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A small number of providers may see claims failed for the following reason for claims sent to CalOptima Direct (CALOP) between the dates of 11/6-11/17:

PAYER RESPONSE: Error in Processing, Please Resubmit (CO ECI)

There are no issues with the claims, however, they do need to be resent.  The easiest way to resend is by going to "Repairable Claims", clicking "Correct", then scroll to the bottom of the claim and click "Update".

If you have any questions,  please contact our Customer Service department via chat, email (, or by phone (360-975-7000 opt 1).

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UPDATE 11/5/15: Blue Shield CA has advised they are reprocessing all affected claims.  No need to resend.  Claims can be removed from Claim Fix.

On 11/2, Office Ally received a large number of rejected claims for Blue Shield CA (BS001) submitted to Office Ally between 10/30 - 11/1 that were failed for the following reason:

Rejection Message: Normal-WBE837P141-Unable to identify provider

We have reached out to Blue Shield CA and we are awaiting a reply back.  Please do not resubmit any claims at this time.  Please check back to this page for further updates.

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Common ICD-10 Related Rejection
Posted on 02 October 2015 12:20 PM

Rejection Message: Payer does not Accept ICD-9 Diagnosis Codes for this DOS

This means that you have an ICD Indicator of 9 (ICD-9) chosen, but the Payer does not accept ICD-9 coded claims for the Date of Service. You will need to update the ICD Indicator to 0 (ICD-10) and ensure that you are coding the claim in ICD-10 codes in Box 21 A-L.

If you create your claims via one of the Office Ally applications (Online Entry, Practice Mate, EHR) and did not select an ICD Indicator in the upper right corner of box 21, make sure you are choosing either 9 (ICD-9) or 0 (ICD-10) when filling out your claims.

NOTE: Claims can take up to 24 hours from the time of submission before they are available for correction in Claim Fix.  If you do not see the claims yet, please allow more time for processing.

When creating your claims, be sure to bill on the “new” claim form (02/12 CMS 1500) and in box 21, select “0” in the ICD Indicator field in the upper corner of that box if you’re sending ICD-10 codes.

If you received this error but you create your claims in an outside billing software and upload the file to Office Ally, please contact our Customer Service department via chat, email (, or by phone (360-975-7000 opt 1).  Please have a claim or file ID example ready when contact for quickest assistance.

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Yesterday, 1/14/15, some claims rejected for the following reason:

Other Subscriber zip or State invalid (FE362)

This was an error on our side and affected claims need to be resubmitted.  We apologize for any inconvenience.

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Medicaid Oklahoma (MCDOK) ERAs week of 11/12 and 11/19
Posted on 17 November 2014 01:54 PM

The following message was posted from Medicaid Oklahoma:

The electronic remittance advice functionality is temporarily unavailable. Providers will receive paper remits for the 11/12/14  and 11/19/14 week's financial cycles. Both remits will be mailed this week. We apologize for any inconvenience.

Please note: This issue is only for Mediciad Oklahoma for the dates above.  This will not affect any other payers, remits or dates.

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