claim rejection codes

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maglab
Posts: 4
Joined: Mon Apr 04, 2016 2:12 pm

claim rejection codes

Post by maglab » Mon Apr 04, 2016 2:25 pm

We have revenue management and go through Relay Health. Is there a list of rejection codes and the reasons why it got rejected through them?
Examples: Reject: 57
Reject: EE
Reject: DZ
Reject: HZ
Reject: 14 GA
Reject: 07

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Gavin Walker
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Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
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Re: claim rejection codes

Post by Gavin Walker » Mon Apr 04, 2016 4:27 pm

Hi, yes, go to Configure -> Preferences -> Remittance Codes tab.
Gavin Walker
Walker Tek Solutions, LLC
866-890-6777
417-890-6777

maglab
Posts: 4
Joined: Mon Apr 04, 2016 2:12 pm

Re: claim rejection codes

Post by maglab » Wed Apr 06, 2016 10:42 am

I went to the Remittance Codes tab and didn't see the right codes that are coming up on some of our claim rejections. Is there a claims editor code list on why they would be rejecting in the system before they even get to the insurance company?

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Gavin Walker
Posts: 4169
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: claim rejection codes

Post by Gavin Walker » Mon Apr 11, 2016 12:48 pm

If you want Rev. Mgmt. to do something with those codes, then you'll want to add those to the list. It looks like you are getting some codes that are not setup when you first install RM.

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