Q. My claim has a patient section error. What do I do?
A. This means that there is important information about the patient or subscriber that is missing from the claim form. Scroll down the claim form to the Subscriber Information section and click the Edit Patient button. A page with patient and employer information for the patient will be displayed. Click Edit Patient again to display a page that you can edit. The error message at the top will indicate which field is missing information. Fill in the required information and click Continue to return to the claim form. Address any other validation errors, scroll to the bottom of the claim form and click Submit.
Q. My claim has a patient section error that states: Required Field "Date of Birth" - cannot be blank (MM/DD/YYYY). Why isn't the date I entered being accepted?
A. Dates must be entered in the following standard date format: mm/dd/yyyy, including slashes (Example: 07/23/2002).
Q. My claim has a patient section error that states: Required Field "Group/Policy#" - cannot be blank. I don't have a group number for this patient. What do I do?
A. A missing or incorrect group number is one of the most critical pieces of information that can trigger a rejection, regardless of how you submit the claim. If at all possible, contact the patient and get the correct group number. If you are unsuccessful, enter 99999 in place of the actual group number and resubmit the claim. Note: You can only use this generic number if you have a Plan Name (employer) listed on the form. Be aware that the payer (insurance company) may still reject the claim.
Q. My claim has a patient section error that states: Required Field "SS# / ID#" - cannot be blank or invalid format (Example 123456789). I entered the SS# or ID# but it is not being accepted. What do I do?
A. The SS# or ID# cannot include dashes. Remove the dashes and click Continue.
Q. My claim has a patient section error that states: Invalid ZIP Code for this city and state. What do I do?
A. ClaimConnect recognizes 5-digit ZIP Codes. We update our ZIP Code database regularly, so the ZIP Code you entered may no longer be current for the patient's address. Either verify the ZIP Code with the patient or look up the most current ZIP Code for that address at the United States Postal Service Web site: http://www.usps.com/ncsc/lookups/lookup_zip+4.html
Q. My claim has a patient section error for a student that states: School Name is required for fulltime student, School City is required for fulltime student, or School State is required for fulltime student. Why do I have to add this information?
A. You will only receive this error if school information is missing for dependents who are age 19 or over. Payers require this information (regardless of how you submit the claim) so they can verify that the dependent patient is still eligible for coverage.