Edit 02028


Missing Assistant Surgeon NPI

HIPAA Claim Adjustment Reason Code: 206
    Remark Code: N249
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: DD

Potential Causes:
This edit only applies to the 837 Dental. The claim has the MMIS ID or license number of the Assistant Surgeon, but the claim requires the NPI of the Assistant Surgeon.

Solution:
Enter the NPI of the Assistant Surgeon.

837 Dental

2310D NM1 (Assistant Surgeon Name) NM109 (Assistant Surgeon Primary Identifier) -or- 2420C NM1 (Assistant Surgeon Name) NM109 (Assistant Surgeon Primary Identifier)