Edit 02069


Missing Ordering NPI

HIPAA Claim Adjustment Reason Code: 208
    Remark Code: N265
HIPAA Healthcare Claim Status Code: 562
    Entity Identifier Code: DK

Potential Causes:
The claim has the MMIS ID of the Ordering Provider but the claim did not have the required NPI of the Ordering Provider.

Solution:
Enter the NPI of the Ordering Provider.

837 Professional

Loop 2420E NM1 (Ordering Provider Name) NM109 (Ordering Provider Primary Identifier)