Apex Claim Rejection: Status Details - Category Code: (A7) The claim/encounter has invalid information .... Entity: Insured or Subscriber (IL) (WebABA Pro & Group)

 Permissions: You must have Billing Permissions with the ability to "Submit Claims to Clearinghouse" enabled.

Claim Rejection:

• (A7) The claim/encounter has invalid information as specified in the Status details and has been rejected.,  Status: Entity's contract/member number., Entity: Insured or Subscriber (IL)

Fix Rejection

This means that you may be using the Client's old medicare MBI Number also known as the Insurance ID Number. Here is an article on it:  https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE18006.pdf

You will need to get the Client's new Medicare Number and update their Bill To & Insurance Info tab.

1. Locate Client and open Client Profile.
2. Click Bill To & Insurance tab.
3. Locate appropriate Insurance and click Edit.
4. Update to the Client's new Medicare Number.
5. Click Save.