Eligibility checking fails because the patient’s insurance member ID on the claim draft has a transposed character compared with the insurance card. What is the correct pre-submission action?
Select an answer to reveal the explanation.
Short Explanation
A single swapped digit in the member ID is enough to make the payer say “who?” Catch that typo at the front door—match the card, fix the draft, then bill. Hoping the clearinghouse will mind-read the right ID is not a clean-claim strategy.
Full Explanation
Complete and accurate claim demographics, including the insurance member ID, are required before submission. Transposed or incorrect member IDs commonly produce eligibility rejections and delayed payment. Staff should validate member ID and related demographics against source documents and eligibility responses, then correct the claim draft rather than submitting known-bad data or altering unrelated fields to force an eligibility match.