Common Claim Rejections and their solutions
List of common rejection codes and their reasons
Checking Claims for Rejections After you send claims the clearing house will send you reports if the claim is accepted or not. If the claim is rejected the...
Thu, 13 Feb, 2020 at 6:32 AM
Resolution: Find the correct diagnosis code. Go to www.icd10data.com
Thu, 13 Feb, 2020 at 6:33 AM
Resolution: The patient insurance policy number is not correct. Check the patients insurance information from scanned documents or face sheet and find a...
Thu, 13 Feb, 2020 at 6:38 AM
Availity Batch ID : 2018011016370800 Batch Number : 390872925 File Control Number : 000002762 Value of element NM109 is incorrect. Expected value is Nationa...
Thu, 13 Feb, 2020 at 6:42 AM
Resolution: The Patients insurance is not attached to correct insurance. Edit the Insurance Master and Edit the Payer ID field. Edit the Patients ins...
Thu, 13 Feb, 2020 at 6:37 AM
Reason: When the primary claim is sent to the secondary insurance the claim gets rejected for lack of Explanation of Benefits from the primary. Resoluti...
Sat, 8 Aug, 2020 at 12:10 PM
Principal Diagnosis: Resolution: Any diagnosis code that starts with W cannot be listed as principal (first diagnosis). Edit the encounter and cha...
Thu, 13 Feb, 2020 at 6:40 AM