Missing NPI

Rejection Message

Missing NPI

Rejection Details

Kareo Validation Error

This rejection indicates the claim is missing the NPI number for one of the following:

• The Practice
• The Rendering Provider
• The Referring Provider

Claims billed without an NPI for the above will reject at the clearinghouse; therefore Kareo has held the claim until the error has been corrected. You must correct the error and resubmit the claims in order for them to be delivered to the payer.

Note: Since claims rejected within Kareo are not forwarded to the clearinghouse you will be unable to generate timely filing for that submission until validation errors have been corrected and the claim resubmitted.

Resolution

Resolution steps will vary depending on the cause:

If the practice's NPI needs to be populated, follow the instructions below:

1. Click Settings > Practice Information. The Practice Information window opens.
2. Enter the Group NPI number.
3. Click Save.

Then, rebill and resubmit all affected claims.

If the provider's NPI needs to be populated, follow the instructions below:

1. Click Settings > Provider. The Find Provider window opens.
2. Look for and open the provider record that needs correcting. The Edit Provider window opens.
3. Enter the Individual NPI.
4. Click Save. 

Then, rebill and resubmit all affected claims.

If the provider has a override claim setting for the insurance, follow the steps below to enter the NPI:

1. Click Settings > Provider. The Find Provider window opens.
2. Look for and open the provider record that needs correcting. The Edit Provider window opens.
3. Click on the Claims Settings tab.
4. Double-click on the insurance company name. The Override Claim Setting window opens.
5. Verify the NPI is set to bill correctly. Click the drop-down arrow to change the setting as needed.
   1. Click "Override NPI" to enter a different Individual or Group NPI for just this provider.
6. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.

If the referring provider's NPI needs to be populated, follow the instructions below:

1. Click Settings > Other Lists > Find Referring Physicians. The Find Referring Physicians window opens.
2. Look for and double-click on the referring provider that needs correcting. The Edit Referring Physician window opens.
3. Enter the Individual NPI number.
4. Click Save.

Then, rebill and resubmit all affected claims.