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Knowledgebase: Claim Rejections
Invalid Referring Name Format RC113
Posted by Will Morrow, Last modified by Charmagne Williams on 12 May 2017 02:53 PM
Rejection: Invalid Referring Name Format (HCFA Box 17, ANSI 2310A NM1) (RC113)

What happened: Box 17 can only have a first and last name.

Resolution: Verify box 17 only has provider's first and last name, remove any credentials, and update the claim.