Knowledgebase: Claim Rejections
Aetna 60054 - Entity not eligible
Posted by Will Morrow, Last modified by Charmagne Williams on 11 May 2017 10:55 AM
Rejection: ~Acknowledgement/Returned as unprocessable claim | Entity not eligible.

What happened: Based on the patient information the claim, the patient was not eligible for benefits on the date(s) 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).

 all insured info.jpg (67.17 KB)