|
Edit 02022
The Referring Provider NPI is Missing
HIPAA Claim Adjustment Reason Code: 206
Remark Code: N286
HIPAA Healthcare Claim Status Code: 562
Entity Identifier Code: N/A
Potential Causes:
The claim has the MMIS ID or license number of the referring provider, but the claim requires the NPI of the referring provider.
Solution:
Enter the NPI of the referring provider.
|
837 Institutional
|
|
Loop 2310C
NM1 (Other Provider Name)
NM109 (Other Physician Primary ID)
- or -
Loop 2420C
NM1 (Other Provider Name)
NM109 (Other Physician Primary ID)
|
| 837 Professional |
Loop 2310A
NM1 (Referring Provider Name)
NM109 (Referring Provider Primary ID)
- or -
Loop 2420C
NM1 (Referring Provider Name)
NM109 (Referring Provider Primary ID)
|
| 837 Dental |
Loop 2310A
NM1 (Referring Provider Name)
NM109 (Referring Provider Primary ID)
|
|
