Knowledgebase: Claim Rejections
Medicaid NE MCDNE - Entity not eligible
Posted by Will Morrow, Last modified by Charmagne Williams on 23 May 2017 03:20 PM
Rejection: Entity not eligible for benefits for submitted dates of service. Note: This code requires use of an Entity Code

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

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 already been done, please obtain proof of the patient's eligibility from the payer and contact Customer Service via live chat, email ( or phone (360-975-7000 option 1).