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Reviewing/Fixing Rejections in Kareo

Reviewing/Fixing Rejections in Kareo

Owned by MICHELLE HELM
May 12, 2022
2 min read

Reviewing Rejections

  1. Rejections come back within an hour of submission and also outlined in the clearinghouse report received for batch within 24 hours of submission

  2. To view Rejections, in Kareo go to “Encounters” - “Track Claim Status” or click

    1. Drop “All Claims” to “Rejections”



Fixing Rejections



  1. Once rejection list is pulled up in the Track Claim Status Window, open up a single line to review the rejection reason - common reasons: 

    1. Invalid state - insurance plan does not have valid address listed (Settings - Insurance - Find Insurance Plan) update address and re-bill 

    2. Rendering Provider missing address - provider does not have a valid address listed (Settings - Providers) update address and re-bill 

    3. Invalid subscriber ID - check eligibility & verify subscriber ID with Rethink. If invalid, correct & rebill 

    4. Member not eligible - policy is no longer active, verify policy listed for client in Rethink. Update & re-bill once corrected

  2. Once rejection has been fixed according to rejection message, re-bill claim

    1. “Action” - “Rebill” - Apply

  3. Add note to document correction

    1.  “Action” - “Note” - Apply