Knowledgebase: Claim Rejections
BCBS of Hawaii (HMSA) HMSA1
Posted by Will Morrow, Last modified by Will Morrow on 08 May 2017 05:23 PM

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.

 



Attachments 
 
 billing npi (hcfa).jpg (81.35 KB)
 insured id (hcfa).jpg (16.90 KB)