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Edit 02030
Invalid Billing Provider NPI
HIPAA Claim Adjustment Reason Code: 208
Remark Code: N257
HIPAA Healthcare Claim Status Code: 562
Entity Identifier Code: 85
Potential Causes:
The NPI of the Billing 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 billing provider and re-enter the NPI of the Billing Provider correctly.
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837 Institutional, Professional, Dental
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Loop 2010AA
NM1 (Billing Provider Name)
NM109 (Billing Provider Primary Identifier)
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