Rejection: REQUIRED: Insured Group Name (HCFA 11C, UB04 61, 837 2000B SBR04) (FE126)
What happened: Group name was not sent in box 11C (HCFA), box 61 (UB04).
Resolution: Add group name in box 11C (HCFA), box 61 (UB04). If unsure of what to put there, can contact payer's provider services.