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Secondary Claim/No EOB Information

Rejection Messages:

  • COB claim balancing failed. Total charge amount does not equal sum of paid amount and all adjustment amounts. (Bad Data: XX )

  • COB service line balancing failed. Charge amount does not equal sum of paid amount and all line adjustment amounts. (Bad Data: XX )

This rejection combination is indicative of a secondary claim. For a secondary claim to correctly process, EOB information from the primary payer needs to be included on the claim; even if the primary paid 0.00. There are usually a couple of things that will flag this rejection. Most notably would be not having 'Use EOB Columns' checked on the Primary Payment. It is also possible that more than one payment is tied to the charges causing the calculations to be off.

Please see Creating Secondary eClaims, for assistance with secondary eClaim creation.

Secondary Claim - Adjudication/Date Claim Paid

Rejection Messages:

  • COB claim balancing failed. Total charge amount does not equal sum of paid amount and all adjustment amounts. (Bad Data: XX )

  • COB service line balancing failed. Charge amount does not equal sum of paid amount and all line adjustment amounts. (Bad Data: XX )

  • LINE LEVEL ADJUDICATION - DATE CLAIM PAID IS MISSING OR INVALID.MUST BE IN CCYYMMD FORMAT.

  • Emdeon Reject LINE LEVEL ADJUSTMENT - OTHER PAYER LINE LEVEL ADJUSTMENT IS MISSING OR INVALID.

This rejection is also indicative of a secondary claim. The third rejection response, ‘Adjudication - Date Claim Paid’, refers to the payment date from the primary payer.

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