Claim Rejections

BCBS IL 00621 - element NM108

Rejection: Value of element NM108 is incorrect. Expected value is XX for covered providers when National Provider ID is mandated for use. Segment NM1 is defined in the guideline at position 0150.

What happened: An NPI number was required, but not sent.

Resolution: Verify box 33a and box 24j as necessary and add the NPI (see attached pictures below).

rendering npi.jpg|billing npi (hcfa).jpg