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Insured or Subscriber: Entity's Postal/Zip Code

Rejection Message Rejection Details Resolution

Insured or Subscriber: Entity's Postal/Zip Code

 

This rejection indicates that the zip code populated in the patient’s address is invalid.

Submitter Action:

Please verify that the 9-digit ZIP code submitted on the claim is valid for the subscriber (patient).

Patient’s Address will need to be verified using the USPS ZIP Code Look Up tool.

Note: Most payers require the full 9-digit ZIP code for addresses on electronic claims. Some payers will not accept "0000" as the 4-digit extension.

All addresses will need to be verified using the USPS ZIP Code Look Up

Follow the instructions below to verify the subscriber's address:

  1. Click Patient > Find Patient.
  2. Look for and open the patient record that needs correcting.
  3. Enter the address on file into the USPS Zip Code Look Up tool.
  4. Enter the correct 9-digit zip code into the Address field.
  5. Click Save.

Follow the instructions below to verify the insured's address:

  1. Click Encounters > Track Claim Status.
  2. Look for and double-click on the encounter that needs correcting.
  3. Double-click on the Case.
  4. Double-click on the appropriate Insurance Policy with an insured.
  5. Enter the insured's address on file into the USPS Zip Code Look Up tool.
  6. Enter the correct 9-digit zip code into the Address field.
  7. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims for that patient.