Knowledgebase: Claim Rejections
United Healthcare 87726 - Entity not eligible for DOS
Posted by Will Morrow, Last modified by Charmagne Williams on 24 May 2017 03:37 PM
Rejection: ~Acknowledgement/Returned as unprocessable claim | Entity not eligible for medical 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 already been done, please obtain proof of the patient's eligibility with the payer and contact Customer Service via live chat, email ( or phone (360-975-7000 option 1).

 all insured info.jpg (67.17 KB)