Patient Cannot Be Identified - JF Part B
Patient Cannot Be Identified
CARC/RARC | Description |
---|---|
PR-31 | The patient cannot be identified as our insured. |
Common Reasons for Message
- Patient does not have Medicare Part B entitlement
Next Step
- Verify patient has Medicare Part B entitlement
- If patient has Medicare Part B benefits, resubmit claim
- Claim must contain the following information exactly as indicated on their Medicare card:
- Medicare Beneficiary Identifier (MBI) number
- First and last name (in proper order)
- If patient has two last names or hyphenated last name, submit each character exactly as it appears on the Medicare card
Claim Submission Tips
- Obtain patient's full name and Medicare Beneficiary Identifier (MBI) number directly from their most current Medicare card
- Keep a copy on file
- Prior to submitting claim(s), verify patient's eligibility via the Interactive Voice Response (IVR) or the Noridian Medicare Portal (NMP)
- Be sure patient's date of service falls within their Part B entitlement dates
- If patient sees a problem or has an error on his/her Medicare card, they must contact Social Security Administration (SSA) at 800-772-1213 to make necessary correction(s)