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Peforming Provider Number Not Identified as Part of the Group Billing Number

Rejection Message Rejection Details Resolution

PERFORMING PROVIDER NUMBER NOT IDENTIFIED AS PART OF THE GROUP BILLING NUMBER

This rejection indicates that the rendering provider NPI is not linked to the group NPI in the payer's
system.

Submitter Action:

Please contact the payer to link the rendering provider to the group NPI or determine if the provider should be billing as an individual.

Once the rendering provider has been linked to
the group NPI in the payer’s system, rebill and
resubmit all affected claims.

(If necessary) Follow the instructions below to set up a claim override for the provider in order to bill to the payer as individual:

  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 insurance company.
  7. Change the NPI drop-down to “Bill with Individual NPI Only.”
  8. (If necessary) Check “Override NPI” if a different Individual NPI needs to be entered.
  9. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.