2310C Element NM109 is used. It is not expected to be used when it has the same value as element NM109 in loop 2010AA.

Rejection Details

This rejection indicates that the facility and billing NPI sent out on the claim are identical. Per ANSI 5010 requirements, the facility NPI should not be sent on the claim if it is the same as the billing NPI

Resolution

Billing NPI should not be entered as Location NPI in the application since these two cannot be the same. Either change the location NPI or remove it as per plan’s requirement and resubmit the claim.

Kindly use the following work flow:

• Settings > Practice > My Practice
• Click on the Location name
• Correct the Location NPI in the Location Settings section