Requests for readjudication must reference the newly assigned payer claim control number

Rejection Message

Requests for readjudication must reference the newly assigned payer claim control number.

Rejection Details

This rejection indicates an incorrect Payer Claim Control number was submitted on the claim.

Resolution

Please use the original claim control number for the first submission. If necessary, the submitter can call the payer to obtain this information.

Follow the instructions below to enter the correct payer claim control number on the encounter:

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 Case window opens.
3. Double-click on the Encounter number.  The Edit Encounter window opens.
4. Click the arrows next to Miscellaneous to expand.
5. Update the Payer Doc Ctrl # with the original claim number.
6. The payer may require the Submit Reason to appear in other areas of the claim.
   • On Paper: Enter information in the appropriate field – either box 10D or 19.
   • Electronically: Write the Submit Reason as an e-claim by selecting "Additional Information" in the e-Claim Note Type.
7. Click Save & Rebill.

Then, resubmit all affected claims.