Therabill Support Specialist
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Element NM102 (Entity Type Qualifier) does not contain a valid identification code: '2' is not allowed. Segment NM1 is defined in the guideline at position 2500.
The 'Entity Type Qualifier' is an EDI thing. Every 'entity' (billing provider, rendering provider, referring provider etc..) on an EDI claim goes out with an indicator that they are a business or ...
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X040 PROVSUBM NOT ON TBL FOR
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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Mbr not valid at DOS
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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97 - Patient eligibility not found with entity. 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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735 - This service/claim is included in the allowance for another service or claim.
One or more of the dates of service on your claim have an invalid CPT/Service code. You can edit the CPT code from the edit session form in Therabill. This is a common error during the beginning ...
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BILLING NPI IS NOT ON FILE >
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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54 - Duplicate of a previously processed claim/line.
The payer is telling you that they already have this claim in their adjudication system. To understand this, we will need to explain the difference between a denial and a rejection and the differe...
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SUBSCRIBER FIRST NAME CONTAINS LOWER CASE CHARACTERS
This error can be confusing due to bad choice of words on the payers part in their error message. They are not really referring to lower case characters. It is actually perfectly find to use lowe...
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ACKNOWLEDGEMENT/REJECTED FOR INVALID INFORMATION
We tend to see this error message come back on a Delayed Payer Report. Sometimes the insurance companies send back these "blanket" error messages where they do not specifically mention what is mis...
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Acknowledgement/Returned as unprocessable claim | Subscriber and subscriber 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 ...