Resolution Center: NPI and Last Name mis-match

Question -

I am receiving an error within my Resolution Center which says "NPI and Last Name mis-match between customer master and external data source."

What does this mean and how can I correct this issue?

 Answer -  

This indicates that the spend file provided contains a value for the associated Covered Recipient's NPI# and/or Last name which does not match the information listed for that CR in the system.

In this instance, Medispend is prompting you to review the spend record so that you may compare the CR listed on the spend to that of your customer master. It is likely that there is a middle name or a small variation of the CR's name which is causing a mis-match when the system searches by that criteria. Typos happen often when data is manually entered.

Guidance:

If you select the 'ADD' button under the covered recipient section of your spend record, you will be navigated to the CR search dialog. MediSpend will automatically populate the search using the criteria already on the spend. If you remove all of the information listed except for the NPI, you should be able to locate the correct CR.

Once located you can select the 'ADD' button to the left of the CR to update your spend record and clear out the error.