Therabill Support Specialist
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Invalid Rendering Provider. Rendering Provider ID not fou Invalid Rendering Provider. Rendering Provider ID not found on file.00 Pay To Affiliation Error No Affiliation found to PayTo P Pay To Affiliation Error No Affiliation found to PayTo
Wow! What a long and unstructured rejection message! Let us try to break it down to see what they are saying. It starts with Invalid Rendering Provider which gives us a clue that they probably ...
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ACK/REJECT INVAL INFO - CLAIM SUBMITTED TO INCORRECT PAYER.
This rejection is the payer telling you that they are not the payer to submit to. You may want to call the phone number on the insurance card that you received from the client and ask them what pa...
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MISSING INVALID RENDERING PROVIDER ADDRESS
Typically, the rendering providers address does not go on a claim form. It is the billing providers address that goes on the claim form. For this reason, we tend to believe they may be referr...
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Rejected - No Additional Details Please contact BCBS VA Claims Dept (800) 533-1120 for more detail.
It looks like they want you to call them. Since they did not give you any details as to why they are rejecting your claim, you will probably have to give them a call. At least they give you th...
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530 - Claim Adjustment Indicator
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 sendin...
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Diagnosis Reference Pointers Exceeds Limit of Four
Background On an insurance claim, there are the diagnosis codes (these are the diagnosis codes for the patient) in BOX 21 and there are the diagnosis pointers (where you point to diagnosis codes (...
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Segment DTP (Date - Accident) is missing. It is required when CLM11-1, -2, or -3 is one of AA, OA.
The payer is saying that you indicated that treatment is being formed due to an accident (auto or employment), however, you did not indicate an accident date on the claim. How to Fix in Therabil...
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ELIGIBILITY REJECT
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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254 - Principal diagnosis code.
The payer is indicating that one or more of the diagnosis codes you have entered is not valid. This could mean that it is not from the data set of diagnosis codes (ICD) or it could mean that a d...
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EXACT MATCH CANNOT BE MADE USING NPI AND TAXONOMY REPORTED
The payer cannot find either the rendering provider and/or the billing provider based on the taxonomy code and NPI that you have entered on the claim. How to Fix You must submit using the same NP...