Payer Requires Pre-Enrollment (RC68)

REJECTION: Payer Requires Pre-Enrollment for Electronic Claims Submission. Provider is not yet approved to submit claims electronically to this payer (RC55)Printing Services Not requested, to enable contact (866)-575-4120option 1 (RC68)

WHAT HAPPENED: Pre-enrollment is not logged for this payer for the NPI in box 33a on Office Ally's end.

RESOLUTION: Verify the claim was sent to the correct payer. Verify if word has been received from the payer that NPI is set up to send electronically. If Pre-enrollment has not been done, please go to the Payer EDI Enrollment Forms page HERE. If Pre-enrollment has been completed, please contact Customer Service at360-975-7000 option 1.