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  • https://helpme.tebra.com/Tebra_PM/Claim_Rejections/Claim_Rejection_Codes/PLEASE_SUBMIT_SECONDARY%2F%2FCOB_CLAIMS_ON_PAPER_WHEN_PRIMARY_IS_NOT_MEDICARE
    PLEASE SUBMIT SECONDARY/COB CLAIMS ON PAPER WHEN PRIMARY IS NOT MEDICARE This rejection indicates the insurance program for Medicare on the claim is not set to "MB- Medicare Part B." Follow the instru...PLEASE SUBMIT SECONDARY/COB CLAIMS ON PAPER WHEN PRIMARY IS NOT MEDICARE This rejection indicates the insurance program for Medicare on the claim is not set to "MB- Medicare Part B." Follow the instructions below to change the insurance program code: Double-click on the appropriate Insurance Policy. Double-click on the Insurance Name. Double-click on the Insurance Company The Edit Insurance Company window opens. Click the Insurance Program drop-down to select the correct insurance program code.
  • https://helpme.tebra.com/Tebra_PM/Claim_Rejections/Claim_Rejection_Codes/Relationship_to_Insured_must_be_18_-_Self_for_Medicare._2000B.SBR*02
    Relationship to Insured must be 18 - Self for Medicare. This rejection indicates that the Medicare insurance policy attached to the claim was submitted with an insured patient relationship other than ...Relationship to Insured must be 18 - Self for Medicare. This rejection indicates that the Medicare insurance policy attached to the claim was submitted with an insured patient relationship other than Self. Medicare will not accept claims with an insured relationship that is not Self. Follow the instructions below to change the “Relationship to Insured” to self: Look for and double-click on the encounter that needs correcting. Change the Patient Relationship to drop-down to Self.
  • https://helpme.tebra.com/Tebra_PM/Claim_Rejections/Claim_Rejection_Codes/Submitter_ID_is_Required
    This rejection indicates the claim was submitted without the provider’s Submitter ID. Noridian requires the provider to submit their Submitter ID in the 2010AA Loop,REF*FH segment of the ANSI file for...This rejection indicates the claim was submitted without the provider’s Submitter ID. Noridian requires the provider to submit their Submitter ID in the 2010AA Loop,REF*FH segment of the ANSI file for electronic claims. If you do not know the provider’s Submitter ID please contact the payer directly. Follow the instructions below to populate the submitter ID: Enter the Submitter ID in the Submitter Number field. Click Save all the way out (multiple saves may be required).
  • https://helpme.tebra.com/Tebra_PM/Claim_Rejections/Claim_Rejection_Codes/Other_Payer_Claim_Filing_Indicator_Code_is_Invalid._Cannot_%3D_Medicare
    Other Payer Claim Filing Indicator Code is Invalid. This rejection indicates that the Insurance Program Type for both insurances billed on the claim was “Medicare.” When Medicare is listed as one of t...Other Payer Claim Filing Indicator Code is Invalid. This rejection indicates that the Insurance Program Type for both insurances billed on the claim was “Medicare.” When Medicare is listed as one of the payers on a claim, the other payer(s) listed cannot also have an Insurance Program of "MB- Medicare Part B." Follow the instructions below to change the insurance program code: Click the Insurance Program drop-down to select the correct insurance program code.
  • https://helpme.tebra.com/Tebra_PM/Claim_Rejections/Claim_Rejection_Codes/Insurance_Type_Code_is_required_for_non-Primary_Medicare_payer._Element_SBR05_is_missing._It_is_required_when_SBR01_is_not_'P'_and_payer_is_Medicare
    Insurance Type Code is required for non-Primary Medicare payer. It is required when SBR01 is not 'P' and payer is Medicare. This rejection occurs when Medicare is the secondary insurance and the Insur...Insurance Type Code is required for non-Primary Medicare payer. It is required when SBR01 is not 'P' and payer is Medicare. This rejection occurs when Medicare is the secondary insurance and the Insurance Type code is missing. The Insurance Type indicates why the insured has Medicare as a secondary payer and is required when submitting secondary claims to Medicare. Click Save at the bottom of each relevant insurance window until it is no longer available.
  • https://helpme.tebra.com/Tebra_PM/Claim_Rejections/Common_Claim_Rejections/Insurance_Type_Code_Missing
    This rejection indicates the Insurance Type code is required when submitting secondary claims to Medicare because it specifies why the insured has Medicare as a secondary payer. Follow the steps below...This rejection indicates the Insurance Type code is required when submitting secondary claims to Medicare because it specifies why the insured has Medicare as a secondary payer. Follow the steps below to enter the Insurance Type code: Look for and double click the appropriate claim to open. Double click the appropriate Medicare Insurance policy listed as the secondary payer. Click the Insurance Type drop-down arrow and select the appropriate code.
  • https://helpme.tebra.com/Tebra_PM/Claim_Rejections/Claim_Rejection_Codes/Subscriber_and_Other_Subscriber_Claim_Filing_Indicator_Codes_cannot_both_be_MB
    Subscriber and Other Subscriber Claim Filing Indicator Codes cannot both be MB Both insurances billed on the claim were Medicare. When Medicare is listed as one of the payers on a claim, the other pay...Subscriber and Other Subscriber Claim Filing Indicator Codes cannot both be MB Both insurances billed on the claim were Medicare. When Medicare is listed as one of the payers on a claim, the other payer(s) listed cannot also have an Insurance Program of MB- Medicare Part B. The Edit Claim window opens. The Edit Insurance Plan window opens. The Edit Insurance Company window opens. Click the Insurance Program drop-down to select the correct insurance program code.
  • https://helpme.tebra.com/Tebra_PM/Claim_Rejections/Trizetto_Claim_Rejections/As_of_1_1_12_Medicare_only_accepts_claim_frequency_code_of_1
    As of 1/1/12, Medicare only accepts claim frequency code of 1. This rejection indicates an incorrect submission reason was included on the claim per the payer’s requirements. Follow the instructions b...As of 1/1/12, Medicare only accepts claim frequency code of 1. This rejection indicates an incorrect submission reason was included on the claim per the payer’s requirements. Follow the instructions below to enter the submit reason on the encounter: The payer may require the Submit Reason to appear in other areas of the claim. Electronically: Write the Submit Reason as an e-claim by selecting "Additional Information" in the e-Claim Note Type.
  • https://helpme.tebra.com/Tebra_PM/Claim_Rejections/Claim_Rejection_Codes/Other_Payer_Insurance_Type_is_required_when_Payer_is_Medicare_-_Not_Primary
    Medicare is listed as secondary insurance on the patient's case and the Insurance Type field on the policy page has been left blank. When Medicare is listed as one of the payers on a claim, the other ...Medicare is listed as secondary insurance on the patient's case and the Insurance Type field on the policy page has been left blank. When Medicare is listed as one of the payers on a claim, the other payer(s) listed cannot also have an Insurance Program of MB- Medicare Part B. If Medicare is the secondary, follow the instructions below to enter the insurance type code: If the insurance program was incorrectly setup, follow the instructions below to change the insurance program code: