Medical Billing Forum
NPI Numbers => NPI Numbers => : wharta March 11, 2010, 04:19:00 PM
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HELPPPPPPP!
I keep getting these claims rejected for "billing tax id not a match to npi" and everybody keep giving me different info and sending me in circles. I have tried this so many different ways its not funny. The doctor says he only uses his npi for this and he has a group npi but he doesnt use it. So i have been sending these claims recently with his npi only in 24j, 32 as his health group and personal npi and his group name and personal npi in 33a. When i contact bcbs this is the info they have on file , but they still are getting rejected electronically from them.
He is the only provider and the practice is his own- what should i do to get these paid??????
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HELPPPPPPP!
I keep getting these claims rejected for "billing tax id not a match to npi" and everybody keep giving me different info and sending me in circles. I have tried this so many different ways its not funny. The doctor says he only uses his npi for this and he has a group npi but he doesnt use it. So i have been sending these claims recently with his npi only in 24j, 32 as his health group and personal npi and his group name and personal npi in 33a. When i contact bcbs this is the info they have on file , but they still are getting rejected electronically from them.
He is the only provider and the practice is his own- what should i do to get these paid??????
have you verified that his tax id, and npi are correct, and that the tax id is linked to that npi
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Wharta,
If he is a solo provider and his 'billing entity' is NOT a type 2 NPI, you cannot put his individual NPI in 24J. If services are provided in his office (not a satellite office), then blocks 32 and 33 should match EXACTLY, including the NPI in 32a and 33a. What does he mean "He has a group NPI, but doesn't use it" ???
If he is a solo provider, but his 'billing entity' is registered as a Type 2 NPI, he MUST use the Billing Entity name and the Type 2 NPI in both 32a and 33a; the tax ID # in block 25 should match the billing entity in 33; if he has an EIN # linked to the 'group', then that is what belongs in 25. Now, when I say 'group', I do not necessarily mean more than one; Even though his name may be John Doe, MD; if he registered himself as an LLC or INC whether using his name or a business name ( ABC Family Care), you must use THAT name and NPI in 32 and 33; hope this helps!! Feel free to email me at michelle@pmbausa.com if I have confused you.
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YES..
To simplify.. The NPI and Tax Info EIN MUST MATCH EXACTLY.. even if there is an initial off, or anything off, it will reject! The two files MUST match EXACTLY!
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THANKS EVERYBODY , I AM GOING TO MAKE SOME CHANGES AND I HOPE THIS DOES IT! :D