Billing Provider NPI/API to TPI Combination or NPI/API Information is Invalid

Rejection Message

BILLING PROVIDER NPI/API TO TPI COMBINATION OR NPI/API INFORMATION IS INVALID

Rejection Details

This rejection indicates the Billing Provider's Taxonomy Code is missing or invalid. Without a valid taxonomy code, the payer was not able to match the NPI to their internal records for this provider.

Resolution

Verify your billing NPI and taxonomy code combo by calling the payer.

Then, follow the appropriate instructions below:

If billing as individual, follow the steps below to update the taxonomy code for the provider:

1. Click Settings > Providers. The Find Provider window opens.
2. Look for and open the provider record. The Edit Provider window opens.
3. Click Specialty. The Select Taxonomy window opens.
4. Look for and select the correct taxonomy code.
5. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.

If billing as a group, follow the instructions below to add the group taxonomy code to the claim:

1. Click Settings > Providers. The Find Provider window opens.
2. Look for and open the provider record. The Edit Provider window opens.
3. Click on the Claim Settings tab.
4. Click Add. The Override Claim Setting window opens.
5. Click Insurance Company. The Select Insurance Company window opens.
6. Look for and select the insurance company.
7. Click the “Show Advanced Settings” checkbox.
8. Click Group Specialty. The Select Taxonomy window opens.
9. Look for and select the correct taxonomy code.
10. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.