Jopari Rejections
Rejection: Jopari Requires the Patient (Dependent) Loop on all Claims
The Client has signed up for a third-party Clearinghouse, Jopari, who handles electronic Workers Compensation Claims, and this Claim is missing the Policy Holder relationship 20 - Employee.
To fix this rejection:
- From the Encounter Dashboard, under the Policy Breakdown panel, click Insurance Policy.
-
From the Add/Modify Policy window, update the Insured Relationship
to
20 - Employee.
- Update the Policy Holder Employer/Attorney field to the correct employer.
- Click Save [F2] .
- Resubmit the Claim.
Payer 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.
Confirm or Change the Document Type
- 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.
- Confirm or change the Document Type that the Payer is expecting using the dropdown.
- Select Save [F2].
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