Knowledgebase: Claim Rejections
Payer Requires Pre-Enrollment (RC68)
Posted by Will Morrow, Last modified by Charmagne Williams on 22 May 2017 10:43 AM
Rejection: Payer Requires Pre-Enrollment for Electronic Claims Submission.  Provider is not yet approved to submit claims electronically to this payer (RC55)
Printing Services Not requested, to enable contact (866)-575-4120 option 1 (RC68)

What happened: Pre-enrollment is not logged for this payer for the NPI in box 33a on Office Ally's end.

Resolution: Verify the claim was sent to the correct payer. Verify if word has been received from the payer that NPI is set up to send elecronically. If Pre-enrollment has not been done, please go to the Payer EDI Enrollment Forms page HERE. If Pre-enrollment has been completed, please contact Customer Service at 360-975-7000 option 1.

 billing npi (hcfa).jpg (81.35 KB)