NPI Errors with Humana claims, Payer ID’s 61101, 61102, 00034, 00207, 58226, 73288 and 95885

Wednesday, Jul 30, 2008 - 06:32:00 PM

Important Message from MedAvant

Date Range:  07/23/08 – 07/25/08

Details:

Effective 07/23/08, Humana turned on an edit requiring NPI only in all provider fields/loops.  This edit included rejecting the existence of any legacy id including tax ID and SSN in any provider fields/loops other than the Billing or PayTo.

This caused an increased volume in rejects at the payer.  Humana removed this edit the night of 07/28/08 and reverted back to the requirements of 07/22/08, where Humana requires NPI in all provider fields/loops.

Submitter Actions:  No action required, MedAvant will resubmit all files from 7/23/08 to 7/25/08 today.  Please carefully monitor your responses from both MedAvant and Humana. Per Humana’s requirements please make sure that NPI is included in all provider fields/loops.

Notification ID:  20080730-04

2 comments

Darrell Pruitt said:

NPI. What a wonderful idea. Darrell Pruitt DDS

Thursday, Jul 31, 2008 - 12:21:29 PM

Darrell Pruitt said:

NPI. What a wonderful idea. Darrell Pruitt DDS

Thursday, Jul 31, 2008 - 12:21:33 PM

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