Missing NM104 - subscriber first name

Rejection Message

Missing NM104 - subscriber first name

Rejection Details

Kareo Validation Error

This rejection indicates the patient’s insurance policy is through another individual but a valid first name has not been populated for the insured.

Claims billed without the insured first or last name will reject at the clearinghouse; therefore Kareo has held the claim until the error has been corrected. You must correct the error and resubmit the claims in order for them to be delivered to the payer.

Note: Since claims rejected within Kareo are not forwarded to the clearinghouse you will be unable to generate timely filing for that submission until validation errors have been corrected and the claim resubmitted.

Resolution

Follow the instructions below to edit the insured person's name:

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. Update the insured Full Name.
6. Click Save all the way out (multiple saves may be required). 

Then, rebill and resubmit all affected claims.