How do you dispute invalid prescriber npi number on a pharmacy audit?
Step 1: Gather evidence.
Collect the following evidence to support your dispute:
* A copy of the disputed claim form.
* A copy of the prescriber's NPI number.
* A copy of the prescriber's state license.
* A letter from the prescriber stating that the NPI number on the claim form is incorrect.
Step 2: Write a letter of dispute.
Send a letter of dispute to the pharmacy audit contractor. The letter should include the following information:
* Your name and contact information.
* The name and contact information of the prescriber.
* The date of the disputed claim.
* The claim number.
* The reason for the dispute.
* Copies of the evidence you have gathered.
Step 3: Follow up.
Follow up with the pharmacy audit contractor to ensure that they have received your letter of dispute and are taking action to resolve the issue.
Step 4: Appeal the decision (if necessary).
If the pharmacy audit contractor denies your dispute, you may have the right to appeal the decision. The process for appealing a decision will vary depending on the state in which you live.
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