|
Edit 00136
Group ID Number not on NYS Master File
HIPAA Claim Adjustment Reason Code:16
Remark Code: N282
HIPAA Healthcare Claim Status Code: 132
Entity Identifier Code: QV
Potential Causes:
The MMIS Group Identification entered is not on file with eMedNY as a valid Group ID Number.
Solution:
Check the Group ID Number that was entered to ensure that the number was entered correctly. Verify the Group ID Number used with the eMedNY Enrollment Unit. Enter the data in the loops and the segments provided, and resubmit.
| 837 Dental and 837 Professional |
Loop 2010AB, NM1 (Pay-To-Provider’s Name)
NM101 = 87 (Pay to Provider)
NM108 = 24 (Employer’s Identification Number)
NM108 = 34 (Social Security Number)
NM109 = (Employer’s Identification Number or Social Security Number
Loop 2010AB, REF (Pay-To-Provider Secondary Identification Number)
REF01 = 1D (Medicaid Provider Number)
REF02 = Medicaid Group ID Number
|
|
