NPI claim rejectsion for Memorial Hermann insurance

If you are billing electronic medical claims to CPID#3475 Memorial Hermann you may have identified claims are getting rejected for NPI numbers. As of August 7th RelayHealth added new edits to prevent claims going to Memorial Hermann without NPI. Please fix and rebill any claims that come over with these exclusion edits:


EDIT HU 0019C:INVALID BILLING PROVIDER NPI - IN LOOP 2010AA, NM108 MUST BE SENT AND MUST BE EQUAL TO XX

EDIT HU 0020C:INVALID PAY-TO PROVIDER NPI - IN LOOP 2010AB, NM108 MUST BE SENT AND MUST BE EQUAL TO XX

EDIT HU 0021C:INVALID CLAIM REFERRING PROV NPI - IN LOOP 2310A, WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0022C:INVALID CLAIM RENDERING PROVIDER NPI - IN LOOP 2010B(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0023C:INVALID CLAIM PURCHASED SERVICE NPI - IN LOOP 2310C(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0024C:INVALID CLAIM SERVICE FACILITY NPI - IN LOOP 2310D(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0025C:INVALID CLAIM SUPERVISING PROVIDER NPI - IN LOOP 2310E(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0028D:INVALID SRV LINE RENDERING PROVIDER NPI - IN LOOP 2420A(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0029D:INVALID SRV LINE PURCHASED SERVICE NPI - IN LOOP 2420B(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0030D:INVALID SRV LINE SERVICE FACILITY NPI - IN LOOP 2420C(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0031D:INVALID SRV LINE SUPERVISING PROVIDER NPI - IN LOOP 2420DC(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0032D:INVALID ORDERING PROVIDER NPI - IN LOOP 2420E(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0033D:INVALID SRV LINE REFERRING PROVIDER NPI - IN LOOP 2310C(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

Happy Collecting!

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