Top EDI Claim Rejections for June 2008
The top five reasons for claim rejections in June 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 |
2,542 |
| 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. |
842 |
| 888 | INSTREAM REJECTION There was a problem involving HIPAA required loops, segments, or values. The specific loop will be identified, for example, 'ELEMENT N401 (D.E. 19) AT COL. 4 IS MISSING, THOUGH MARKED "MUST BE USED" (LOOP:2010BA POS:3140)'. The number after 'POS' indicates the position in the file where the error occurred. |
351 |
| 309 | INVALID COND CODE FOR CORRECT BILL Condition code indicated on claim is incorrect for a corrected bill |
344 |
| 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. |
218 |
Page last updated: July 1, 2008
