HR Fast Facts: Finding Primary Care Provider ID Number

Insurance carriers ask for a Provider Name and Provider ID for plans that require a Primary Care Physician designation (HMO plans and POS plans). In most cases, the Provider ID can be found by searching for the provider on an insurance carrier's Find A Provider tool on their website.

If the carrier does not show the Provider ID number in their directory, the provider themselves can give their ID number.
Provider ID numbers are sometimes referred to as National Provider Identifier (NPI). Using the doctor's name and location, employees can find NPI numbers using an online search.

Employers: questions should be routed to your broker or insurance carrier.

This article is for informational purposes only, is not legal, tax or accounting advice, and is not an offer to sell, buy or procure insurance. TriNet is the single-employer sponsor of all its benefit plans, which does not include voluntary benefits that are not ERISA-covered group health insurance plans and enrollment is voluntary. Official plan documents always control and TriNet reserves the right to amend the benefit plans or change the offerings and deadlines.

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