Rejected at Clearinghouse Billing / Pay-To Provider Taxonomy Code - Provider Type Qualifier is Missing or Invalid

Rejection Message

Rejected at Clearinghouse Billing / Pay-To Provider Taxonomy Code - Provider Type Qualifier is Missing or Invalid

Rejection Details

This rejection indicates the Billing Taxonomy code is required and was not sent out properly on the electronic claim (Loop 2000A, PRV segment).

Resolution

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.