NPI Errors with Humana claims

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Gavin Walker
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NPI Errors with Humana claims

Post by Gavin Walker » Thu Jul 31, 2008 8:11 am

Effective 07/23/08, Humana turned on an edit requiring NPI only in all provider fields/loops. This edit included rejecting the existence of any legacy id including tax ID and SSN in any provider fields/loops other than the Billing or the PayTo Provider.

This caused an increased volume in rejects at the payer. Humana removed this edit the night of 07/28/08 and reverted back to the requirements of 07/22/08, where Humana requires NPI in all provider fields/loops.

Per Humana’s requirements please make sure that NPI is included in all provider fields/loops.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

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