Skip to main content

 

Kareo Help Center

Rejected at Clearinghouse This Payer Is Not Active (xxxxx)

 

Rejection Message

Rejected at Clearinghouse This Payer Is Not Active (xxxxx)

Rejection Details

This rejection indicates that the Payer ID the claim was submitted to is no longer active for electronic claim submission. 

Please review the payer list for the appropriate clearinghouse to identify the correct Payer ID.

Resolution

The Payer ID can be updated in two ways:

  1. If the claim was submitted to the wrong or an inactive payer ID, verify and edit the payer ID for all insurance plans.
  1. If the patient is was associated to the wrong insurance company, follow the steps below to associate the correct insurance plan and company:
    1. Click Encounters > Track Claim Status. The Find Claim window opens.
    2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
    3. Double-click on the Case. The Edit Case window opens.
    4. Double-click on the appropriate Insurance Policy.  The Insurance Policy window opens.
    5. Click the Insurance button. The Select Insurance Plan window opens.
    6. Select the insurance plan with the correct payer ID.
      1. If there are no insurance plans associated with the correct Payer ID a new insurance plan and insurance company will need to be created. 
    7. Click Save all the way out (multiple saves may be required).
Insurance_Policy_InsuranceButton.png
When all corrective actions are completed, verify enrollment is completed (or not needed) before submitting e-claims. Then, rebill and resubmit all affected claims.