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6 comments

  • Official comment
    Mike

    Hi Lisa,

    In order for us to help with this claim rejection message, we'll need a little more information from you. A member of our team will reach out to you privately to assist.

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  • Jeremiah

    Hi Shon,

    I understand that you're seeing the error codes: 163 and 164 when you're trying to submit electronic claims. The reason why your Florida Medicare claims are being rejected is because your Claim Filing Enrollment for Florida Medicare hasn't been accepted yet. I have asked our clearinghouse check on the status of your Claim Filing Enrollment with this payer, which means they will manually review your enrollment and contact the payer for an update on the status of the enrollment.

    Please keep in mind that we can't guarantee a completion date because that's still ultimately up to the payer. Please refer to the following article for a detailed explanation of the process: Average payer enrollment approval times

    We will email you when your enrollment has been completed or if there are any other steps needed from you in order to complete this process. However, please let me know if you hear back directly from the payer on this enrollment; I will do the same on my end. If you do receive a notice from the payer stating that they've accepted your enrollment, please share it with me and I'll make sure we get it to our clearinghouse. Sometimes payers will update clinicians directly but not our clearinghouse.

    After your Claim Filing Enrollment is accepted by the insurance payer, you'll be able to file electronic claims through your SimplePractice account. 

    In the meantime, I recommend that you continue to file your claims to this payer outside of SimplePractice so you don't experience any further delay. 

    Please do not hesitate to let me know if you have any further questions.

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  • Alycia A. Chambers

    I am getting 163 and relational errors.  Please see my rejected claims and advise me.  I read other answers and the similar ones all required a private email.

    Thanks you!

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  • Gillian

    Hi Alycia, our team would be happy to look into it. However, we'll need a little more information from you to investigate. I'm going to have a member of our team reach out to you privately to assist. 

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  • Alycia A. Chambers

    Hi, Gillian,

    I may have resolved the 163 error but now, I can't find what 164 refers to.  Thank you!

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  • Gillian

    Hi Alycia, happy to help. It looks like you have an open Help request with my colleague Kendyl - so we can assist with this, please send Kendyl the link to the rejected claim with a 164 error and we'd be happy to investigate.

    Error codes can vary by payer, so we'll need to look at the specific claim to better understand the rejection. For that reason, I'm going to go ahead and close comments on this post for now. If you're searching the Forum for help with rejected claims, please refer to this Help Center article about common claim rejections and how to resolve them: 

    https://support.simplepractice.com/hc/en-us/articles/360016456811-Common-claim-rejections-What-they-mean-and-what-actions-you-should-take

    Our team is always happy to help with questions regarding your claims in SimplePractice. For direct assistance, please reach out via email or Chat through the ? bubble in your SimplePractice account. 

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