Top EDI Claim Rejections for January 2008
The top five reasons for claim rejections in January 2008 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. |
1,172 |
| 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. |
857 |
| 323 | ATTENDING PHYS UPIN MISSING OR INVALID Attending physician’s UPIN was either missing or invalid. |
645 |
| 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. |
212 |
| 207 | INVALID PATIENTS SEX CODE Patient’s gender code on the submitted claim was blank or not equal to M, F, or U. |
201 |
Page last updated: Feb. 1, 2008
