Therabill Support Specialist
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Recent activity by Therabill Support Specialist Sort by recent activity-
MISSINGINVALID 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 referrin...
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ACK/REJECT RELATIONAL - CLAIM SUBMITTED TO INCORRECT PAYER. - 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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90 - Entity not eligible for medical benefits for submitted dates of service. Usage: This code requires use of an Entity Code.
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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ACKNOWLEDGEMENTRETURNED AS UNPROCESSABLE CLAIM
This is a terribly uninformative EDI rejection message that payers sometimes send back. Usually, when they send back this rejection message, they are supposed to follow it up with more information...
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Entitys tax id. (Rendering Provider)
Typically, the rendering providers Tax ID does not go on a claim form. The billing providers Tax ID goes on the claim form. For this reason, we tend to believe they may be referring to something ...
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700 - ICD10. Usage: At least one other status code is required to identify the related procedure code or diagnosis code.
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 (f...
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PROC CODE W MULTI UNITS INVALIDDATE OF SERV
Some CPT (or procedure codes) should always go out with 1 unit. That is, for some procedures you are NOT being paid for how long the service lasted. You are being paid for the service in genera...
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495 - Requests for re-adjudication must reference the newly assigned payer claim control number for this previously adjusted claim. Correct the payer claim control number and re-submit.
This rejection occurs when you submit a corrected (or voided) claim electronically and you did not enter the correct payer claim control number when creating the corrected claim. You may also want...
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SUBSCRIBERMEMBER ID NOT FOUND
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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MISSINGINVALID BILLING
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...