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Crosswalk did not give 1 to 1 match for NPI XXXXXXXXXX. Number of rows returned was 0

 

Rejection Message

Crosswalk did not give 1 to 1 match for NPI XXXXXXXXXX. Number of rows returned was 0

Rejection Details

This rejection indicates the payer does not recognize the provider matched to the NPI/tax ID combination in their system.

Resolution

Verify the information (Group or Individual NPI, Tax ID or Social Security Number) that the provider is credentialed to bill under with the payer. You may need to contact the payer to retrieve this information. Request the payer update the information on file if incorrect.

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

  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. Change the NPI drop-down to the appropriate billing option (Group or Individual). 
  8. (If necessary) Click the “Override NPI” checkbox if a different Group NPI or Individual NPI needs to be entered.
  9. Change the Tax ID drop-down to the correct option (depending on how you bill).
  10. (If necessary) Click the “Override EIN” checkbox  if a different Tax ID needs to be entered.
  11. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.


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