Rejection: The Billing Provider ID (Loop 2010AA, NM109) is not a valid NPI number in our database.;The Subscriber/Member ID Number (Loop 2010BA, NM109) is not valid.
What happened: The NPI in box 33a is not the NPI the payer has on file. The subscriber ID in box 1a is not what the payer has on file.
Resolution: Need to verify the billing provider information at the payer and update the claim as necessary. Also need to verify the patient info and update as necessary.
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