Unfortunately, this is a rejection message from the payer has absolutely zero information as to why they returned it to you. You will need to call the payer to find out why they are rejecting your claim. IMPORTANT: Because the payer sent back an EDI rejection, when you call them, you will need to let them know that it was rejected from an electronic submission. Otherwise, they adjudication department will tell you that they have no record of ever receiving the claim.
Articles in this section
- 568 - Family Planning Indicator.
- Category Acknowledgement/Returned as unprocessable claim The Claim/Encounter has been rejected and has not been entered into the adjudication system Status Missing or invalid information
- 247 - Service Line Information
- 787 - Resubmit a new claim, not a replacement claim.
- 701 - Initial Treatment Date
- 772 - The greatest level of diagnosis code specificity is required.
- Submitter Number does not meet format restrictions for this payer. It must start with State Code WA followed by 5 or 6 numbers.
- 535 - Claim Frequency Code
- 24 - Entity not approved as an electronic submitter. Usage: This code requires use of an Entity Code.
- 634 - Remark Code
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