Rejection Message
ACK/RETURNED - ENTITY NOT ELIGIBLE. USAGE: THIS CODE REQUIRES USE OF AN ENTITY CODE. - DEPENDENT
Rejection Details
Possible causes:
- The claim was submitted to the wrong payer ID.
Note: This is the most likely cause if this rejection was received on claims for multiple patients. - The patient’s demographics or insurance policy included on the claim was not eligible for the date of service billed.
Resolution
Resolution steps will vary depending on the cause:
- If the claim is submitted to the wrong payer ID, verify and edit the payer ID.
- If the patient demographics or policy is incorrect, verify the patient's eligibility.
When all corrective actions are completed, rebill and resubmit all affected claims.