Therabill Support Specialist
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Articles
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Property and Casualty Claim Number (REF*Y4, Loop 2010CA ) is required. This can also be sent in as the Prior Authorization Number.
This payer is requiring a Property and Casualty Claim Number on claims for this patient. Since the payers rejection message states that it can be entered as the Prior Authorization Number, we rec...
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The member number cannot be found. Please verify using the ID card and resubmit electronically including the alpha prefix. For assistance, call the 800 number on the card or BCBSF (800) 727-2227.
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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MODIFIER 0 IS INVALID
The rejection message "Modifier 0 is Invalid" (where 0 will be a number, i.e. "Modifer 2 is Invalid") is indicating that the 0th modifier you have applied to the service code is either 1.) not a va...
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REJECTED AT CLEARINGHOUSE SUBSCRIBER PRIMARY ID# MUST BE BETWEEN 9 AND 11 CHARACTERS.
The primary ID that you have entered in the insurance card is an invalid format for this payer. This type of error can have many different causes. Here are a few to check. Are you submitting t...
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718 - Claim/service not submitted within the required timeframe (timely filing).
The payer is saying that the date of service you submitted is more than two years old and they do not accept claims with dates of service more than 2 years old. Check to make sure you have enter...
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Entitys id number. :
Unfortunately, the payer only mentioned the word entity in this rejection without defining what they mean by entity. Typically, they are supposed to give further definition to entity after the mes...
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Entity not approved as an electronic submitter.
While most payers, you can just begin submitting electronic claims (EDI claims) to them without any fuss, there are some payers that require what is called EDI enrollment. EDI enrollment is basic...
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Payer rejected for eligibility not found for the Subscriber. This could indicate no coverage for the submitted Services Dates or incorrect demographic information or invalid payer mapping.
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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DIAGNOSIS CODE: INVALID; THE NUMBER OF DIAGNOSIS CODES ON THE CLAIM MUST NOT EXCEED ALLOWABLE NUMBER FOR PAYER
The claim form (both EDI and CMS-1500) allow up to 12 diagnosis codes to report and typically most payers allow up to 12 diagnosis codes. It appears that this payer has a smaller limit to the numb...
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126 - Rejected Entity not found. Rejected Entitys address.
Normally, when a rejection message is sent back and uses terms such as entity, you should receive a follow-up telling you what entity they are referring to. Unfortunately, the entity, in general, c...