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Medicare Part B Claim Rejection-How to fix?

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23 comments

  • Ruth

    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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  • Avery

    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

    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

    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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  • Gillian

    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

    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

    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

    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

    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

    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

    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

    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 Nabors

    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 Nabors

    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

    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

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

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  • Patrice Berry

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

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  • Jeni Nash

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

     

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  • Rene Silver

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

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  • Melanie Wood

    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

    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

    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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  • Misty A. Gasa

    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

     

    -1
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