This lesson describes the process for unlocking NPI claims that have previously been locked.
This tool will unlock NPI claims that were rejected due to missing physician first/last name, NPI numbers less than or greater than 10 digits, and in cases where the physician did not update his/her Medicaid profile.
Where to Start
Click Medicaid tab-> Billing
Read through the onscreen directions before proceeding.
1. Select "Yes."
2. Click "Submit."
Once you have completed the above steps you can create a new batch to recapture the claims for resubmission.
Only claims that fall within the date range of the new batch will be included in the newly created batch.
Note: Claims that do not meet the NPI billing logic will be rejected by Illuminate and will not be included in the new billing submission (i.e., claims that have NPI less than or greater than 10 digits, missing NPI, missing physician first/last name). These claims will appear in the Rejected Claims report prior to submission. Also, claims that contain NPI for physicians that have not updated their Medicaid profile with the State will continue to be rejected by the state until those physicians have updated their information. These rejections can be viewed in the RA Rejections following the RA 845 import.