Claim Rejections

Harvard Pilgrim Health Plan 04271 - FROM DATE BEFORE PROV EFFECTIVE DATE

Rejection: PRV04 - FROM DATE BEFORE PROV EFFECTIVE DATE

What happened: The provider listed on the claim was not set up on the payer's end to send claims for the date of service on the claim.

Resolution: Need to contact the payer to verify the provider's effective date and update the claim as necessary.

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