Knowledgebase: Claim Rejections
Other Payer Information Required (DE304) (2024)
Posted by Will Morrow, Last modified by Charmagne Williams on 12 May 2017 03:35 PM

Rejection: Other Payer Information Required (DE304) (2024)

What happened: (HCFA) The 'Other Payer Loop' (2330B, NM1*PR) was not sent in. (Dental) This payer requires to have the other payer information filled out in boxes 5-11.

Resolution: (HCFA)When loop 2320 is present, the 'Other Payer Loop' needs to be sent in. Contact software vendor if needing help getting that loop sent out. (Dental) Mark box 4 as 'Yes', fill out boxes 5-11, and update the claim.