I am getting rejections for “provider not in system,” “batch level,” or something of that nature. Now what?
• Verify that the letter “O” is not substituted for zeros (“0”) and vice-versa. • The Doctor ID or Group ID on the claims you are sending must match the IDs in the payer s system. If you believe your ID is correct, call the payer and ask them what individual and/or group Provider IDs should be provided on ELECTRONIC claims you re sending. • You are sending to a payer that requires Payer Enrollment forms be completed before approval is given to send claims electronically. Call your Client Enrollment Specialist.
