Knowledgebase: Claim Rejections
Patient Relationship to Insured is not Self (RC168)
Posted by Will Morrow, Last modified by Charmagne Williams on 24 May 2017 01:13 PM
Rejection: Payer Specific Edit: Insured First Name Required when Patient Relationship to Insured is not Self (RC168)

What happened: Box 6 was not marked self, but no patient first name was sent in box 4.

Resolution: Need to add patient first name in box 4 or update box 6 to self and resubmit the claim.