Therabill Support Specialist
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Recent activity by Therabill Support Specialist Sort by recent activity-
658 - Treatment Code
From the rejection message, it appears that the service code (CPT code) you used is not valid for the diagnosis code (ICD-9/10) you have entered for the patient for this payer. If you feel this is...
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2010BANM109 Unable To Determine Patient Eligibility - Patient Not Found On Submitted Policy :
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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2010CADMG02 Patient Date Of Birth Cannot Be Validated
You will want to check the demographic information that you have entered in to Therabill for this patient. Make sure the birth date is correct. If the patient verifies that you have the correct b...
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Rendering Provider Acknowledgement Rejected for Missing Information - The claim encounter is missing the information specified in the Status details and has been rejected.tax id. :
This error is referencing the Tax ID and the Rendering Provider. Normally, a rendering provider's tax ID does not go on the claim (it is the billing providers tax ID that goes on the claim). For ...
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Resubmission Code is invalid. (6) :
To understand this rejection, we need to explain two items that go on corrected claims. Frequency Code (this is what they are referencing as CLM05-03) Control Number Frequency code (CLM0...
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2010BANM103 Policy Found But Could Not Verify Name And Or DOB For This Person
They payer is rejecting saying that they could find the policy but they could not verify it (match it) using the name and/or date of birth you entered for the either the patient or the subscriber t...
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Value of element N402 is incorrect. Expected value is from external code list - State Code (22). Segment N4 is defined in the guideline at position 2700. Invalid data:
The payer is rejecting based on the two letter state abbreviation given in an N4 segment. Unfortunately, this rejection message does not give the loop (which would indicate who they are referring ...
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464 - Payer Assigned Claim Control Number
To understand this rejection, we need to explain two items that go on corrected claims. Frequency Code (this is what they are referencing as CLM05-03) Control Number Frequency code (CLM05-03...
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Subscriber ID (loop 2010BA, NM109) must begin with three alphabetic characters followed by 9 numeric characters or begin with 9HP followed by 9 numeric characters. Spaces and special characters are not allowed.
The payer is stating that the primary ID that you are submitting to them for the subscriber is not valid. In the error message, they are specifying the format for the primary ID that they expe...
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541 - Claim Submission Reason Code
This rejection will only show up, only if, you are submitting a secondary electronic (EDI) claim to the payer. The payer is stating that the adjustment reason code that you entered and are send...