Provider Identification (ID) Does Not Match

Provider Identification (ID) Does Not Match

The error message “Provider ID Does Not Match” means the Medicaid ID on your claim is not in the Sandata Electronic Visit Verification (EVV) system or the Sandata Aggregator. First, identify what Medicaid ID is associated with the account you are using to record visits. Then, compare this value to the Medicaid ID associated with the claim.

Identifying the Medicaid ID

1. Select Reports.

2. Scroll down to Date Range Reports, then select Full Visit Export.

3. When the filters appear, select Run Export. You do not need to adjust any filters.

4. Select Save and download the report.

5. When the report opens, scroll all the way to the right. The Provider ID column will display the Provider Medicaid ID number that is associated with your EVV account.

Next Steps

• I see the Medicaid ID in EVV, but I do not know the Medicaid ID I used for my billing.
  • The Medicaid ID used for billing can be found on the claim. Please work with your biller, billing team, or third-party biller to identify which provider Medicaid ID was used on the submitted claim.
• The Medicaid ID in EVV is one that I am no longer using.
  • Work with your payer or ODM to have the Medicaid ID on your contract updated, then register in the Sandata Provider Registration Portal with the correct Medicaid ID.
• The Medicaid ID in EVV is for a different location within my organization.
  • Register in the Sandata Provider Registration Portal with the Medicaid ID for your location. Once an account is created, record the visits for each location in the appropriate EVV account.
• I do not have a Sandata account or an Aggregator account.
  • Use the EVV Getting Started Workflow as a guide to creating and maintaining your EVV account.

If you have further questions or concerns regarding this process, call the Integrated Help Desk at 800-686-1516.