ORDERING PROVIDER NAME / PRIMARY IDENTIFIER IS MISSING OR INVALID

Rejection Message

ORDERING PROVIDER NAME / PRIMARY IDENTIFIER IS MISSING OR INVALID

Rejection Details

This rejection indicates 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.

Resolution

Follow the instructions below to remove the ordering provider:

1. Click Encounters > Track Claim Status. The Find Claim window opens.
2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
3. Double-click on the Encounter number.  The Edit Encounter window opens.
4. Click the X next to the Referring Provider name.
5. Click Save & Rebill.

Then, resubmit all affected claims.