Edit 02031


Invalid Group Provider NPI

HIPAA Claim Adjustment Reason Code: 208
    Remark Code: MA112
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: N/A

Potential Causes:
The NPI of the Group provider did not pass the check digit validation. All valid NPIs will pass a check-digit algorithm. Because the submitted NPI did not pass this validation check, the NPI number entered is not correct.

Solution:
Check the NPI of the group provider and re-enter the NPI of the Group Provider correctly.

837 Professional, Dental

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