Referring Provider Number submission change

Tuesday, May 23, 2006 - 10:49:40 AM

Yesterday we changed the way referring provider numbers are submitted in electronic claims sent to clearinghouses. Previously, the system would always send the UPIN unless users overrode this in the Edit Claim > Other tab. The new behavior uses the Provider Number mechanism: for example, if a referring provider has the Medicaid provider number (1D) set in the Provider Numbers tab of the Edit Referring Provider screen, then that number will be sent to Medicaid payers.

In order to minimize rejections, please ensure that for your referring providers only UPINs are marked with "1G    Provider UPIN".

2 comments

joyce mckay said:

what are we supposed to do with the claims that rejected for invalid referring provider identifier?

Thursday, Jan 31, 2008 - 12:25:44 AM

joyce mckay said:

what are we supposed to do with the claims that rejected for invalid referring provider identifier?

Thursday, Jan 31, 2008 - 12:25:50 AM

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