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Rejected at Clearinghouse This Payer Is Not Active (xxxxx)

Rejection Message Rejection Details Resolution

Rejected at Clearinghouse This Payer Is Not Active (xxxxx)

This rejection indicates that the Payer ID to which the claim was submitted is no longer active for electronic claim submission. 

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

 

If the Payer ID the claim is being billed to is inactive it can be updated in two ways:

By changing the Payer ID associated with this insurance company:

 

  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.
  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 Electronic Claims tab.
  8. Click the Electronic Payer Connection button.
  9. Search for and select the correct payer ID for the claim.
  10. Click Save all the way out (multiple saves may be required).

Note: Changes made within the Edit Insurance Plan or Edit Insurance Company pages will apply to ALL insurance policies and claims tied to that Insurance Plan or Company within the practice.

OR

By associating the insurance policy with another insurance company (with the correct Payer ID):

  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.
  5. Click the Insurance button.
  6. Look for an Insurance Plan with the correct Payer ID (listed under the “EDI Payer Number” column).
  7. ​​Double-click on the appropriate insurance plan to associate it with the patient’s insurance policy.
    • If there are no insurance plans associated with the correct Payer ID a new insurance plan and insurance company will need to be created. 
  8. Verify all other information listed on the policy is correct.
  9. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims. 

Note: Please verify enrollment is completed (or not needed) before submitting e-claims to a new Payer ID.