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Kareo Help Center

EDI PROFESSIONAL CLAIMS ARE NOT AVAILABLE FOR THIS PAYER ID

 

Rejection Message

EDI PROFESSIONAL CLAIMS ARE NOT AVAILABLE FOR THIS PAYER ID

Rejection Details

This rejection means the claim was submitted to the wrong payer ID.

Note: This is the most likely cause if this rejection was received on claims for multiple patients.

Resolution

Resolution steps will vary depending on the cause:

  1. If the claim is submitted to the wrong payer ID, verify and edit the payer ID.
  2. If the patient demographics or policy is incorrect, verify the patient's eligibility.

When all corrective actions are completed, rebill and resubmit all affected claims.

Tip: Most subscription levels include access to a free eligibility check feature which can be used with many payers to verify a patient has active coverage. Utilizing this feature prior to submitting claims for a patient can help prevent this type of rejection.