Common Claim Rejections

Articles

How do I fix a rejection for "Other Payer Insurance Type Code"?
Question:  One of our claims has rejected for "Other Payer Insurance Type Code Missing or Invalid". How do I fix this rejection? Solution: This particular rejection means that Medicare is on the claim as a Secondary Payer, and there is no MSP R...
How do I fix a rejection for "Line Level Procedure Code is Missing or Invalid"?
Question:  One of our claims has rejected for "Line Level Procedure Code is Missing or Invalid". How do I fix this rejection? Solution: There are several situations when this can happen: Verify that the procedure code(s) are valid codes in the...
How do I fix a rejection for "Claim Level Date is Missing or Invalid"?
Question:  One of our claims has rejected for "Claim Level Date is Missing or Invalid". How do I fix this rejection? Solution: The primary reason for this rejection is that the Place of Service (POS) on the claim is an Inpatient POS, and there i...
How do I fix a rejection for "Claim Frequency Code"?
Question:  One of our claims has rejected for "Claim Frequency Code". How do I fix this rejection? Solution: This particular rejection means that the claim has been sent with a Frequency Code deemed invalid by the Payer. On all claims, the defau...
How do I fix a Smart Edits rejection?
Question:  One of our claims has rejected showing a message that references Smart Edit . How do I fix this rejection? Solution: Some payers (primarily United Healthcare) are now doing front-end checks similar to NCCI Edits , which they call S...
How do I fix a rejection for "National Drug Code must be 11 Bytes"
Question:  One of our claims has rejected for "National Drug Code must be 11 Bytes". How do I fix this rejection? Solution: This particular rejection means that the 10-digit National Drug Code (NDC) number from the medication vial is being sent ...