Rejection Message
BWC PAY TO PROVIDER NUMBER INVALID
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Rejection Details
This rejection indicates the payer requires the “Pay To” address to be included on the claim.
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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.
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Follow the instructions below to enter the “Pay to” address for all insurance companies the provider bills:
- Click Settings > Providers. The Find Provider window opens.
- Look for and open the provider record. The Edit Provider window opens.
- Click on the Claim Settings tab.
- Click the "Enable Pay-To Address For Professional" checkbox.
- Enter the Practice Name in the Name field.
- Enter an address in the Address field with a valid 9 digit zip code.
- Use the USPS Zip Code Look Up tool to validate the 9 digit zip code.
- Click Save all the way out (multiple saves may be required).
Then, rebill and resubmit all affected claims.
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Follow the instructions below to enter the “Pay to” address for a specific insurance company the provider bills:
- Click Settings > Providers. The Find Provider window opens.
- Look for and open the provider record. The Edit Provider window opens.
- Click on the Claim Settings tab.
- Click Add. The Override Claim Setting window opens.
- Click Insurance Company. The Select Insurance Company window opens.
- Look for and select the insurance company.
- Click the "Show Advanced Settings" checkbox.
- Click the "Override pay-to Address" checkbox.
- Enter an address in the Address field with a valid 9 digit zip code.
- Use the USPS Zip Code Look Up tool to validate the 9 digit zip code.
- Click Save all the way out (multiple saves may be required).
Then, rebill and resubmit all affected claims.
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