Eligibility Rejections and Errors

Search the eligibility file for

*~
This indicates a missing field.  To search the file go to Billing > HIPAA Transactions >  View HIPAA Transactions.  Select the payer and then click on the .270 eligibility file.  In the "Search for" field at the top of the screen key in " *~ " and then click on the Search For button.  The characters will be highlighted on the screen. 

The two most common missing fields are HIC#, which should be indicated on the Referral under the Payer tab; and ICDs, which should be listed under Patient History > ICD History.

                - Determine what is missing.

                - Correct the missing information by adding it onto the chart(s).

                - Recreate the eligibility file.

                - Resend the eligibility file.

                - Wait to receive the response.