Knowledgebase: Claim Rejections
Samaritan Health Plans CP001 - PAYER NAME- INVALID
Posted by Will Morrow, Last modified by Charmagne Williams on 24 May 2017 03:04 PM
Rejection: PAYER NAME- INVALID; MUST BE A VALID PAYER NAME FOR PAYER

What happened: The specific payer name for the patient's group was not correct.

Resolution: Claims for the following Payer/Plan Names should be submitted to Samaritan Health Services using Payer ID CP001. In addition to using the correct Plan Name (Loop 2010BB, NM103) as shown below and Payer ID, the corresponding Group Number (Loop 2000B, SBR03) must also be included.

INTERCOMMUNITY HEALTH NET (Group Number ="IHN")
INTERCOMMUNITY HEALTH NETWORK CCO (Group Number ="IHN")
SAMARITAN ADVANTAGE (Group Number ="SA01")
SAMARITAN HEALTH SERVICES (Group Number ="COHO")
SAMARITAN CHOICE PLANS (Group Number ="SCP")

Update to the corresponding payer name and resend the claim.


Attachments 
 
 payer name.jpg (12.73 KB)
 group number (hcfa).jpg (31.33 KB)