Medicare Part B Claim Rejection-How to fix?

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Sara Palmos

• February 26, 2019 18:25

I received this error message on one of my claims today. I'm not sure what this means or how to fix it.

Acknowledgement / Rejected for relational field in error. (A8) Insured or Subscriber's policy number. Insured or Subscriber has inconsistent information. (163)

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  Avery

  • February 26, 2019 23:11

  Hi Sara,

  My name is Avery, and I'm an Insurance Specialist here at SimplePractice. I'll be the person to help you out with this.

  I have sent you an email message regarding your question. Please take a look there and we can begin getting this situation sorted out.

   

  Thank you.

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  Lynne R. Mollo

  • July 10, 2019 21:51

  Aloha

  I keep receiving a rejection from HIMCR stating there is a document that is required.

  I downloaded the document, Medicare Part Bof American Samoa, and (re)submitted numerous times and it just keeps rejecting.

  Please, please help.

  Thank you, Lynne

   

   

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  Brennan

  • July 11, 2019 01:12

  Hi Lynne,

  My name is Brennan, and I'm an Insurance Associate here at SimplePractice. I'd be happy to help with your question.

  I have sent you an email message regarding your Medicare enrollment. Please take a look there and we can begin getting this situation sorted out.

  Thank you.

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  Misty A. Gasa

  • December 18, 2019 15:15

  I am also getting a Relational Field Error when billing a specific client with Medicare Part B. what is the solution for this issue? I do not see it in the table of rejection issues on Simple Practice. 

   

  Misty

   

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  Gillian

  • December 18, 2019 20:09

  Hi Misty, because this is specific to your account and the client, a member of our Success team will reach out to you privately to assist today.

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  Regina Faridnia

  • January 30, 2020 18:09

  I keep getting a relational field error about subscriber number, as well.  Can you please message me so we can get this fixed.  The patient has checked with Medicare.  There is no change to her id # & they say they are not the one's rejecting.  They haven't received anything.  

   

  Regina

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  Kendyl

  • February 04, 2020 02:02

  Hi Regina,

  My name is Kendyl, and I'm an Insurance Specialist here at SimplePractice. I've reached out to you privately to get some additional information from you, so we can fully investigate what you're experiencing.

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  Kim Burkland-Ward

  • February 19, 2020 12:18

  I'm getting the same issue: Rejected by eligible scrubber (1) H25584:THE GROUP OR POLICY NUMBER (SUBSCRIBER GROUP OR POLICY NUMBER) CANNOT BE 'NONE', 'NONE', OR 'NONE'. (1)

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  Gillian

  • February 21, 2020 01:50

  Hi Kim, we'd be happy to help with this, but because it's specific to your account and the client, we'll reach out to you privately to assist.

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  Carol Baka

  • March 05, 2020 01:31

  I keep getting rejections for a patient with Medicare Part B. When I call Medicare they say they can't help without a payer claim# but the rejection doesn't have one on the claim. It does have a clearinghouse Reference #. The clearinghouse # is no good with Medicare Part B

   

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  Carol Baka

  • March 05, 2020 17:58

  I have a patient with Medicare Part B whose claim was rejected. When I called to find out why the insurance company wouldn't give me any information because I don't have a payer claim# all I have is the clearing house reference #. How do I find out why this claim was rejected

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  Gillian

  • March 05, 2020 20:24

  Hi Carol, are you sure the claim was Rejected and not Denied? Either way, our Success team would be happy to help - please reach out through the ? bubble in your SimplePractice account so the Success team can investigate. 

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  Elizabeth M. Nabors

  • March 08, 2020 00:59

  Hi SP Wizards

  I am so lost with Medicare

  I have called and been told so many different things

  my latest explanation for Palmetto GBA is I must file a paper claim first before I can enroll electronically and use my SP clearing house

  I have 32 Medicare visits that need processing 

  Do I have to wait for that one paper claim to process for all or do I have to do a paper claim for each client with Medicare.

  Thanks for your help

  Liz

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  Elizabeth M. Nabors

  • March 08, 2020 01:21

  Hi again

  I am wondering if SP has a list of accepted Medicare codes for Mental Health.

  There were numerous changes in 2020 like the 90791 can be used 4 x per year.

  If not it might be helpful to the clinicians you service which can help with the reduction of denials along with a clear understanding of the accepted codes.

  What I am basically asking is .......Does SP have a cheat sheet of accepted Medicare codes For Mental Health?
  
  

  Thanks

  Liz

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  Gillian

  • March 09, 2020 23:32

  Hi Liz, we'd be happy to help. For your enrollment, you only need to submit one paper claim. On the second question, because Medicare payers can vary in what codes are accepted depending on the plan, we do not have this information available. However, as a Medicare provider, you can contact the payer directly to learn more about their fee schedule for various service codes. 

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  Rosimeiry D. Jamalabad

  • April 30, 2020 19:32

  Hi, I keep receiving rejections for all of my patients on Medicare and Medicare Part B. Can you help me?

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  Ruth

  • April 30, 2020 21:01

  Hi Rosimeiry - I've gone ahead and created a help request on your behalf so that a member of our Insurance Group can further investigate your rejected claims. They'll be reaching out to you with their findings over email. 

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  Patrice Berry

  • July 08, 2020 20:22

  Hello, I need assistance with Medicare claims, can someone from the insurance group contact me for support. 

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  Jeni Nash

  • July 11, 2020 12:20

  I am getting rejections from Medicare and Medicaid (Amerigroup). Could you please help?

   

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  Rene Silver

  • July 11, 2020 18:19

  HI, i also need help my medicare billing is also getting rejected. 

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  Melanie Wood

  • July 15, 2020 18:20

  I am also receiving a relational field error for BCBS KS shown below, I'm not sure how to correct this so the claims are not rejected. 

   

  Acknowledgement / Rejected for relational field in error. (A8) Rendering Provider's National Provider Identifier (NPI). Billing Provider's National Provider Identifier (NPI). Rendering Provider's id number. (562)

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  Sarah Kamdar

  • August 08, 2020 18:24

  SAME QUESTION:

  I received this error message on one of my claims today. I'm not sure what this means or how to fix it.

  Acknowledgement / Rejected for relational field in error. (A8) Insured or Subscriber's policy number. Insured or Subscriber has inconsistent information. (163)

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  Gillian

  • August 11, 2020 22:40

  Hi everyone. For rejected claims, please reach out to our Success team directly via Chat or email. That way, we can get more information from you regarding the claim, and investigate in more depth than we can via this Forum. To ensure we can help you in a timely manner, I'm going to close this post for comments now. 

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Post is closed for comments.