Skip to main content

 

Kareo Help Center

Billing Provider NPI/API to TPI Combination or NPI/API Information is Invalid

Rejection Message Rejection Details Resolution

BILLING PROVIDER NPI/API TO TPI COMBINATION OR NPI/API INFORMATION IS INVALID

This rejection indicates that the provider’s TPI (Texas Provider Identifier) was not included on the claim and is required. 

Submitter Action:

Verify your NPI/API/Tax ID combo by calling the payer and requesting the provide r identifier (TPI) number information.

Follow the instructions below to add the TPI to
the provider override:

  1. Click Settings > Providers.
  2. Look for and open the provider record. 
  3. Click on the Claim Settings tab. 
  4. Click Add.
  5. Click Insurance Company.
  6. Look for and select the appropriate insurance company.
  7. Change the NPI drop-down to the appropriate billing option (Group or Individual). 
  8. (If necessary) Check Override NPI if a different Group NPI or Individual NPI needs to be entered. 
  9. Change the Tax ID drop-down to the correct option (EIN or SSN).
  10. (If necessary) Check Override EIN if a different Tax ID needs to be entered. 
  11. Check the Show advanced settings box. 
  12. Enter the TPI in the Advanced Electronic Claim Settings section:
    • If billing with an individual NPI, use the upper most box.
    • If billing with a Group NPI, use the lower most box. 
  13. In the Type field, choose 1D - Medicaid Provider Number. 
  14. In the Value field, enter the TPI number.
  15. Click Save all the way out (multiple saves may be required). 

Then, rebill and resubmit all affected claims.