United Healthcare Medicare

277CA Rejection – United Healthcare Medicare Advantage plans

Federal and state guidelines require that United Healthcare work with health care professionals to help ensure practice data and demographic information is up-to-date and accurate for claims processing. UnitedHealthcare applies edits when an electronically submitted claim is either missing key health care professional information or does not match internal systems. These claims will be returned electronically on a 277CA (claims acknowledgement) clearinghouse rejection report.

Individual health care professional claims

  • E001 Rejected Claim. Missing rendering provider name. Resubmit with FULL provider name loop 2310B. Confirm CORRECT REMITTANCE ADDRESS. Include taxonomy code as applicable. Refer to UHCprovider.com/edicontacts for additional information resources. The rendering provider name is missing from the claim. Loop 2310B is absent or incomplete. Please resubmit the claim populating Loop 2310B.
  • E002 Rejected Claim. The tax ID number is mismatched in the system. Refer to UHCprovider.com/edicontacts for additional information resources. Update ALL demographic information at UHCprovider.com/mpp. Resubmit claim post updates. The submitted tax ID number does not match system of record. The submitted tax ID number may be incorrectly entered. A new tax ID number will require updating of your demographic information as noted above. Please update and submit a W-9 for validation.
  • E004 Rejected Claim. Missing group name. Resubmit with FULL group name loop 2010AA, ENTITY TYPE 2. Confirm CORRECT REMITTANCE ADDRESS. Include taxonomy code as applicable. Refer to UHCprovider.com/edicontacts for additional information resources. The claim was submitted as entity type 1 with the individual/rendering provider noted in 2010AA. The group is to be paid. Resubmit as entity type 2 with full group name in loop 2010AA segment NM103.

Facility claims

  • E003 Rejected Claim. Tax ID number is mismatched in the system. Please contact your UnitedHealthcare Network Management team to make updates. Go to UHCprovider.com/contactus, then search by state to find contact information. Resubmit claim post updates. The submitted tax ID number does not match system of record. The submitted tax ID number may be incorrectly entered. A new tax ID number will require updating of your demographic information as noted above. Please update demographic information and resubmit the claim.

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