Related Articles
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 Rejections
Payer Rejections Overview Payer Rejections Overview When a Claim is submitted electronically, the information on the individual Claim is matched with the information the Payer has on file. If the information is not in alignment with the Payer ...
Payer Rejection: Smart Edit
Medicare started the concept of Smart Edits. 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 ...
Payer Rejection: Other Insurance Coverage
A6 ACK/REJECT MISS INFO - OTHER INSURANCE COVERAGE INFORMATION (HEALTH, LIABILITY, AUTO, ETC.). The Patient has other Insurance that may be Primary. This often occurs when a Patient has a Medicare Advantage Plan, and the Patient presented the red, ...