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Edit 02045
Rendering MMIS Provider ID Cannot be Derived
HIPAA Claim Adjustment Reason Code: 208
Remark Code: N290
HIPAA Healthcare Claim Status Code: 562
Entity Identifier Code: N/A
Potential Causes:
The Rendering Provider’s MMIS Provider ID cannot be derived from the Rendering Provider’s NPI.
Solution:
The NPI of the Rendering Provider that was entered on the claim is not on file with NYS Medicaid. Check the NPI used to ensure the correct NPI was entered on the claim. If the correct NPI was entered contact the NYS Medicaid enrollment unit at 518-402-7032.
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837 Professional, 837 Dental |
Loop 2310B
NM1 (Rendering Provider Name)
NM109 (Rendering Provider Primary ID)
- or -
Loop 2420A
NM1 (Rendering Provider Name)
NM109 (Rendering Provider Primary ID)
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