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Edit 02032
Invalid Referring Provider NPI
HIPAA Claim Adjustment Reason Code: 208
Remark Code: N286
HIPAA Healthcare Claim Status Code: 562
Entity Identifier Code: N/A
Potential Causes:
The NPI of the Referring 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 Referring Provider and re-enter the NPI of the Referring Provider correctly.
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837 Institutional
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Loop 2310C
NM1 (Other Provider Name)
NM109 (Other Physician Primary ID)
- or -
Loop 2420C
NM1 (Other Provider Name)
NM109 (Other Physician Primary ID)
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837 Professional
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Loop 2310A
NM1 (Referring Provider Name)
NM109 (Referring Provider Primary ID)
- or -
Loop 2420F
NM1 (Referring Provider Name)
NM109 (Referring Provider Primary ID)
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837 Dental
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Loop 2310A
NM1 (Referring Provider Name)
NM109 (Referring Provider Primary ID)
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