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Missing other payer subscriber's insurance policy number, plan name:

Rejection Message

Missing other payer subscriber's insurance policy number, plan name:

Rejection Details

Kareo Validation Error

This rejection indicates the patient’s insurance policy is through another individual but a policy number has not been populated for the Insured.

Claims billed without a policy number for the Insured will reject at the clearinghouse; therefore Kareo has held the claim until the error has been corrected. You must correct the error and resubmit the claims in order for them to be delivered to the payer.

Note: Since claims rejected within Kareo are not forwarded to the clearinghouse you will be unable to generate timely filing for that submission until validation errors have been corrected and the claim resubmitted.

Resolution

Follow the instructions below enter the policy number for the insured:

  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 with an insured. The Insurance Policy window opens.
  5. Enter the Insured ID No with the policy number.
  6. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.




Insurance_Policy_InsuredPolicy.png
Tip: Most subscription levels include access to a free eligibility check feature which can be used with many payers to verify a patient has active coverage. Utilizing this feature prior to submitting claims for a patient can help prevent this type of rejection.