Payer Rejection Articles

Payer Rejection Articles


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    • Clearinghouse Rejection Articles

      If the Subscriber State (AB) is a Canadian province then Subscriber Zip Code (AB T8L0S2) must be six characters Referring Provider (23010A) is required to be a person 2300 NTE02 has a character limit of 80 characters Service Line 1 COB Claim ...
    • Payer Rejection: Reason Not Clear

      Payer Rejection: Reason Not Clear Payer Rejection prefixes: EP: Third-Party Clearinghouse AP: Payer Contact the Payer Payer Rejections can be more difficult to read as they often do not comply with standard responses. For Payer rejections that you ...
    • Rejection: Invalid Payer Resp Seq Num Code

      Reason for rejection This Payer does not accept Secondary Claims. Resolution: Libraries > Insurances Select the Insurance ID for the Payer. Click Edit. From the Secondary Form Type dropdown list, select HCFA. Enter the Payer's Address if not already ...
    • Payer Rejection: Smart Edit

      Medicare started the concept of SmartEdits. The Claim rejects at the Clearinghouse level with an alert explaining that the Claim may be denied when processed. Some claims are rejected by a Smart Edit and do not enter the claims processing system. ...
    • Rejection: Etactics Cannot Print Claims without the Full Payer Address

      Reason for Rejection If you send primary claims to our clearinghouse to print, the Insurances Library must contain a full address.   To fix this rejection: Select Libraries on the left Dashboard menu. Select Insurances to go to the Insurances ...