Payer Rejection for Referral/Authorization Number

Payer Rejection for Referral/Authorization Number

Payer Rejection for Referral/Authorization Number


Payer Rejection for Referral/Authorization Number

VA COMMUNI [VACCN] PAYER REJECTED
A6 -A3-;Rejected;Returned to Entity.;Payer-R VALID REFERRAL FORMAT REQUIRED-; [PE]

The Claim needs a Referral/Authorization Number.

Resolution
  1. The Referral always comes with an Authorization number that starts with VA.
    1. The Claims will not be processed without this VA number.
  2. Add a Charge Management Rule to prevent these Claims from being submitted without the Authorization/Referral Number.



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