Insurance & Eligibility · Eligibility Troubleshooting
Eligibility Request Rejected #
A rejected eligibility request usually means the request could not be processed as submitted. Start with the rejection message and submitted identifiers.
What to do #
- Read the complete rejection response.
- Verify payer ID, member ID, subscriber name, relationship, date of birth, and request date.
- Correct only data that can be verified.
- Resubmit after the identified issue is resolved.
Verify before you finish #
- The same invalid request was not repeatedly resent.
- The correct payer was selected.
- Any corrected identifier matches the source.
Important
A rejected transaction is not the same as a response that says coverage is inactive.