New claim edit: Invalid tax identification number

Stedi now rejects 837P professional, 837D dental, and 837I institutional claims that contain an invalid tax identification number (TIN) for the billing provider.

When you submit a claim, you must include the billing provider’s TIN – either a Social Security Number (SSN) or Employer Identification Number (EIN). The TIN must be a 9-digit number with no spaces or separators.

Payers reject claims that contain an invalid TIN for the billing provider, which can cause delays.

This edit – the industry’s term for an automated validation rule – catches the issue before it reaches the payer.

Rejection errors
If you submit a claim that fails the edit using Stedi’s claim submission APIs or professional claim form, you’ll get back an error message in real time. If you’re using a JSON API endpoint, the response includes error details in the errors array:

{
  "errors": [
    {
      "code": "33",
      "description": "The billing provider tax id (TIN), 1234567890, is invalid. The TIN must be a string of exactly 9 numbers with no separators. Correct and resubmit.",
      "followupAction": "Please Correct and Resubmit"
    }
  ]
}

If you submit a claim that fails the edit using SFTP, Stedi will reject the claim with a 277CA claim acknowledgment. The acknowledgment will contain a related claim status category code, claim status code, and error message. You can use the error message to correct and resubmit the claim.