Knowledgebase: Claim Rejections
Patient eligibility not found with entity
Posted by Will Morrow, Last modified by Charmagne Williams on 15 May 2017 03:19 PM
Rejection: Acknowledgement Returned as unprocessable claim-The claim encounter has been rejected and has not been entered into the adjudication system. Patient eligibility not found with entity.

What happened: Based on the patient information the claim, the patient was not eligible for benefits on the date of service.

Resolution: Verify the claim was sent to the correct payer. Verify the insured ID, patient name, and date of birth, as well as verify if they are the primary insured or a dependent. If this has already been done, please contact Customer Service via live chat, email (info@officeally.com) or phone (360-975-7000 option 1).