Florida Blue recently
made several changes to our claims processing system to comply with HIPAA 5010
requirements. In February 2012, process enhancements were made to ensure that a
provider’s National Provider Identifier (NPI) and Tax ID number are matched
appropriately.
We have seen an increase in the volume of provider correctable error codes that
cause claim processing delays. Below are reminders to help you reduce the
number of WEBV040 and WEBV042 claims processing errors displayed when claim
data (or information) does not match information registered with Florida Blue
Billing Provider Section
This section is used to provide information regarding the billing provider for
services rendered. It should match the name written on the check or electronic
funds transfer from Florida Blue.
• OPTION 1: If you are registered as a group provider (PA, LLC, etc.) with
Florida Blue and you want to bill as a group provider, enter the appropriate
group name, Tax ID number and the group NPI (type 2).
− THE MATCH: Group Name matches Group NPI matches Group Tax ID
