Knowledgebase: Claim Rejections
Medicaid TX TMHP1 - CLIENT HAS OTHER INSURANCE
Posted by Will Morrow, Last modified by Charmagne Williams on 23 May 2017 03:21 PM
Rejection: Acknowledgement/Returned as unprocessable claim | CLAIM INDICATES CLIENT HAS OTHER INSURANCE. ALL OR PART OF THE REQUIRED INFORMATION IS MISSING. SEE PROVIDER MANUAL FOR REQUIRED OTHER INSURANCE INFORMATION. | PERFORMING PROVIDER NUMBER NOT IDENTIFIED

What happened: A secondary claim was sent where the primary payer was not Medicare (see attached picture below).

Resolution: This payer only accpets secondary claims when the primary payer is Medicare. If the primary was any other payer, need to send by paper.


Attachments 
 
 primary payer name (secondary claims).jpg (15.94 KB)