Top EDI Claim Rejections for July 2008

The top five reasons for claim rejections in July 2008 are:

Note: This information is applicable to Medicare Part A Providers who send their electronic claims submission to the Cahaba office in Birmingham, Alabama.

The top five reasons for claim rejections in July 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
1,030
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.
739
417 REVENUE CODE XXXX INVALID WITH TOB XXX
Revenue code used is not valid with Type of Business used.  The Revenue Code and the TOB will appear in the message.
358
333 INVALID PAT STATUS FOR TYPE BILL
The patient status is invalid for the type of bill submitted.
267
207 INVALID PATIENTS SEX CODE
The sex code submitted is not valid. 
204

Page last updated: August 12, 2008

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