Rejected Claim
Answered
I submitted a claim yesterday and saw this morning that it got rejected. I have been seeing this client for months and none of my other claims have been rejected. None of my information or the client's information has changed. I looked over the insurance claim and it appears that all the information is correct. The rejection message was: NEED BILLING PROV STREET ADDRESS (21)
Please help!
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Hi Brittany and Christina - I apologize for the late response. Our team has been diligently working through the unprecedented volume of customer questions during this pandemic. I see you've both been in contact with our Customer Success Group since posting on this thread, please let me know if your claim rejections were addressed.
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Has anyone been able to get a resolution to this issue? We suddenly have a clients claims constantly rejected for Meritain and we receive the same error regarding Practice Address. We use a PO box for all of our other claims with no issues and we have other Meritain clients that are processing correctly. We also had about 4 or 5 claims process correctly and now we cannot get the clearinghouse to accept these claims.
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Hi Micha - I think it would be best if a member of our Insurance Group took a look at these claims for you. There are many reasons why claims may get rejected, which is why we need to investigate each case separately. To get in touch with them, please submit a Help Request. From your SimplePractice account, click on the "?" icon to the bottom right > Get Help > Ask Question > Email. You can also click here to submit a Help Request: SimplePractice Help Request Form.
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I received 'rejected claim' for the same person for 2 different services dates. I have verified with the patient and the insurance that the information is correct.
Rejected due to the following error: ACK,RETURND AS UNPRCESSBLE CLM- CLM,ENCNTER BEEN REJECTD AND NOT ENTERD INTO ADJUDICATION SYS.:SUBSCRIBER AND SUBSCRIBER ID NOT FOUND. (21).
- ACK,RETURND AS UNPRCESSBLE CLM- CLM,ENCNTER BEEN REJECTD AND NOT ENTERD INTO ADJUDICATION SYS.:SUBSCRIBER AND SUBSCRIBER ID NOT FOUND.
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Hi Alicia,
I see you submitted a request to our Customer Success team. Thank you for doing this, as our insurance group is able to investigate and provide the most accurate information regarding claim rejections.
For future reference for everyone, the quickest way to get support for account-specific questions is to send us a help request by clicking the blue question mark icon on the lower right of your SimplePractice account > clicking Get Help. For more details, feel free to check out this Help Center guide: Logging in to SimplePractice and submitting help requests.
Although we're periodically monitoring the Community Forum, this is also a place for customers to exchange ideas and engage with one another on how to best use our platform. Thank you all for acting as resources for each other in the meantime.
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https://secure.simplepractice.com/clients/04e2d04bad2c9a04/insurance_claims/86645510
Why has this claim being rejected. I spoke with representative from Blue Cross Blue Shield she referred me to you
Thanks
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Hey Terry,
Was the claim rejected with the error NEED BILLING PROV STREET ADDRESS (21)? What we found was there was an issue with our PO Box being listed on the claim form. We had to contact support with the URL for the client and claim form in question and they corrected the issue on their side. Every so often we continue to see this error again.
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