NPI Edit Update Notification
The following NPI Submission Edit will be set to a Warning ("W") effective March 2, 2009. Effective April 6, 2009, the Warning ("W") be set to a Rejection ("R").
QGE - Billing Tax ID Not a Match to NPI
In order to avoid claim delay and payment, it is imperative that you include the corresponding Tax Identification Number or Social Security Number along with your assigned NPI.
The QGE message requires the "XX" qualifier in LOOP – 2010AA (Billing Provider Name) segment ID, NM108 and the National Provider Identifier in segment ID NM109. The "EI" qualifier requires the corresponding Tax Identification Number or the Social Security Number with "SY" qualifier in segment REFO2.
The Tax ID or Social Security number on your electronic claim must match the Tax ID/SSN that is currently on our Provider File which should also correspond with your Enumerator letter.
Any Tax Identification updates must be coordinated through our Provider Services Department by submitting the following form:
If you have any questions on these edits, please contact our E-Commerce Center at 1-800-746-4614 for assistance.