2400 Loop 2420E (Ordering Provider Name) is Used

Rejection Details

This rejection indicates that the ordering (or referring provider) listed on the claim is the same as the rendering provider. Per this payer’s requirements, the ordering provider information should only be sent in the 2420E Loop (of the EDI file) if the service or supply was ordered by a provider who is different than the rendering provider sent in the 2310B Loop.

Resolution

Billing NPI should not be entered as ordering provider NPI in the application since these two cannot be the same. Either change the ordering provider NPI or remove it as per plan’s requirement and resubmit the claim. Kindly use the following work flow:

• Patient > Billing > Charges 
• Click on the Appointment Date
• Change or remove the Ordering Provider’s name from the selection