OTHER PAYER CLAIM LEVEL ADJUSTMENT IS MISSING OR INVALID

Rejection Message

OTHER PAYER CLAIM LEVEL ADJUSTMENT IS MISSING OR INVALID

Rejection Details

This rejection indicates that the adjudication information is missing on the claim from the primary payer.

Resolution

Verify that the payment from the primary insurance payment has been posted.

Follow the instructions below to verify that the primary payment is set up to send the payment information once the payment has been posted:

1. Click Encounters > Track Claim Status. The Find Claim window opens.
2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
3. Double-click on the Case. The Edit Case window opens.
4. Double-click on the primary Insurance Policy. The Insurance Policy window opens.
5. Double-click on the Insurance Company name. The Edit Insurance Plan window opens.
6. Double-click on the Insurance Company name. The Edit Insurance Company window opens.
7. Click the Practice Settings tab.
8. Verify the "Send Coordination of Benefits (COB) information" checkbox is selected.
9. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.