Medicaid EDI

General information about Medisoft
Post Reply
meromero2007
Posts: 11
Joined: Sat May 31, 2014 7:53 am

Medicaid EDI

Post by meromero2007 » Fri Feb 14, 2020 4:09 am

Hi Gavin,
I sent some claims electronically to TMHP Medicaid & all of them were rejected to me for this reason:
PERFORMING PROVIDER NPI/API TO TPI COMBINATION OR NPI/API INFORMATION IS INVALID. (01603)
and I called Medicaid EDI help disk they said that i have to add our rendering provider address in loop 2310B segment ref.so please can you help me how can I solve this issue

User avatar
Gavin Walker
Posts: 4382
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: Medicaid EDI

Post by Gavin Walker » Fri Feb 14, 2020 9:07 am

My guess is you need to file the claim to Medicaid as an individual instead of a group. I made this YouTube video where I demonstrate how to setup the provider NPI grids in Medisoft.
Gavin Walker
Walker Tek Solutions, LLC
866-890-6777 x0
417-763-6386

meromero2007
Posts: 11
Joined: Sat May 31, 2014 7:53 am

Re: Medicaid EDI

Post by meromero2007 » Fri Feb 14, 2020 10:21 am

they need me to add the address not the NPI or any IDS in loop 2310B segment ref

User avatar
Gavin Walker
Posts: 4382
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: Medicaid EDI

Post by Gavin Walker » Mon Feb 17, 2020 3:27 pm

What clearinghouse are you using or are you sending these direct to Medicaid?

Post Reply