Edit 02033


Invalid Attending Provider NPI

HIPAA Claim Adjustment Reason Code: 208
    Remark Code: N253
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: N/A

Potential Causes:
The NPI of the Attending (Service) Physician 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 Attending Physician and re-enter the NPI of the Attending Physician correctly.

837 Institutional

Loop 2310A, 2420A NM1 (Attending Provider Name) NM109 (Attending Physician Primary Identifier)