If a claim is submitted with a transposed insurance member ID number, what status will the third party payer likely assign to the claim?

When a claim is submitted with a transposed insurance member ID number, it is likely to be assigned an invalid status by the third-party payer. This happens because the member ID number is a crucial component for the payer to accurately identify the policyholder. If the digits are incorrectly arranged, the payer cannot match the claim to the appropriate member in their system, rendering the claim invalid for processing.

An invalid status indicates to the provider or billing professional that the claim cannot be processed further until corrected, which typically involves the resubmission of the claim with the accurate member ID. This situation often requires immediate attention to resolve, as incorrect member IDs can delay reimbursement and create administrative complications for healthcare providers and billing departments.