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Kareo Help Center

Rendering Physician is Required

Rejection Message Rejection Details Resolution

Rendering Physician is Required

Payer Rejection:
This rejection indicates that the provider is credentialed under a Group NPI with the payer but are billing the claim under the Individual NPI (which removes the Rendering NPI loop from the ANSI file when submitting electronically).

Submitter Action:
Please contact the payer to verify how the provider is credentialed to bill this payer and update settings within Kareo appropriately.

Follow the instructions below to update the billing information for a specific provider and specific insurance company:

  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 dropdown to “Bill with Group and Individual NPI.”
  8. (If necessary) Check “Override NPI” if a different Group NPI or 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.