BWC PAY TO PROVIDER NUMBER INVALID

Rejection Details:

This rejection indicates that the “Pay To” address in the EDI file is either missing or incorrectly entered. This address needs to be populated in the NM1*87 segment of 2010AB loop information of the EDI file in case it is different from Billing Address. If the billing address and pay to address is same then pay to address is not required in an EDI file and needs to be removed from the billing groups settings.

Resolution:

The Pay to address can be corrected or removed by using the following workflow:

  • Setting > Practice > Provider Groups > Billing Provider
  • Select/Search the plan
  • Click on the group name
  • Verify and correct or remove the Pay to Address accordingly
  • Save the page