Jopari Rejections

Jopari Rejections

Jopari, a third-party clearinghouse that handles Workers Compensation Claims, provides Payer Rejections that may not align with typical Payer Rejections.

  • The following should be included on Claims that are sent to Jopari:
  • SSN
  • WC Address
  • Authorization

Rejection: Jopari Requires the Patient (Dependent) Loop on all Claims

Reason for Rejection

  • The Claim is missing the Policy Holder relationship 20 - Employee.

Fix the Rejection

  1. From the Encounter Dashboard, under the Policy Breakdown panel, select the Insurance Policy.
  2. From the Add/Modify Policy window, update the Insured Relationship to 20 - Employee.
  3. Update the Policy Holder  Employer/Attorney field to the correct employer.
  4. Select Save [F2]. 
  5. Resubmit the Claim.


Rejection: Attachment Not Received

If a Payer Rejects stating that the Attachment was not received:

  • You have verified in the PWK segment of the electronic Claim that the document was sent, but the Payer insists that it was not received.
  • The Payer may be expecting a certain Type of Document, and that type was not sent.
  • Ask the Payer the Document Type they are expecting.


To Confirm or Change the Document Type

  1. In the Claim Attachments panel on the Encounter Dashboard, select the Edit icon.
  • OZ - Support data for claim is the default Document Type that is sent.
  1. Confirm or change the Document Type that the Payer is expecting using the dropdown.
  2. Select Save [F2].


Rejection: Patient Eligibility not Found with Entity

Reason for Rejection

There are many reasons that the Payer may not be able to determine the insured status of a Patient. The most common reasons include:

  • The Patient's demographic information is not up to date.
  • The Payer does not have all of the necessary information about the Patient.

Fix the Rejection

  1. Call the Payer for Eligibility information (Eligibility, Demographics etc.) and the Payer Address.
  2. Update the Patient Demographics.
  3. Resubmit the Claim electronically, or print and mail the Claim.


Learn More

Workers Comp and Jopari Electronic Attachments


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