Knowledgebase: Claim Rejections
Insured Gender (RC171)
Posted by Will Morrow, Last modified by Charmagne Williams on 24 May 2017 01:14 PM
Rejection: Payer Specific Edit: Insured Gender Required when Patient Relationship to Insured is not Self (RC171)

What happened: Box 6 was not marked self, but no patient gender was sent in box 11a.

Resolution: Need to add patient gender in box 11a or update box 6 to self and resubmit the claim.