Professional 5010 Claims for payers listed below may have received an error message on the Payer Claim Data Report (SR):
A8:496:85 - Submitter not approved for electronic claims submissions on behalf of this entity - Billing Provider
A8:562:85 ******* A8:128:85 - Entity's Billing Provider NPI and Tax ID are in error
CPID 2455 Arkansas Medicare
CPID 1460 Louisiana Medicare
This issue began on 08/132012 when Novitas Solutions, Inc. (Novitas) took over the processing of claims from Pinnacle Business Solutions, Inc. for the Medicare Administrative Contractor (MAC) Jurisdiction H (JH) contract.
Providers should verify that they have completed an EDI Agreement for these payers.
Providers should verify that they are sending correct National Provider Identification (NPI) and Tax ID to these payers.
If providers have questions on their EDI Enrollments, NPIs, or Tax IDs, please contact Novitas Solutions, Inc. at (877) 235-8073
Please follow the steps above to avoid receiving error messages. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
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