Edit 02034


Invalid Operating Provider NPI

HIPAA Claim Adjustment Reason Code: 208
    Remark Code: N262
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: N/A

Potential Causes:
The NPI of the Operating 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 Operating Physician and re-enter the NPI of the Operating Physician correctly.

837 Institutional

Loops 2310B, 2420B NM1 (Operating Physician Name) NM109 (Operating Physician Primary Identifier)