EDI File Rejections

July 31, 2012

Some providers may have received inappropriate rejections on an entire EDI file when the “pay to” provider is enrolled and the rendering provider has not been enrolled for the “pay to” provider. The EDI denial in question is “0x9999002 Rendering Provider ID not found on file or Service Rendering Provider ID not found on file.” Only claims related to the rendering provider who is not enrolled should have been rejected, not the entire file.

To prevent this from happening, providers should add the rendering provider by opening a maintenance case and waiting for the approval prior to submitting claims.

The system will be corrected so that only the claims associated with the rendering provider who is not enrolled will be rejected rather than the entire claim file.

If you have questions, contact the EDI help desk at Phone: 1-866-690-5585 (TTY: 711); Fax: 1-877-314-8774; E-mail: .