Humana 61101 - Entity not found Entity- Patient

Rejection: Category- Acknowledgement/Returned as unprocessable claim The Claim/Encounter has been rejected and has not been entered into the adjudication system Status- Entity not found Entity- Patient ‍

What happened: The patient ID does not match the other patient info on the claim.

Resolution: Verify insured ID, patient name, and date of birth, as well as verify if they are the primary insured or a dependent. If this has been verified already then this is possibly just a member that needs to be updated on the EDI end. This process can take up to 4-6 weeks for update. If the patient information on the claim has been verified to be correct, please obtain proof of eligibility and contact our Client Support team (support@officeally.com).

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