Last Modified: 10/24/2011
Location: FL, PR, USVI
Business: Part A
19301
If the operating physician is required or if an operating national provider identifier (NPI) is present, the physician's last name and first name must be present. If any name is present, the NPI must be present.
Resources/tips to avoid or correct this return to provider (RTP) code
Click here for steps to avoid this RTP.
Review the claim.
• If an operating physician is required, ensure the name and NPI are identified.
• If an NPI is present, add the information as listed in the definition of the reason code.
Correct the claim and resubmit.
Source: FCSO Education Action Team