Claim Rejection - Assignment of Benefits

Rejection Message

REJECTED FOR INVALID INFORMATION. BENEFITS ASSIGNMENT CERTIFICATION INDICATOR

Definition

This rejection occurs when the assignment of benefits is not set to the correct entity (Patient/Facility)

Resolution

An Assignment of Benefits Based Rejection is due to the Assignment of Benefits Indicator missing or invalid on the claim. This field indicates whether or not the insured has authorized the plan to remit payment to the provider. 

To resolve this please follow these steps: 

1. Navigate to the Patient's Intake Profile (Patients > Patient Name > Intake) 
2. Select "Insurance" in the Patient's Intake Profile 
3. Select the Insurance Set for this patient 
4. Select "Policy Holder" 
5. Select Edit 
6. Update Default Benefits Assignment 

Once this is completed, a corrected claim will need to be submitted. Please follow these steps to submit the claim:

1. Navigate to the patient's profile (Patients > Patient Name) 
2. Select "Treatment Episodes" 
3. Select the Treatment Episode related to the claim 
4. Select Insurance Billing 
5. Select Review Corrections 
6. Select Resolve next to the claim in question 
7. Enter the Corrected Claim information as necessary and select "Resolve and Go to Submit Claims" 
8. Click Submit Claims at the top of the screen.