Therabill Support Specialist
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Articles
Recent activity by Therabill Support Specialist Sort by recent activity-
Duplicate Procedure Modifier
The payer is rejecting stating that you have entered the same modifier more than once on one or more of your service lines. How to fix The modifier is entered on the add / edit session form in ...
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749 - Date of Injury/Illness
If you indicate that the services are due to an accident (employment, auto, or other) then you must also supply an accident date. How to Resolve Click the edit icon next to the client. On the edit...
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CLAIM SERVICE LOCATION NPI: REQUIRED; PAYER HAS MANDATED USE OF NPI
The payer is rejecting stating that they need the service facility NPI. Make sure you have this entered under Admin -> Member Info (in the service facilities section). NOTE: If the service facili...
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Value of element N403 is incorrect. Expected value for ZIP Code is 9 digits. Segment N4 is defined in the guideline at position 0300. Invalid data:
The billing provider on all health insurance claim must use the 9 digit Zip Code (also known as Zip +4). First, determine where Therabill is pulling your billing provider information from. By de...
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148 - Entity's social security number. Usage: This code requires use of an Entity Code
This rejection mentions the social security number. If this is a workers comp claim through Jopari, then make sure you have the social security number entered for the patient. It may also need to...
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MEMBER INVALID ON DATE OF SERVICE
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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CLAIM REJECTED BY MEDICA^^^/A^^Payer Trace ^^^/A^^MEDICA STATUS CODE: A6:743:82:65,^^^/R^^Rejected for Missing Information - The claim is missing the information specified in the Status details and has been rejected.^^^/A^^ Undefined statu
This rejection message from the payer does not give any detail as to why they are rejecting your claim. This rejection message often comes with a Payer Trace number though. You can call the paye...
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ACK/REJECT INVAL INFO - ENTITYS CONTRACT/MEMBER NUMBER. - INSURED OR SUBSCRIBER
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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CLIENTS FULL NAME, CLIENT NUMBER, SEX amp;amp;amp; DATE OF BIRTH DO NOT MATCH INFORMATION ON FILE.
The payer is rejecting stating that either the full name, the identifier (most likely the primary ID you have entered on the insurance card in Therabill), the patient gender, and/or the date of bir...
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BILLING PROVIDER NPIAPI TO TPI COMBINATION OR NPIAPI INFORMATION IS INVALID. OUR RECORDS INDICATE PROVIDER IS NOT ENROLLED IN THIS PROGRAM. CONTACT TMHP CU :
Texas Medicaid & Healthcare Partnership appears to be saying that the billing provider that you have going out on this claim is not a recognized provider in their system. You should call the pay...