BWC Pay to Provider Number Invalid

Rejection Message

BWC PAY TO PROVIDER NUMBER INVALID

Rejection Details

This rejection indicates the payer requires the “Pay To” address to be included on the claim.

Resolution

The provider needs to submit the “Pay To” address information on the claim. This address needs to be populated in the NM1*87 segment of 2010AB loop information of the EDI file.

Follow the instructions below to enter the Pay To Address for all insurances or a specific one.

Follow the instructions below to enter the “Pay to” address for all insurance companies the provider bills:

1. Click Settings > Providers. The Find Provider window opens.
2. Look for and open the provider record. The Edit Provider window opens.
3. Click on the Claim Settings tab.
4. Click the "Enable Pay-To Address For Professional" checkbox.
5. Enter the Practice Name in the Name field.
6. Enter an address in the Address field with a valid 9 digit zip code.
7. Use the USPS Zip Code Look Up tool to validate the 9 digit zip code.
8. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.

Follow the instructions below to enter the “Pay to” address for a specific insurance company the provider bills:

1. Click Settings > Providers. The Find Provider window opens.
2. Look for and open the provider record. The Edit Provider window opens.
3. Click on the Claim Settings tab.
4. Click Add. The Override Claim Setting window opens.
5. Click Insurance Company. The Select Insurance Company window opens.
6. Look for and select the insurance company.
7. Click the "Show Advanced Settings" checkbox.
8. Click the "Override pay-to Address" checkbox.
9. Enter an address in the Address field with a valid 9 digit zip code.
10. Use the USPS Zip Code Look Up tool to validate the 9 digit zip code.
11. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.