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 steps below to add the group taxonomy code to the claim:

1. Navigate to the Claim Settings tab of the Provider record. The provider’s claims settings information displays.
2. Under the Override Claim Settings section, double click the appropriate override to open. The Override Claim Settings window opens.
   • If the override has not yet been created, refer to the Add Override section of Override Claim Settings to add the override first.
3. Click to select "Show advanced settings". The Override Claims Settings window expands with additional options. For more details about advanced settings, review Advanced Provider Override Settings.
4. Click Group Specialty to search and select the group's main specialty from the list of taxonomy codes.
5. Click Save in the Override Claims Settings window. The Edit Provider window returns.
6. Click Save in the Edit Provider window. The Confirmation pop-up appears then Click Yes to confirm.

Then, rebill and resubmit all affected claims when ready.