This rejection message from the payer indicates that there is an issue with the information you provided on the claim about the relationship of the patient to the insured.
This rejection message is often received from Medicaid and/or Medicare if they require that you submit the relationship as self.
You will want to edit the insurance card in Therabill and check that you have the correct relationship set. As soon as you update the relationship, you can then resubmit this claim.
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