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Edit 02027
Missing Other NPI
HIPAA Claim Adjustment Reason Code: 206
Remark Code: N270
HIPAA Healthcare Claim Status Code: 562
Entity Identifier Code: N/A
Potential Causes:
This edit applies to the Referring Provider submitted on the 837 Professional or 837 Dental in cases where a Primary Care Physician was also reported. In these cases there are two iteration of the Referring Provider Name loop.
Solution:
Enter the NPI of the Referring Provider.
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837 Professional |
2310A, 2420F (Loop iteration with DN in NM101 when an iteration with P3 in NM101 was also present)
NM1 (Referring Provider Name)
NM109 (Referring Provider Identifier)
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837 Dental
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2310A (Loop iteration with DN in NM101 when an iteration with P3 in NM101 was also present)
NM1 (Referring Provider Name)
NM109 (Referring Provider Identifier)
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