Knowledgebase: Claim Rejections
Medicaid AR MCDAR - TPO rejected claim/line
Posted by Will Morrow, Last modified by Charmagne Williams on 23 May 2017 03:17 PM

Rejection: TPO rejected claim/line because payer name is missing. (Use status code 21 and status code 125 with entity code )

What happened: The primary payer carrier code needs to be sent in the 'Secondary Claim Info' section where the payer ID usually goes.

Resolution: If that info is already there, resubmit the claim as we have updated our system on 7/3/12 to allow codes of 2 digits or more to be sent. If the payer ID is there, please refer to the payer for the correct carrier code.