Claim Rejections

Humana 61101 - Entity not found Entity- Patient

Rejection: Category- Acknowledgement/Returned as unprocessable claim The Claim/Encounter has been rejected and has not been entered into the adjudication system Status- Entity not found Entity- Patient

What happened: The patient ID does not match the other patient info on the claim.

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). If this has already been done, please obtain proof of eligibility from the payer and contact Customer Service via live chat, email (info@officeally.com) or phone (360-975-7000 option 1).

all insured info.jpg