Practice Management

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  • 1.  Rejection- Patient cannot be identified (CO31)

    Posted 02-03-2021 17:17

    Hi,

    I am finding a lot of rejections due to Patient cannot be identified (CO31).

    When checking the insurance websites, it is showing patients are active/eligible.

    What is the follow up action to ensure this claim goes through?

    Thanks for any help.



    ------------------------------
    Marlo Bakst
    Manager, RCM
    New Rochelle Radiology Assoc., PC
    New Rochelle NY
    914-633-7700
    ------------------------------


  • 2.  RE: Rejection- Patient cannot be identified (CO31)

    Posted 02-03-2021 19:07

    Couple of things....

     

    1. If filing electronically, double check the CPID. It's very possibly the payer made a change. (happens, but not often) Also could be incorrect based on institutional or professional, they can be different for the same payer.
    2. Check with the clearing house; is there an issue with the routing/translations?
    3. Call the carrier; it's possible they had an error occur on a day or two and they've since fixed their system (or need to fix their system). It's possible the carrier can internally reprocess all claims based on tax id.

     

    Hope that helps!

    Dennis J Chaltraw, CRCE │ Director Revenue Cycle Management │ Oregon Imaging Centers (OIC) / Radiology Associates, PC (RAPC) │ 1200 Hilyard Street, Suite 330, Eugene, OR  97401│ (w) 541.302.7771│ (c) 541.999.1848 | fax 458-215-4079│www.oregonimaging.com

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    CONFIDENTIALITY & PRIVACY NOTICE: The information contained in this email transmission is privileged, proprietary and/or confidential. Unauthorized use, review and/or distribution of this information is strictly prohibited. If you have received this email in error, please promptly notify the sender so our records can be corrected. Please delete the original and copy of this email and destroy any print copies that may have been generated from this transmission.



    Original Message


  • 3.  RE: Rejection- Patient cannot be identified (CO31)

    Posted 02-04-2021 09:21

    We usually need to open a ticket and work with our clearinghouse for these.

     

    Joanne Chichizola

    Billing Manager

     




    Original Message


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