Claim Rejections

BCBS of Hawaii (HMSA) HMSA1

Rejection: The Billing Provider ID (Loop 2010AA, NM109) is not a valid NPI number in our database.

What happened: The NPI in box 33a is not the NPI the payer has on file (see attached picture below).

Resolution: Need to verify the billing provider information at the payer and update the claim as necessary.

billing npi (hcfa).jpg