CLAIM LEVEL SERVICE FACILITY INFORMATION INVALID; CLAIM LEVEL SERVICE FACILITY INFORMATION INVALID FOR PAYER

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:

  • Go to Settings > Practice > My Practice
  • Click on the Location name
  • Correct the Location NPI in the Location Settings section and save