Claim Rejections

Managed HC Admin Blue Choice MHCA2 - Rendering Provider NPI

Rejection: 1053721431 Rendering Provider NPI is not registered.Trading Partner enrollment needs to be completed.

What happened: Sent claims to payer, but pre enrollment is not set up on the payers end.

Resolution: Verify who the claim was sent to and who it was supposed sent to. Verify the NPI in box 33a. Verify if received word back from the payer about pre enrollment being done. If pre enrollment has not been done, click HERE for the forms.