Back to articles
OA Rejections

Insured Gender (RC171)

Rejection

Payer Specific Edit: Insured Gender Required when Patient Relationship to Insured is not Self (RC171)

What happened

Box 6 was not marked self, but no patient gender was sent in box 11a.

Resolution

Need to add patient gender in box 11a or update box 6 to self and resubmit the claim.