Knowledgebase: Claim Rejections
Harvard Pilgrim Health Plan 04271 - FROM DATE BEFORE PROV EFFECTIVE DATE
Posted by Will Morrow, Last modified by Charmagne Williams on 22 May 2017 11:59 AM
Rejection: PRV04 - FROM DATE BEFORE PROV EFFECTIVE DATE

What happened: The provider listed on the claim was not set up on the payer's end to send claims for the date of service on the claim.

Resolution: Need to contact the payer to verify the provider's effective date and update the claim as necessary.


Attachments 
 
 date of service.jpg (17.58 KB)