Knowledgebase: Claim Rejections
Billing Provider Submitter not approved for electronic claim submissions
Posted by Will Morrow, Last modified by Charmagne Williams on 16 May 2017 02:10 PM

Rejection: Acknowledgement Rejected for relational field in error. Billing Provider Submitter not approved for electronic claim submissions on behalf of this entity.

What happened: Claim was sent to payer but pre-enrollment is not set up on the payer's end.

Resolution: Verify claim was sent to the correct payer. Verify the NPI in box 33a. Verify if received word back from the payer about pre-enrollment being done. If you have been able to submit previous electronic claims to this payer, please obtain a paid claim example and contact Customer Service via live chat, email (info@officeally.com) or phone 360-975-7000 option 1.

 



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 billing npi (hcfa).jpg (81.35 KB)