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Welcome to the MacPractice HelpDesk! (Orientation Page)
Knowledge Base
Solutions
Accounting
Add On Features
eClaims and ERAs
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Why is the Patient Receiving the Insurance Payment and not the Office?
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Common Rejections - DETAILED DESCRIPTION OF SERVICE
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Common Rejections - Referral Format Required
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Notice: Change Healthcare updating security on 10/15/21
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eClaim Reports Changes in 12.11
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eClaims - Obscure Rejection - THIRD PARTY REPRICING ORGANIZATION (TPO)
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How Do I Fix a Rejected Claim?
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What are CCI/MNC edits?
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ERAs - Why does the name on my ERA not match the name on my eClaim?
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eClaims - How Does a Professional eClaim End Up in the Invalid Bin?
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How Does a Dental eClaim End Up In The Invalid Bin?
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How Does an Institutional eClaim End Up In The Invalid Bin?
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Common Rejections - Invalid Claim Frequency Code
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Common Rejections - Payer Does Not Accept COB Claims?
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Common Rejections - Missing/Invalid Secondary Subscriber ID
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Common Rejections - OTHER PAYER'S CLAIM CONTROL NUMBER - REQUIRED
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Common Rejections - Failed MNC Edits
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Common Rejections - Policy Date of Service Rejection
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Common Rejections - Missing/Invalid Referring Provider NPI?
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Common Rejections - Patient Payment Applied to Claim
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Common Rejections - Invalid AMT Segment within Rendering Information
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Common Rejections - Claim Level Date
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Common Rejections - Missing/Invalid Provider Taxonomy
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Common Rejections - Missing/Invalid Birthdate
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Common Rejections - Missing/Invalid Admission Date
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Common Rejections - 30 Day Adjudication (Medicare/BCBS)
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Common Rejections - Missing/Invalid Claim Reference Number
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Common Rejections - Plan Type (Medicare B)
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Common Rejections - Plan Type (Self-Pay)
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Common Rejections - Missing/Invalid Country Code
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Common Rejections - Missing/Invalid State Abbreviation
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Common Rejections - Missing/Invalid Zip Code
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Common Rejections - Relationship to Primary/Secondary
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Common Rejections - Missing/Invalid Modifier
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Common Rejections - Missing/Invalid Diagnosis Code Pointer
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Common Rejections - Medicare Dependent Information
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Common Rejections - Missing/Invalid Facility NPI
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Common Rejections - Missing/Invalid Other Payer Subscriber ID
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Common Rejections - Missing/Invalid Procedure Code
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Common Rejections - BCBS Subscriber Prefix
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Common Rejections - Service Unit Count
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Common Rejections - Payer ID
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Common Rejections - Duplicate Claims
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Common Rejections - COB Claim Balancing Failed/Adjudication Date
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Common Rejections - Missing/Invalid Diagnosis Code
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Common Rejections - Claim Charge Amount
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Common Rejections - Institutional Claims: Group Name
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Common Rejections - Final Denial - See Remit
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Common Rejections - Medicare/Tricare Claims
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Common Rejections - National Drug Code (NDC)
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Common Rejections - Eligibility
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Common Rejections - Missing Procedure Code Description
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Common Rejections - Provider Enrollment Rejections
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Common Rejections - Missing/Invalid Subscriber ID
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Corrected and Voided Claims
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Claims are being denied for showing as a capitated encounter?
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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
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Rejection Message - CLAIM LEVEL SERVICE FACILITY SECONDARY ID# QUALIFIER IS MISSING OR INVALID ( Bad Data:TJ)
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eClaims and ERAs
eClaims and ERAs
Dylan Nigh
Owned by
Dylan Nigh
May 01, 2023
1 min read
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Dylan Nigh