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ORDERING PROVIDER NAME / PRIMARY IDENTIFIER IS MISSING OR INVALID

Rejection Message Rejection Details Resolution

ORDERING PROVIDER NAME / PRIMARY IDENTIFIER IS MISSING OR INVALID

This rejection indicates that the ordering (or referring provider) listed on the claim is the same as the rendering provider. 

Per this payer’s requirements, the ordering provider information should only be sent in the 2420E Loop (of the EDI file) if the service or supply was ordered by a provider who is different than the rendering provider sent in the 2310B Loop.

Follow the instructions below to remove the
ordering provider:

  1. Click Encounters > Find Encounters.
  2. Click on the All tab.
  3. Look for and double-click on the encounter that needs correcting.
  4. Click the “X” next to the Referring Provider name.
  5. Click Save and Rebill.

Then, resubmit all affected claims.