Category: Acknowledgement/Returned as unprocessable claim

dez 7 years ago in Billing/Electronic Modules updated by Sarah Hendel 7 years ago 1

We keep getting rejects with the following wording, wondering what others have done because it seems to stop them from ever getting to the payer, but doesnt really say whats wrong?

 Category: Acknowledgement/Returned as unprocessable claim  The Cl
aim/Encounter has been rejected and has not been entered into the adjudication system St
atus: Processed according to contract provisions (Contract refers to provisions that exi
st between the Health Plan and a Provider of Health Care Services)

I have gotten this reject from UCare.  I had to contact the EDI dept 888-531-1493 and choose the EDI option and they can help you with the issue.