docbda wrote on Saturday, March 31, 2012:
I have been struggling with claims submission to my clearing house. I am getting multiple errors, but the predominant ones are:
1. ’ ’ Is invalid data-type for element N403 Patient: JOHN DOE Line: 21 Loop: 2010BB Payer Postal Zone or ZIP Code.
2. ’ ’ Is invalid data-type for element N403 Patient: JANE DOE Line: 392 Loop: 2330B Other Payer Postal Zone or ZIP Code.
What populates N403 in Loops 2010BB and 2330B Payer (other payer) Postal Zone or ZIP Code? I thought this would come from the insurance companies list under practice settings within which I have the zip codes for all my carriers.
I did find a possible discrepancy, however, as on the CMS website in a table that describes the ANSI 5010 format, the table has N403 listed as “Billing Provider Postal Zone or ZIP Code” and not “payer” or “other payer” Postal Zone or ZIP Code.
Here’s the link for the table:
https://www.cms.gov/ElectronicBillingEDITrans/Downloads/ProfessionalClaim4010A1to5010.pdf
Looking through the forums, I did find a potential issue in that under “users” I am admin with administrator privileges. All of my info, tax id, UPIN, NPI, etc are in this record. A quote from the forums’ ASC 5010 X12 thread appears below:
“Looks like what is missing on the NM1*82 line is the provider NPI. You probably don’t want the Administrator to be a provider in your system nor chosen as such in the Fee Sheet, and all those who *are* providers should have an NPI entered into their user form.”
Does this have anything to do with my issue?
Thanks in advance for any help.
Blake
