Other Payer Claim Filing Indicator Code is Invalid. Cannot = Medicare

Rejection Message

Other Payer Claim Filing Indicator Code is Invalid. Cannot = Medicare

Rejection Details

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."

Resolution

Follow the instructions below to change the insurance program code:

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 appropriate Insurance Policy. The Insurance Policy window opens.
5. Double-click on the Insurance Name. The Edit Insurance Plan window opens.
6. Double-click on the Insurance Company 
    name. The Edit Insurance Company window opens.
7. Click the Insurance Program drop-down to select the  correct insurance program code.
8. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.