ACKNOWLEDGEMENT/RETURNED AS UNPROCESSABLE CLAIM-THE CLAIM/ENCOUNTER HAS BEEN REJECTED AND HAS NOT BEEN ENTERED INTO THE ADJUDICATION SYSTEM.MISSING OR INVALID INFORMATION. BILLING NPI IS NOT AUTHORIZED FOR TAX ID >XXXXXXXXX/ XXXXXXXXXX^ACKNOWLEDGEMENT/RETURNED AS UNPROCESSABLE CLAIM-THE CLAIM/ENCOUNTER HAS BEEN REJECTED AND HAS NOT BEEN ENTERED INTO THE ADJUDICATION SYSTEM.MISSING OR INVALID INFORMATION. NPI IS NOT VALID AS BILLING >1770947368

Rejection Details:

This rejection indicates the payer does not recognize the provider matched to the NPI/tax ID combination in their system.

Resolution:

• Click on Settings > Practice > Provider Groups
• Search the plan and click on group name
• Verify the combination of Tax I.D and NPI and rectify if needed.
• Click on Settings again > Practice > Provider > Practice Provider
• Click on relevant provider’s name
• Verify the tax type and the combination of Tax I.D and NPI and rectify if needed
• Save the profile and resubmit the claim

In case all information is correct in the application then:

• Contact the payer and verify the Tax ID and NPI combination they have in their records.
• Get the Tax ID and NPI information updated on file if incorrect in insurance’s records.