837I x12 Error:

Day-to-Day Users
#1

Help with 837 editing. Trying to submit claims through AVAILITY to AMIDA CARE but keep getting this error. Can someone help with with availity may require on the x12 835I.

"Value of element NM108 is incorrect. Expected value is ‘XX’ for c
overed providers when National Provider ID is mandated for use. Segment NM1 is defined in the guideline at position 2500.
Version: 5010 Loop: 2310A
Segment ID: NM1 Element #: 8

#2

Hi @Joyced219 welcome to the OpenEMR community.

I’m not a billing specialist but I did an Internet search on “Value of element NM108 is incorrect. Expected value is ‘XX’ for covered providers when National Provider ID is mandated for use” which brought back several useful links including:

https://availity.com/documents/support/CMS1500_QuickReferenceGuide.pdf

https://support.officeally.com/claim-rejections-attachments/bcbs-il-00621---element-nm108

Granted only one of these is for Availity but they all agree that it’s a case of something wrong with the referring provider’s NPI. If ensuring that ALL providers have their NPI entered and in the correct format doesn’t fix the problem, you can also check this OpenEMR forum.

Even though x12 errors occur in all electronic billing and don’t really qualify as OpenEMR issues, plenty of people have asked about them on this forum in the past. You can see the answers they got by searching like so:
Screenshot at 2024-04-08 11-31-09

However, the only way I know of to find out precisely what the problem is for Availity is to call their support people. They certainly can be difficult to work with but it may be the only way to get the answer you need.
Best of luck- HT

#3

Unfortunately this for for 837P so the same rules don’t apply. This is a facility claim therefore we use the group NPI with the added xx but still getting this issue for health home claims to Amira care.

#4

hi @Joyced219, which version of OpenEMR are you using? Also, you can edit the title of this thread to 837P if appropriate :slight_smile: