Novitas Solutions has identified a problem with additional development request letters, intended for claims with NPI (National Provider Identifier) related issues, not being mailed to customers. This issue impacts claims submitted between 10/05/2016 and 12/02/2016, which would have been rejected, for no response to the development letter. To determine if any of your claims rejected for this particular situation, please review your Explaination of Benefits / Remittance Advice for the code pairs below.
Pair One
CARC 16: Claim/service lacks information or has submission/billing error(s) which is needed for adjudication
N257: Missing/incomplete/invalid billing provider/supplier primary identifier
Pair Two
N290 – Missing/incomplete/invalid rendering provider primary identifier
N211 – Alert: You may not appeal this decision, please resubmit your claim.
If you identify a claim you believe rejected for this situation, please resubmit it.