Reason Code 19504

Published 01/11/2018

FISS Narrative
If the referring physician NPI is present then the physician's last name and first name must be present also.

Explanation and Suggestions
If a claim is keyed into DDE with only the physician’s NPI and is missing the last and/or first name, the claim will be returned to the provider (RTP) with reason code 19504. Please ensure that your billing staff is aware.

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