
Development Request Letters for NPI Related Issues
December 20, 2016Novitas 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 Explanation of Benefits / Remittance Advice for code pairs; Pair One-CARC 16: Claim/service lacks information or has submission/billing error(s) which is needed for adjudication and N257: Missing/incomplete/invalid billing provider/supplier primary identifier and 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.