eClaims and ERAs
- Common Rejections
- Why is the Patient Receiving the Insurance Payment and not the Office?
- eClaims - Obscure Rejection - THIRD PARTY REPRICING ORGANIZATION (TPO)
- How Do I Fix a Rejected Claim?
- What are CCI/MNC edits?
- ERAs - Why does the name on my ERA not match the name on my eClaim?
- How Does a Professional eClaim End Up in the Invalid Bin?
- How Does a Dental eClaim End Up In The Invalid Bin?
- How Does an Institutional eClaim End Up In The Invalid Bin?
- Common Rejections - Payer ID
- Common Rejections - Duplicate Claims (CHC)
- Common Rejections - COB Claim Balancing Failed/Adjudication Date
- Common Rejections - Missing/Invalid Diagnosis Code
- Common Rejections - Claim Charge Amount
- Common Rejections - Institutional Claims: Group Name
- Common Rejections - Final Denial - See Remit
- Common Rejections - Medicare/Tricare Claims
- Common Rejections - National Drug Code (NDC)
- Common Rejections - Eligibility
- Common Rejections - Missing Procedure Code Description
- Common Rejections - Provider Enrollment Rejections
- Common Rejections - Missing/Invalid Subscriber ID
- Corrected and Voided Claims
- Claims are being denied for showing as a capitated encounter?
- Rejection Message - REJECT - ELEMENT SV112 IS USED. IT MAY BE USED ON MEDICAID CLAIMS ONLY. SEGMENT SV1 IS DEFINED IN THE GUIDELINE AT POSITION 3700. INVALID DATA- Y
- Rejection Message - CLAIM LEVEL SERVICE FACILITY SECONDARY ID# QUALIFIER IS MISSING OR INVALID ( Bad Data:TJ)
- Common Rejections - PAY-TO PROVIDER NAME INFORMATION IS MISSING OR INVALID
- Issue: I'm having trouble sending eClaims to DentalXChange!