Claim Rejections

Managed Health Services (Medicaid HMO) 39186 - 01Invalid Provider ID

Rejection: 01Invalid Provider ID - Billing Physician (EDS Table)

What happened: The billing provider NPI in box 33a is not what the payer has on file.

Resolution: Verify the NPI in box 33a and update the claim as necessary (see attached picture below).

billing npi (hcfa).jpg