24 - Entity not approved as an electronic submitter. Usage: This code requires use of an Entity Code.

This rejection from the Insurance payer indicates the patient information in the chart does not match the patient/client information the payer has on record or the claim may have been sent to the wrong insurance payer. This may be a simple typo, inaccurate/missing patient demographic information such as DOB, Gender, Address, or Member ID number.

Error Variations

Category: Acknowledgement/Rejected for Invalid Information The Claim/Encounter has invalid information as specified in the Status details and has been rejected Status: Subscriber and Subscriber id not found Entity: Payer

NM1-09 PATIENT NAME, MEMBER ID NUMBER NOT VALID FOR DOS. [1225541568 -NM1-09 YPYW1253399805]^^^

To Resolve

Follow the steps below to enable Always Use Rendering Provider as Billing Provider in the insurance settings

1. From the Billing menu, click Insurance list.
   
2. Find the payer and click Info & Settings.
   
3. Click the Advanced tab.
   
4. Mark the check box to Always Use Rendering Provider as Billing Provider.
   
5. Click Save Changes.
   
6. Resubmit this claim from the EDI rejection page by clicking Resubmit Electronically.
   
7. To confirm resubmission, click Submit.