Therabill Support Specialist
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Articles
Recent activity by Therabill Support Specialist Sort by recent activity-
86 - Diagnosis and patient gender mismatch.
The payer is indicating that one or more of the diagnosis codes you have entered is not valid based on the gender of the patient. How to Fix There are two things you will want to check. Fir...
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158 - Entity's date of birth. Usage: This code requires use of an Entity Code.
The error message is indicating that a birthdate that you entered on the claim is not valid. On most claims, the only birthdays listed are going to be the subscriber and / or patient birthdate. ...
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InvalidData Location 2400 - DTP03 Svc The Modifier Code was not valid for date
The rejection message is indicating that the one or more of the modifiers you have applied to a service code is either 1.) not a valid modifier or 2.) they do not accept that modifier. How to fi...
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Rejected - Invalid Data WCN This patient was not eligible for benefits under this plan on the date(s) of service using the patient information submitted (ID, DOB, Name, Address). If you believe the information on your claim is correct, please fa :
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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132 - Entity's Medicaid provider id. Usage: This code requires use of an Entity Code.
The payer is indicating that either the NPI that you entered for the billing provider or rendering provider is not an NPI that they have on file. It could also be that this provider is requiring a...
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PROVIDER SUBMITTER ID: REQUIRED; MUST BE VALID IDENTIFIER FOR PAYER. PLEASE CONTACT HEALTH NET TO OBTAIN SUBMITTER ID.
This error is most likely due to submitting a claim with the wrong billing NPI (the equivalent of Box 33 on the CMS-1500). Most payers have your NPI that you shared with them at some point on file...
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Subscr BCBSNE Rule Subscribers last name is missing or
The payer is rejecting stating that the last name for the subscriber is missing (or invalid) on the claim. Make sure you have the last name entered on the insurance card in Therabill. Make sure t...
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197 - Effective coverage date(s).
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 wit...
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198 - Medicare effective date.
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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166 - Entity's employer name. Usage: This code requires use of an Entity Code.
The only known instances where the employer name is required are when submitting worker's comp claims. Make sure you have entered the employer's name on the insurance card in Therabill. You can re...