Edit 02070


Invalid Ordering NPI

HIPAA Claim Adjustment Reason Code: 208
    Remark Code: N265
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: DK

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

837 Professional

Loop 2420E NM1 (Ordering Provider Name) NM109 (Ordering Provider Primary Identifier)