Knowledgebase: Claim Rejections
Rocky Mountain Health Plan RMHMO - “Not Used” Segment Present
Posted by Will Morrow, Last modified by Charmagne Williams on 24 May 2017 01:56 PM
Rejection: CLAIM REJECTED, ENS ECT #20130917E861066D000001 Loop/Segment: 2310/NM1 - Implementation Dependent “Not Used” Segment Present

What happened: Payer recently updated their system to not accept box 32 when the information is the same as box 33 (see attached picture below).

Resolution: We are adding an edit on our side to not send out 32 when it's the same as 33. In the mean time, the best resolution is to remove 32 and resend.

 billing and facility npi.jpg (54.54 KB)