Rejection: ACK/RETURNED - ENTITY NOT FOUND. - PROVIDER
What happened: Some or all of the provider information on the claim (NPI in box 24j or 33a, TIN in box 25, provider name in box 33) (see attached pictures below)?is not what the payer has in their system.
Resolution: This is a reply coming directly from the payer. Need to verify how the provider is set up at the payers end (individual vs. rendering, NPI, TIN, etc.). If confirmed that everything is correct, call or chat with our customer service department (360-975-7000 opt 1).
