Knowledgebase: Claim Rejections
Subscriber Not Found (RC165)
Posted by Will Morrow, Last modified by Charmagne Williams on 24 May 2017 01:16 PM
Rejection: Subscriber Not Found (RC165)

What happened: The patient info on the claim does not match the eligibility file we received from the payer.

Resolution: Needs to verify insured ID, patient name, and date of birth, as well as verify if they are the primary insured or a dependent. If this has already been done, please obtain proof of the patient's eligibility with the payer and contact Customer Service via live chat, email ( or phone (360-975-7000 option 1).

 all insured info.jpg (67.17 KB)