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Wiki Referring provider

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Four Corners

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Im confused on this one....MCR is denying a claim, due to lack of information. It states missing/incomplete/invalid referring provider. Patient was not referred by a provider, she was referred by a friend. So im not sure what to do? :confused:

Thanks in advance!
 
If there are any diagnostic tests on the claim (ECG, x-ray, etc) you need a "referring" (it's actually the provider who ordered the test) provider in box 17 with the NPI in box 17b.
 
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