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Printed Date: 9/22/2015
The National Provider Identifier (NPI) number is present in the Crosswalk File but the NPI number corresponds to more than one Legacy (OSCAR) number. Enter the OSCAR number associated with the NPI number submitted.
Explanation and Suggestion:
The National Provider Identifier (NPI) is present in the Crosswalk File but the NPI corresponds to more than one Legacy/OSCAR Provider Access Transaction Number (PTAN). Medicare Administrative Contractors (MACs) require a valid nine-digit ZIP code on the Provider File Master Address. Please update your billing software to reflect the appropriate nine-digit ZIP Code (ZIP+4 Format) associated with the NPI/PTAN combination.
To correct a claim returned to the provider (RTP) with reason code 32105, key the service facility's nine-digit ZIP Code in the "FAC.ZIP" field found on MAP 1711 in Direct Data Entry (DDE) and return (F9) the claim.
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Last Updated: 12/27/2018