May 6, 2008
NPI Edit Information effective May 23, 2008
The following warning edits will become rejections effective May 23, 2008.
837 (Claims) Blue Cross and Blue Shield of Kansas |
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Edit Code |
Edit Description |
Reject Date |
B061C |
Rendering NPI not tied to Billing NPI (2310B). Reject Edit Code will be B061E |
5/23/2008 |
B257C |
Group NPI can not be used as Rendering NPI (2310B). Reject Edit Code will be B257E |
5/23/2008 |
B344B |
2310B Rend Prov Loop required w/ Billing Prov. Reject Edit Code will be B344C |
5/23/2008 |
B376A |
Billing NPI not tied to TP Number. Reject Edit Code will B376B |
5/23/2008 |
B379A |
EDI Authentication failed |
5/23/2008 |
B384 |
Billing Number not tied to TP Number |
5/23/2008 |
B385 |
EDI Authentication Failed |
5/23/2008 |
Beginning May 23, 2008 the only identification code qualifier and identification code being returned on the 835 (electronic remittance advice) will be the NPI. The legacy billing provider numbers will no longer be returned.
271 (Health Care Eligibility/Benefits Information Response) |
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Edit Code |
Edit Description |
Reject Date |
AAA03=43 |
Invalid/Missing Provider Identification 2100B |
5/23/2008 |
AAA04=C |
Please correct and resubmit 2100B |
5/23/2008 |
277 (Health Care Claim Status Response) |
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Edit Code |
Edit Description |
Reject Date |
STC01-1=E0 |
Response not possible 2200D and/or 2200E |
5/23/2008 |
STC01-2=136 |
Entity’s Health Industry ID Number |
5/23/2008 |
STC01-3=85 |
Billing Provider 2200D and/or 2200E |
05/23/2008 |