Rejection: Acknowledgement Returned as unprocessable claim-The claim encounter has been rejected and has not been entered into the adjudication system. Subscriber not eligible for benefits for submitted dates of service.
What happened: Based on the patient information listed on?the claim, the patient was not eligible for benefits on the date(s) of service.
Resolution: Verify insured ID, patient name, and date of birth, as well as verify if they are the primary insured or a dependent?(see attached picture below).
