understanding claim rejection

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Mordechai Zeiger

• August 08, 2022 17:37

Hi,

On 8/4 I received 3 rejections that all stated the following message:

Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected.
ACK,RETURND AS UNPRCESSBLE CLM- CLM,ENCNTER BEEN REJECTD AND N OT ENTERD INTO ADJUDICATION SYS.:PLACE OF SERVICE.:INSURED OR S UBSCRIBER PAYOR MESSAGE: ERROR DESCRIPTION SERVICE LINE NUMBER [=5], LINE-LEVEL PLACE OF SERVICE [=02] DOES NOT EQUAL CLAIM-LEVEL PLACE OF SERVICE [=11 ]. (A7 - 21)

Can you please interpret this for me and tell me what I need to do to reconcile these claims? What am I doing wrong?

 

Thank you,

Mordechai Zeiger

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• 

  Sara

  • August 08, 2022 18:57

  Hi Mordechai,

  I have gone ahead and created a Help Request on your behalf so that someone from our Customer Success team can follow up with you to assist with this.

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