Edit 02035


Invalid Rendering Provider NPI

HIPAA Claim Adjustment Reason Code: 208
    Remark Code: N290
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: N/A

Potential Causes:
The NPI of the Rendering 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 Rendering Provider and re-enter the NPI of the Rendering Provider correctly.

837 Professional, 837 Dental

Loop 2310B, 2420A NM1 (Referring Provider Name) NM109 (Referring Provider Primary Identifier)