Knowledgebase
25010 Information 8Accounting 3Claim Attachments 580Claim Rejections 4Credit Card Processing 2Data Import 4E-Prescribing (ERX) 1Easy Print 3EHR 24/7 Labs and Radiology (Coming Soon) 1Maintenance 55Meaningful Use (ARRA) 6Office Ally (Online Entry) 4Patient Ally 9Practice Mate 1Products and Services Release Notes 1Reminder Mate Secondary Claims (Coming Soon) 1System Requirements 4Web Browser
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 (info@officeally.com) or phone (360-975-7000 option 1).


Attachments 
 
 all insured info.jpg (67.17 KB)