Payer Rejections

Find your claim rejection code and what it means for you

Your search did not return any results in this topic category.

Entity's health insurance claim number (HICN)

ENTITY NOT FOUND. - PATIENT

Entitys date of birth

Freedom Life Insurance Of America 62324 - Policy number not on file

GEHA 44054 - Duplicate Claim Received

GEHA 44054 - Insured ID Must be Valid

GHI Group Health Inc 13551 - Diagnosis codes (LC1735)

Health Alliance Medical Plan 77950 - MISCELLANEOUS ERROR

Health Partners Minnesota HPAMN - Mandatory segment missing

Health Services Management 41150 - claim location

Health Services Management 41150 - valid contract entity

Health Services Management 41150 - service facility location

HealthCare Partners Medical Group HCP01 - DENIED - INC./MISSING/INVALID CLAIM

Humana 61101 - Duplicate of a previously processed claim/line

Kaiser 94135 - Invalid Data Missing or invalid information

John Muir Health Network JMH01 - 2320 SBR05 cannot be used

Kaiser 94135 - Missing or invalid information

Kaiser Northern CA Region 94134 - Referral authorization

MVP Health Plan (Mohawk Valley) 14165 - PATIENT NOT ELIGIBLE

MVP Select Care INC 14165 - BILLING / SERVICE FACILITY NPI

Magellan 01260 - Claim not covered

Magellan 01260 - TIN NOT FOUND

Medcost, Inc. 56162 - Prior Authorization Number

Maksin Management Corporation 22195 - SUBSCRIBER GROUP OR POLICY NUMBER

Medicaid AR MCDAR - TPO rejected claim/line

Medicaid AR 00520 - Claim/submission format

Medicaid IL MCDIL - SENDER NOT AUTHORIZED

Medicaid NE MCDNE - Entity not eligible

Medicaid NC NCXIX - Referring Provider

Medicare (ALL) - Detailed description of service

Medicaid VT MCDVT - Subscriber ID

Medicaid Maine MCDME - Multiple Service Location

Medicare (ALL) - Entitys Middle Name

Medicare (ALL) - Entitys Postal/Zip Code

Medicare (ALL) - Hospice Employee Indicator

Medicare (ALL) - Payer Responsibility Sequence Number

Medicare (ALL) - Submitted charges

Medicare (ALL) - National Provider Identifier (NPI)

Medicare (ALL) - Zip Code - Other payer's Explanation of Benefits

Medicare (ALL) - claim filing indicator

Medicare (ALL) - name, address, phone and id number

Medicare TN MR034 - INVALID AS SECONDARY

Missing or invalid information

Molina Healthcare of Washington 38336 - Duplicate(A7:54)

Multiplan Wisconsin PPN 34080 - Date(s) of service

Patient eligibility not found with entity

Oxford 06111 - Invalid Data Date(s) of Service

Payer Claim Control Number

Physicians Healthway PHIPA - Billed Charge

Physicians Healthway PHIPA - CO PROVIDER NOT FOUND

Physicians United Plan 10775 -VENDOR ID NOT FOUND

Policy number not on file

Preferred One 41147 - Should be handled by entity

Presbyterian Health Plan PREHP - Amisys member id submitted

Presbyterian Health Plan PREHP - DOB-Nomtch

Primary Payer Required on Secondary Claim (DE301)

Prov-Unknown

Purchase Service Provider Missing or invalid information

RENDERING PROVIDER ADDRESS

Rendering Provider National Provider Identifier (NPI).

Returned to Entity

Regence BS WA 00932 - Other Entity's Adjudication

St. Joseph Heritage Healthcare STJOE - Payment adjusted

Sharp Encounters SHP99 - Billing provider secondary identifier

Statement from-through dates

Subscriber and subscriber id mismatched

Subscriber and subscriber id not found

Subscriber contract member number

Subscriber date of birth

Subscriber name

Subscriber not eligible for DOS

Subscriber not eligible for benefits

UB - Required 'Product Service ID' in '2430'

UHC Military and Veterans 99726 - DOS SPAN BENEFIT PERIOD

UHC Military and Veterans 99726 - PDUT'S MUST EQUAL 1

UNABLE TO IDENTIFY AS MEMBER

United Healthcare 87726 - Entitys name, address, phone and id number.

Well Care HMO 14163 - Unprocessable Claim A3:275

Well Care HMO 14163 - Missing or invalid information

Waterstone Benefit Administrators 73155 - Last Name inconsistent

Billing Provider taxonomy code invalid

BCBS FL 00590

01 - INVALID MBR DOB

ACCIDENT DATE MUST ALSO BE PROVIDED

Aetna 60054 - Entity not eligible

Aetna 60054 - Subscriber Policy Canceled

Amerigroup (All states)

BCBS (ALL) - 41253 InvalidData: 33 Location

Aetna 60054 - Subscriber not eligible for benefits

BCBS (ALL) - GY modifier

BCBS (ALL) - SUB-ELEMENT SV101-04

BCBS (ALL) - Value of element NM109

BCBS (ALL) - Subscriber and policy number

BCBS (ALL) - Entity's health industry id number

BCBS - 2010AA - NM109 Subscr

BCBS FL 00590 - Billing Provider Number

BCBS FL 00590 - Medicare adjudication

BCBS LA 53120 - CLAIM IS LEGACY

BCBS MN 00720 - (NPI) Entity: Billing Provider

BCBS NC SB810 - Units must be greater than