Knowledgebase: Claim Rejections
Cigna 62308 - Entity not eligible
Posted by Will Morrow, Last modified by Charmagne Williams on 22 May 2017 11:51 AM

Rejection: Rejected - Invalid Data Entity not eligible for benefits for submitted dates of service.

What happened: Based on the patient information the claim, the patient was not eligible for benefits on the date of service.

Resolution: Verify insured ID, patient name, and date of birth, as well as verify if they are the primary insured or a dependent (see attached picture below). If this has been verified already then this is possibly just a member that needs to be updated on the EDI end. This process can take up to 4-6 weeks for update. If the patient information on the claim has been verified to be correct, please obtain proof of eligibility and contact our customer support department (360-975-7000 opt 1) to have a ticket created at the payer.



Attachments 
 
 all insured info.jpg (67.17 KB)