So a claim got rejected and when I dug a little deeper, It says it's missing the provider ID. Where do I get that and where do I enter it in the patients account? I found this under eligibility in the patient account. This was highlighted
1. Click List in the main menu bar.
2. Select Provider.
3. Double-click the provider for which the license is to be checked.
4. Select on the ID's tab.
5. The following IDs may be edited within this window:
Federal Tax ID
Social Security Number
Other Prov ID
National Provider ID (NPI)
Depending on the claim and Ins Co., Check boxes 49-58 on the claim for
IDs that link to the Provider
David McCrory| Technical Support Analyst
Office: 866.435.7473 Fax: 678.247.0267
Carestream Dental LLC
all of that is done. so i'm not sure what the real problem is.
Hi Heidi, if the claim was submitted electronically, the best thing to do would to give electronic services a call and we can look at what we received from you, and if need be, we can have the clearinghouse get a concrete answer as to what is specifically the insurance company says is missing. Also, you may want to call the provider relations with the insurance company and just verify what they have on file for your doctor(s) as far as NPI and Tax IDs are concerned. In my experience, I have seen offices send an NPI that the insurance company did not have on file, or they had a different one on file than what the office was sending. This is especially common with providers who have an Type 1 NPI(Individual) and a Type 2( Organizational) NPI.
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