behalf of the provider. This step must be taken for every Billing NPI submitted by the Billing Agent. (The only exception is for retail Pharmacy claims submitted through a switch vendor.)

A single Billing NPI can have more than one Billing Agent associated with it. However, the provider will need to designate on their provider record which Billing Agent will receive the 835 transaction. This applies to all providers, including Pharmacies.