An Entity's rejection response has three possible causes:
The claim was submitted to the wrong Payer ID.
The patient demographics or insurance policy included on the claim was not eligible for the date of service billed.
The patient may have recently been added to the insurance policy and payer records have not been updated.
Possible Resolution's
If the claim was submitted to the wrong Payer ID, verify the payer information and resubmit the claim to the correct Payer.
If the patients demographics or policy is incorrect, verify the patients insurance details.
Contact the payer to verify a patient has active coverage.