Claim Rejection: Status Details - Entity: Rendering Provider (82) (WebABA Pro & Group)

  Permissions: You must have Billing Permissions with the ability to "Submit Claims to Clearinghouse" enabled.

Claim Rejection:

• Status Details - Category Code: (A7) The claim/encounter has invalid information as specified in the Status details and has been rejected., Status: Entity's National Provider Identifier (NPI), Entity: Rendering Provider (82)

Fix Rejection

The Claim is missing the Rendering Provider. You will want to ensure two things:

• Rendering Provider listed is credentialed and their NPI is listed and correct.
• That the Rendering Provider is included in your Claims.

Ensure Rendering Provider's NPI is Correct

1. Click Staff tab in primary navigation bar.
2. Locate appropriate Staff Member and click Details.
3. Check the Provider NPI and Save Details.
   

To include the Rendering Provider on your Claims please adjust your EDI File Settings. 

1. Click Billing tab in primary navigation bar.
2. Click Insurers in side menu.
3. Click Edit button for appropriate Insurance Payer.
4. In the EDI File Settings, mark Use Rendering Provider designated in Client Payer Settings on Claims.
5. Click Save button.
   
   
   

After you've marked the setting below make sure that you've set who the rendering provider is on the client level. 

Related Articles:

• EDI File Settings