Therabill Support Specialist
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REJECTED AT CLEARINGHOUSE SUBSCRIBER GROUP/POLICY NUMBER IS MISSING OR INVALID (PHP00)
This claim was rejected at the clearinghouse level. The clearinghouse may reject some claims based on known rules they have set up with the payer. According to this rejection message, the payer r...
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Box 21 - Diagnosis or Nature of Illness or Injury
What is it? Box 21 is used to indicate the diagnosis codes for the symptom, complaint, or condition of the patient. Use lines A-L to list up to 12 diagnosis codes to the highest level of specificit...
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CLAIM REJECTED ID NUMBER DOES NOT EXIST OR IS INVALID ID NUMBER DOES NOT EXIST OR IS INVALID ID NUMBER DOES NOT EXIST OR IS INVALID :
There are many reasons why you may be getting this error. With this type of error, you may need to call the insurance company to check on why they cannot find the member. While on the phone with ...
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Box 22 Resubmission Code/Original Ref. No.
What is it? Box 22 is used to list the Original Reference Number for resubmitted/corrected claims. When resubmitting a claim, enter the appropriate frequency code: 6 - Corrected Claim 7 - Replacem...
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CLAIM REJECTED DENY-NOT A CONTRACTED SERVICE. PROVIDER RESPONSIBLE. DENY-NOT A CONTRACTED SERVICE. PROVIDER RESPONSIBLE. DENY-NOT A CONTRACTED SERVICE. PROVIDER RESPONSIBLE.
This rejection message almost looks like a denial. It sounds like the payer is rejecting based on either the patient not being eligible for the services you performed or you as a provider are not ...
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Box 23 - Prior Authorization Number
What is it? Box 23 is used to show the payer assigned number authorizing the service(s). In Application: Note: To make this change permanent, you must update this information directly in WebPT. Ot...
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255 - Diagnosis code.
This error occurs if you sent out a claim that is missing a diagnosis code for the patient. Most insurance companies require at least one diagnosis code on the insurance claim. You can add diagnos...
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Section 24 - Service Lines
What is it? Section 24 is used to list the completed services for the claim. The 6 service lines have been divided horizontally. The shaded area of each line between 24A and 24G is the location for...
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EJECTED-Mem Match Error-DOBGender Mismatch :
The payer is rejecting based on either the date of birth and/or gender that you supplied on the claim for the member not matching what they have on file. You will want to check both the patient/c...
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Box 24a - Date(s) of Service
What is it? Box 24a is used to indicate the month, day, and year the service was provided. Enter the Date of Service in the From and To areas. In Application: To manually change this information: ...