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OTHER PAYER CLAIM LEVEL ADJUSTMENT IS MISSING OR INVALID

Rejection Message Rejection Details Resolution

OTHER PAYER CLAIM LEVEL ADJUSTMENT IS MISSING OR INVALID

This rejection indicates that the adjudication information is missing on the claim from the primary payer.

Submitter Action:

Verify that the payment from the primary insurance payment has been posted.

Follow the instructions below to verify that the primary payment is set up to send the payment information once the payment has been posted:

  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 primary Insurance Policy.
  5. Double-click on the Insurance Name to open the Edit Insurance Plan page.
  6. Double-click on the Insurance Company name to open the Edit Insurance Company page.
  7. Click the Practice Settings tab.
  8. Ensure the checkbox for "Send Coordination of Benefits (COB) information" is check.
  9. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.