Top EDI Claim Rejections for December 2007
The top five reasons for claim rejections in December 2007 are:
| Claim Rejection | Description | Number of Claims |
|---|---|---|
| 777 | APASS MODULE REJECTION An undefined error has occurred. Contact EDI Services at (866) 582-3253 for more information. |
1,038 |
| 205 | INVALID PATIENTS LAST NAME The last name submitted for the beneficiary does not match the last name we have on record for the HIC number submitted. |
868 |
| 323 | ATTENDING PHYS UPIN MISSING OR INVALID Attending physician’s UPIN was either missing or invalid. |
349 |
| 206 | INVALID PATIENTS 1ST NAME/INITIAL The first name submitted for the beneficiary does not match the first name we have on record for the HIC number submitted. |
264 |
| 207 | INVALID PATIENTS SEX CODE Patient’s gender code on the submitted claim was blank or not equal to M, F, or U. |
232 |
Page last updated: Jan. 2, 2008
