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Requests for readjudication must reference the newly assigned payer claim control number

Rejection Message Rejection Details Resolution

Requests for readjudication must reference the newly assigned payer claim control number.

This rejection indicates that an incorrect Payer Claim Control number was submitted on the claim.

Submitter Action:

Please use the original claim control number for the first submission. If necessary, the submitter can call the payer to obtain this information.

Follow the instructions below to enter the correct payer claim control number on the encounter:

  1. Click Encounters > Track Claim Status.
  2. Look for and double-click on the encounter that needs correcting.
  3. On the Edit Claim window, double-click on the encounter number.
  4. Click the arrows next to Miscellaneous to expand.
  5. The “Submit Reason” should be 7.
  6. Enter the correct Payer Claim Control Number in the Payer Doc Ctrl # field.
  7. Click Save and Rebill.

Then, resubmit all affected claims.