Registration Errors
This type of error occurs when the BDE team inputs the wrong insurance in Care.
What is BDE Registration Error?
This required number for an ordering provider may be absent on the requisition.
What is Missing NPI?
This coding error involves an invalid ICD10 code on the requisition.
What is Incorrect ICD 10 Code?
This happens when insurance requires a supervising provider but one is not available.
What is Mid-Level Provider?
This team fails to generate a complete submission packet on time for Glidian.
What is Glidian Submission Packet Not Generated Timely?
This issue arises when the provider isn’t signed up with the insurance but is needed for a PA submission.
What is Clinic/Provider Registration - Payor?
Insurance often demands this report, particularly for Signatera or Altera PAs, and its absence can delay the process.
What is Missing Pathology Report?
Submitting the PA with the wrong test date is an example of this issue.
What is Date of Service Incorrectly Captured?
A refusal to provide updated details or attend genetic counseling describes this type of patient.
What is Uncooperative Patient?
This occurs when the PA vendor cancels a case for the wrong reason or doesn’t meet expectations.
What is PA Vendor SLA Not Met?
This registration issue occurs when the provider isn’t listed with the company submitting the PA.
What is Clinic/Provider Registration - Vendor?
The ordering provider's Tax ID is necessary but sometimes not included.
What is Missing TIN (Tax ID Number)?
An incorrect code for the test procedure itself might delay processing.
What is Incorrect CPT Code?
The clinic fails to provide missing PA information and refuses to cooperate.
What is Uncooperative Clinic?
If the timeline to provide submission instructions expires, the case might fall into this status.
What is Missing PA Submission Instructions/Referred to Customer Queue?
Missing answers to these may halt insurance approval.
What are Clinical Questions?
This error occurs when the patient’s name or DOB does not align with the ordering clinic’s details.
What is Incorrect/Missing Patient Information?
This issue arises when a recurring test like Signatera requires PA for each instance.
What is Recurring Test?
This term describes when personal or family medical details are omitted from the requisition.
What is Incomplete Requisition?