Payer Rejection: Subscriber and subscriber ID Not Found

Payer Rejection: Subscriber and subscriber ID Not Found

A6 ACK/RETURNED - SUBSCRIBER AND SUBSCRIBER ID NOT FOUND. | Payer Control Number- FLN 946230653766200 ICN DU35148878 | MEMBER PICK REJECT | Payer Control Number- FLN 946230653766200 ICN DU35148878

  • The claim was submitted to the incorrect Payer ID.
    • Note: This is the most likely cause if this rejection was received on Claims for multiple patients.
    • Resolution: Verify the Payer ID and edit if needed.
  • The Patient’s demographics or Insurance Policy information included on the Claim was not eligible for the Date of Service billed.
    • Verify the Patient's Eligibility.
    • Verify the Patient's Name, DOB, and Policy Number.
    • Resolution: Correct Patient demographics or Policy Information if it is incorrect.
  • The Patient is a newborn or has been recently added to the Subscriber’s Insurance Policy.
    • Resolution: Contact the Payer to verify the Patient's Policy status.

Learn More

Resubmit Claim


    • Related Articles

    • Payer Rejection: Entity Not Found Patient/Insured/Subscriber/Dependent

      A6 ACK/RETURNED - ENTITY NOT FOUND. USAGE- THIS CODE REQUIRES USE OF AN ENTITY CODE. - PATIENT A6 ACK/RETURNED - ENTITY NOT FOUND. USAGE- THIS CODE REQUIRES USE OF AN ENTITY CODE. - INSURED A6 ACK/RETURNED - ENTITY NOT ELIGIBLE. USAGE- THIS CODE ...

    • Payer Rejection Articles

      Payer Rejections Overview Payer Rejection: SUB-ELEMENT SV101-07 IS MISSING Payer Rejected: A6 SERVICE FROM DATE - INVALID; SERVICE FROM DATE MUST BE VALID FOR PAYER Payer Rejection: A6 -A3-;Rejected; Missing or invalid information. Facility NPI ...

    • Rejection: Invalid ZIP code on Subscriber Loop. Bad ZIP 06479 [CE]

      CLEARINGHOUSE REJECTED: A7:0 Invalid ZIP code on Subscriber Loop. Bad ZIP 06479 [CE] The Zip Code is invalid for the Subscriber, Loop 2010BA. If Subscriber is the Patient, check the Zip Code in the Patient's Demographics. If Subscriber is not the ...

    • Rejections Examples

      Rejection: Invalid Subscriber ID Format for ___ Resolution: From the Patient Dashboard, verify Eligibility, view the Eligibility Report, view the Patient's Scanned Insurance Card, and/or call the Patient. Correct the Policy Number. On the Encounter ...

    • Payer Rejection: Member ID mismatch with date of birth

      A6 -A3-;Rejected;Entity not found.;Patient-A3-;Rejected;Claim Note Text;-MEMBER ID CAME IN ON THE CLAIM IS NOT PRESENT IN THE FACETS SYSTEM DUE TO MISMATCH IN DATE OF BIRTH, NAME AND GRGR_CK. RESUBMIT WITH CORRECT DETAILS.-; The member ID and Date of ...