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eClaims - Common Rejections - OTHER PAYER'S CLAIM CONTROL NUMBER - REQUIRED

Other Payer's Control Number Required

Rejection:

  • OTHER PAYER'S CLAIM CONTROL NUMBER- REQUIRED; OTHER PAYER'S CLAIM CONTROL NUMBER REQUIRED WHEN EITHER THE COB PAYER PAID AMOUNT OR COB NON COVERED AMOUNT IS NOT PRESENT FOR PAYER.

This rejection is specific to Great American Life Insurance Company, Payer ID: 13193. It only occurs when Medicare is the primary payer and Great American Life Insurance Company is the secondary payer. It indicates that the secondary payer requires the ICN from the primary payer's EOB.

To add the primary payer's ICN, find the EOB or ERA for the primary claim. On an ERA, the ICN will be labeled as "ICN". On a paper EOB, it may be labeled something other than "ICN", but it will indicate the specific claim number assigned to the primary claim by the primary payer.

Once the primary payer's ICN is located, go to the primary payment in the patient's ledger. In the payment window, make sure that "Use EOB Columns" is checked. Make sure that the EOB information is filled out in the payment window. In the ICN field, enter the primary payer's ICN.

Once the EOB information and ICN are entered into the payment window, save the payment. From there, go to the eClaims ability and rebuild the rejected secondary claim and resend.

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