Medicare Billing Error. How to correct "20359 ORDERING PROVIDER SECONDARY ID INVALID 2420E."?

Question

I'm the biller for a DME company and since May 23,2008 my Medicare claims had been rejected for the above reason (20359 ORDERING PROVIDER SECONDARY ID INVALID 2420E).

I use the software pc-ace32 pro and i added the npi # in all the ordering doctors but I'm still getting that error. Is anything else that I have to do?

I called Medicare EDI and a tech has to call me back, 4 days a no call.I need to resolve this issue or my boss is going to fire me. In the ordering provider section i have the Upin and Npi, i tried to send it without the UPIN and still gets rejected.

Do anybody knows what to do? i will really appreciate.

Answer 1

As of May 23, 2008, the qualifier "1C" (Medicare Provider Number) or "1G" (Provider UPIN Number) will no longer be allowed. It sounds like your program is still inserting those old numbers somewhere on the claim/invoice or you are not over-riding them correctly. I'm not familiar with your particular billing program so that's all the help I can really offer. Good luck!