Knowledgebase: Claim Rejections
Subscriber and subscriber id mismatched
Posted by Will Morrow, Last modified by Charmagne Williams on 25 May 2017 08:37 AM

Rejection: Acknowledgement Returned as unprocessable claim-The claim encounter has been rejected and has not been entered into the adjudication system. Subscriber and subscriber id mismatched.

What happened: Based upon the patient information listed on the claim, the patient's name and date of birth do not match the insured ID.

Resolution: Verify insured ID, patient name, and date of birth, as well as verify if they are the primary insured or a dependent. If this has been verified, please contact Customer Service at 360-975-7000 option 1.