Knowledgebase: Claim Rejections
Empire BCBS 00803
Posted by Will Morrow, Last modified by Will Morrow on 27 November 2013 05:23 PM
Rejection: 40790 InvalidData: 1417504587 Location: 2010AA - REF02 Prov: Billing Provider Reference ID Code (Loop 2010AA, REF02) must match the pattern 123456789 with no specia characters when the Reference ID Qualifier (Loop 2010AA, REF01) is equal to EI Employer ID

What happened: Tax ID sent in box 25 did not fit the format of 9 digits.

Resolution: Double check the info in box 25 (see attached picture below) and update as necessary.

 tax id (hcfa).jpg (77.99 KB)