Secondary Claim/No EOB Information
Rejection Messages:
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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:
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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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