Edit 02021


Group NPI Missing

HIPAA Claim Adjustment Reason Code: 206
    Remark Code: MA112
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: N/A

Potential Causes:
The claim has the MMIS ID of the Group but the claim did not have the required NPI of the group.

Solution:
Enter the NPI of the group provider.

837 Professional and 837 Dental

Loop 2010AB NM1 (Pay-to Provider Name) NM109 (Pay-to Provider Primary ID)