EDI - rejection - provider specialty code, Expired tax id

 000 ERROR: Provider's specialty code

What this means: The rendering provider information is either incomplete or missing from the   EDI system, or it doesn't match what is being sent on the claim.  

Provider action: Check the rendering provider.  Is it present on the claim?  Is it a provider you have already added to   EDI?  

Rejection Removal: Rejections will not be removed by   EDI as they are valid.

Re-filing: Once this is corrected, you would want to re-file any



*Expired Tax ID  Dr. XXXXXX

What this means: The tax ID and provider information that the payer has on file is not longer set up in the payer system.

Provider action: Please contact provider relations at insurance to make sure your provider information is active in their system,


Rejection Removal: Rejections will not be removed by   EDI as they are valid.

Re-filing: Once this is corrected, you would want to re-file any claims that rejected for this reason.


*Wrong Name .


What this means: The provider name being sent on the claim is coming over in first name last name format, ASHN wants it in last name, first name format.

Provider action: Check the rendering provider.  Is it present on the claim?  How are you sending the name?

Rejection Removal: Rejections will not be removed by   EDI as they are valid.

Re-filing: Once this is corrected, you would want to re-file any claims that rejected for this reason.


Null” or no rejection message

What this means: Claims submitted on 2/5/2013 may have rejected for "NULL" or with no error message.

Provider action: Check and see if you received any of these rejections for this payer in this time frame.

Rejection Removal: Rejections will be removed by   EDI.

Re-filing: The payer will be reprocessing these claims.






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