Why was my claim rejected?
Rejections come back from the scheme with a reason code, and that code tells us what to fix. Open the invoice, look at
the Claim panel and read the scheme response.
The most common causes
| Scheme message | What it usually means | What to do | |---|---|---| | Member not found / dependant invalid | Member
number or dependant code does not match the scheme | Check the card and re-enter; confirm the option code | | Diagnosis
not covered / ICD-10 invalid | The ICD-10 code is not accepted for that tariff or benefit | Correct the code (check the
PMB list if relevant) and resubmit | | Benefits exhausted | The member's day-to-day benefit is depleted | Invoice the
patient for the balance | | Duplicate claim | Same tariff, same date already claimed | Do not resubmit; check the
earlier claim | | Practice not registered with scheme | The BHF number is not on the scheme's file | Contact the scheme;
we can help with the letter |
Resubmitting
Correct the invoice and click Resubmit claim. The new claim switches in real time and the response appears within
seconds.
Still stuck?
Send us the invoice number, the scheme and option, and the rejection message via live chat or support@iscript.live. We
trace it through MediKredit and tell you whether it needs a correction or a scheme follow-up.