Knowledgebase: Claim Rejections
Billing and PayTo provider same entity (FE355)
Posted by Will Morrow, Last modified by Charmagne Williams on 16 May 2017 11:24 AM
Rejection: Payer edits require the Billing and PayTo provider to be the same entity, containing either the same NPI and/or TaxID (FE355)

What happened: The billing NPI/TIN does not match the Pay-To NPI/TIN.

Resolution: This should be updated in the billing software, but can be updated in claimfix. Update the claim as necessary and update the claim (see attached picture below).

 pay-to tax id npi (hcfa).jpg (92.35 KB)
 billing npi (hcfa).jpg (81.35 KB)