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Edit 02049
Prescribing MMIS Provider ID Can Not Be Derived
HIPAA Claim Adjustment Reason Code: 208
Remark Code: N31
HIPAA Healthcare Claim Status Code: 562
Entity Identifier Code: 1P
Potential Causes:
The NPI of the prescribing provider was sent but was unknown to the system. A prescriber must be enrolled in Medicaid to prescribe for Medicaid clients and the prescriber’s NPI must be associated with a MMIS Provider ID.
Solution:
If your claim was denied for this edit, the prescriber should be contacted and should register their NPI with eMedNY Provider Services at (518) 343-9000.
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