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Knowledgebase: Claim Rejections
Humana 61101 - Entity not found Entity- Patient
Posted by Will Morrow, Last modified by Charmagne Williams on 22 May 2017 12:04 PM
Rejection: Category- Acknowledgement/Returned as unprocessable claim The Claim/Encounter has been rejected and has not been entered into the adjudication system Status- Entity not found Entity- Patient

What happened: The patient ID does not match the other patient info on the claim.

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 eligibility from 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)