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Payer Rejections

Billing Provider Submitter not approved for electronic claim submissions

Rejection

Acknowledgement Rejected for relational field in error. Billing Provider Submitter not approved for electronic claim submissions on behalf of this entity.

What happened

Claim was sent to payer but pre-enrollment is not set up on the payer's end.

Resolution

Verify claim was sent to the correct payer. Verify the NPI in box 33a. Verify if received word back from the payer about pre-enrollment being done. If you have been able to submit previous electronic claims to this payer, please obtain a paid claim example and contact Customer Service via live chat, email ([email protected]) or phone +1 727-688-7008 option 1.