|Rejection Message||Rejection Details||Resolution|
Rejected by Jopari. Status Message: A7 - Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected.; 364 - Is accident/illness/condition employment related?
This rejection indicates that the claim failed Jopari's validation. The insurance program on the claim does not match the condition.
Verify that the condition in the patient case for the claim matches with the insurance program.
If the condition is related to "Employment", the insurance program will need to be "WC - Workers Compensation Health Claim."
If the condition is related to an "Auto Accident", the insurance program will need to be "AM - Automobile Medical."
If the practice submits claims for both Workers Compensation Health Claim and Automobile Medical, please ensure that separate insurance companies and insurance plans are created for each. One specifically for Workers Compensation and one specifically for Automobile Medical.
Follow the instructions below to verify the condition:
Then follow these instructions to verify the insurance program:
**Note: Any changes made on the Edit Insurance Company settings will apply to ALL insurance policies and plans within the practice tied to that insurance company.**
Then, rebill and resubmit all affected claims.