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eClaims - Common Rejections - Missing/Invalid Facility NPI

Missing/Invalid Facility NPI
Rejection messages include, but are not limited to:

  • CLAIM LEVEL SERVICE FACILITY NPI IS MISSING
  • CLAIM LEVEL - SERVICE FACILITY PRIMARY IDENTIFICATION NUMBER QUALIFIER IS MISSING OR INVALID (Bad Data: XX )
  • CLAIM LEVEL - SERVICE FACILITY PRIMARY IDENTIFICATION NUMBER IS MISSING OR INVALID

This rejection message is stating that there was a facility included on the claim, but the facility didn't have a Type 2 NPI (organization/group) listed in the Facility Reference. A Facility is placed on a claim when the services were rendered in a location separate from the office. Because of this the Facility should have an NPI that is specifically for that location. 

To fix the claim go to References > Facility, and select the facility that appears on the claim. At the bottom of the screen, there is a field for National Provider ID (NPI). After entering the Type 2 (organization/group) NPI, save, and rebuild the claim.

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