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Edit / Error Knowledge Base > Select Edit Range > 02001 to 02100 >

Edit 02023


Attending Provider NPI Missing

HIPAA Claim Adjustment Reason Code: 206
    Remark Code: N253
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: 71

Potential Causes:
The claim has the MMIS ID or license number of the Attending (Service) Physician, but the claim requires the NPI of the Attending Physician.

Solution:
Enter the NPI of the Attending Physician.

837 Institutional
Loop 2310A
NM1 (Attending Physician Name)
NM109 (Attending Physician Primary ID)
- or -
Loop 2420A
NM1 (Attending Physician Name)
NM109 (Attending Physician Primary ID)

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