Edit 02024


Operating Provider NPI Missing

HIPAA Claim Adjustment Reason Code: 206
    Remark Code: N262
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: 72

Potential Causes:
The claim has the MMIS ID or license number of the Operating Provider, but the claim requires the NPI of the Operating Provider.

Solution:
Enter the NPI of the operating provider.

837 Institutional

Loop 2310B NM1 (Operating Physician Name) NM109 (Operating Physician Primary ID) - or - Loop 2420B NM1 (Operating Physician Name) NM109 (Operating Physician Primary ID)