Dependent : Entity not eligible

Dependent : Entity not eligible

Rejection Message
ACK/RETURNED - ENTITY NOT ELIGIBLE. USAGE: THIS CODE REQUIRES USE OF AN ENTITY CODE. - DEPENDENT

Rejection Details
Possible causes:
  1. 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.
  2. 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:
  1. If the claim is submitted to the wrong payer ID, verify and edit the payer ID.
  2. 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.

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