Electronic Claim Errors
A knowledge base of common electronic claim errors and possible solutions.
- Rejected | Entitys contract/member number.
- ACKNOWLEDGEMENTRETURNED AS UNPROCESSABLE CLAIM REntity not foundRProvider
- Rejected Unprocessable Claim Claim submitted to incorrect payer
- Please review the Insured Number submitted on the claim is correct as it does not meet basic validation requirements
- INVALID FORMAT SUBSCRIBER ID NUMBER
- MEMBER NOT ELIGIBLE ON DATE OF SERVICE
- CONTRACT NBR MUST CONTAIN 9 NUMERIC
- 2010BA Insured ID Must be Valid
- PROVIDER NOT IN ORTHONET NETWORK. PLEASE RESUBMIT CLAIMS TO CIGNA
- Patient Coverage not in Reference Database
- SENDER NOT AUTHORIZED TO SUBMIT FOR THIS PROVIDER - HL 2
- 277 - Paper claim.
- The Billing / Pay-To Providers NPI is not on file with the payer.
- Availity has not received a status update from the payer on this claim. Resubmit the claim if you have not yet received payment.
- 32 - Subscriber and policy number/contract number not found.
- NO ACTIVE COVERAGE EXISTS FOR THIS INSURED
- BILLING PROVIDER NUMBER NOT ON FILE
- INVALID SUBSCRIBER ID
- Member id number not valid for DOS
- NO ACTIVE COVERAGE FOR DOS
- Rendering Provider Number is not found. Please correct and resubmit electronically
- Billing Provider Number is not found. Please correct and resubmit electronically.
- Provider not on file
- BILLING NPI IS NOT AUTHORIZED FOR TAX ID >
- Provider NPI not registered with BCBSNC. Please contact Network Management at 1-800-777-1643 to resolve this matter.
- Rejected - Relational Field In Error
- S109 BCBS ID# INVALID
- INSURED I.D. Number (Invalid Type / Missing Value)
- CONTRACT NUMBER IS INVALID
- Location 2010BA - NM109 Clm Member ID (Loop 2010BA, NM109) is invalid.