This error is referencing the Tax ID and the Rendering Provider. Normally, a rendering provider's tax ID does not go on the claim (it is the billing providers tax ID that goes on the claim). For this reason, there are a couple things you may want to verify.
- You may want to first check that the billing provider tax ID that you have going out on your claims is valid for this insurance company (it must be the same tax ID that you shared with the payer). By default, the information you have entered under Admin in Therabill is what will go out as the tax ID on the claim. However, if you have set up Groups, Insurance Company Specific Billing Provider Information, or if you have indicated in the insurance settings to have the rendering provider information go out as the billing provider information, then you will need to look in those places to verify your tax ID.
- When the billing provider NPI is the same as the rendering provider NPI, then the rendering provider information is left off of the electronic claim all together. The payer (or receiver of the electronic claim) is then supposed to use the billing provider information as both the billing provider and the rendering provider. This may be why they are mentioning the rendering provider in their rejection message. If you have an organizational NPI entered for your billing provider information, make sure it is not the same as your rendering provider NPI. The rendering provider NPI (located under Providers in the top navigation bar of Therabill) should generally be an individual NPI (it should not be organizational).