NM1 Error Codes

HCDS Clearinghouse Electronic Claims Rejection Errors

300NM1 � Segment did not meet ANSI X12 Syntax Requirements. Rule P0809 (Elements 08 and 09 must both be present if either of them is present) was not met.

When this error is accompanied by another error below it, refer to following error for rejection reason.

Example:

300NM1 � Segment did not meet ANSI X12 Syntax Requirements. Rule P0809 (Elements 08 and 09 must both be present if either of them is present) was not met.

304NM1_09-Required element #09(Other Payer Primary Identifier) is not present, either missing NPI or invalid payer ID (missing NPI for facility or referring provider)

 

300NM1 � Segment did not meet ANSI X12 Syntax Requirements. Rule P0809 (Elements 08 and 09 must both be present if either of them is present) was not met.

When this error appears by itself, it is stating that you are missing the facility NPI or referring provider NPI.

 

304 NM1_03-Required element #03(Rendering Provider Last or Organization Name) is not present. When this error is accompanied by another error below it. Refer to the first error for rejection reason.

Example:

����������� 304 NM1_03-Required element #03(Rendering Provider Last or Organization Name) is not present. Check entity type-legal names must be male/female.

300    NM1-Segment did not meet ANSI X12 Syntax requirements. Rule P0102 (elements 01 and 02 must both be present if either of them is present) was not present

 

304 NM1_08-Required element#08 (Identification Code Qualifier) is not present. NPI ID qualifier missing (automatically filled in if NPI present) Check both referring provider and facility NPI�s.

 

304 NM1_09-Required element#09(Other Payer Primary Identifier) is not present. Invalid Payer ID for the second or third insurance

 

307 Value of element#NM1_09 does not pass validation. NPI Check Digit Algorithm Failed. Invalid NPI number

 

304 NM1_04 required element #04(Billing Provider First Name) is not present. If version 6.5, check provider name for invalid format, i.e. missing comma between last name, credentials, special characters used, or more then 1 space between first and last name. If version 7.0 remove credentials.