Edit 02037


Invalid Other Provider NPI

HIPAA Claim Adjustment Reason Code: 208
    Remark Code: N270
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: N/A

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

837 Institutional

Loop 2310C, 2420C NM1 (Other Provider Name) NM109 (Other Provider Primary Identifier)