Insurance & Eligibility · Eligibility Troubleshooting

Subscriber Not Found #

Subscriber-not-found responses indicate that the payer could not match the submitted subscriber information to the expected record.

What to do #

1. Confirm the insurance company and payer ID.
2. Check subscriber name and member ID exactly as supplied.
3. Verify relationship to subscriber and date of birth.
4. Confirm the patient is attached to the correct policy.
5. Rerun only after correcting verified information.

Verify before you finish #

• Subscriber and patient were not accidentally swapped.
• No characters were omitted from the member ID.
• The correct payer was queried.