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eClaims - Obscure Rejection - THIRD PARTY REPRICING ORGANIZATION (TPO)

Rejection Message: 

  • CLAIM/SERVICE SHOULD BE PROCESSED BY ENTITY. USAGE- THIS CODE REQUIRES USE OF AN ENTITY CODE. - THIRD PARTY REPRICING ORGANIZATION (TPO)

This usually means the claim needs to be sent elsewhere, TPO. Sometimes claims are initially received by a TPO and then redirected to the payer to finish out the claim.

To fix this, call the number that is on the back of the insurance card. The payer should know where the claim initially needs to be sent. 

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