As NPI is implemented, additional editing is needed to transfer the editing currently used for legacy provider numbers to the new NPI numbers. The edits below reflect the additional edits created to fill this need. While the edit numbers are new to users, the reason for the edits is not and trading partners should be use to this kind of editing.

Edit

Edit Description

LOB

K382

Warning Invalid Rendering NPI Number

P, D

Logic: The NPI submitted in the 2310B NM109 is not found on the BCBSKC files.

K385

Warning: Invalid Billing NPI Number

P, D, I

Logic: The NPI submitted in the 2010AA NM109 is not found on the BCBSKC files.

K376

Communicate NPI to Payer

P, D, I

Logic: The NPI in the 2010AA NM109 is not found on the ASK Trading Partner file as provided by BCBSKC.

K377

Billing NPI not on payer provider file

P, D, I

Logic: The NPI in the 2010AA NM109 is not setup for BCBSKC.

K378

Billing NPI not setup for this transaction

P, D, I

Logic: The NPI in the 2010AA NM109 is not setup for this transaction type for BCBSKC.

K379

T/P Indicator invalid for Billing NPI

P, D, I

Logic: The NPI in the 2010AA NM109 is not setup for the submitted Test/Production indicator.

K490

Invalid NPI Number

P, D, I

Logic: The NPI submitted in the 2010AA NM109 is not found on the BCBSKC files.

K493

Invalid Rendering NPI Number

P, D

Logic: The NPI submitted in the 2310B NM109 is not found on the BCBSKC files.

K498

Legacy Billing # required for Legacy Rendering #

P, D, I

Logic: If the 2310B REF01 equals '1B', then one occurrence of '1B' is required in the 2010AA REF01.