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Sub-Element SV202-01 is Missing (Procentive)

Gary M.
  • Updated

Error Message

  • Sub-Element SV202-01 (Product/Service ID Qualifier) is missing. This Sub-Element's standard option is 'Mandatory'. Segment SV2 is defined in the guideline at position 3750.
  • A data sub-element with 'Mandatory' status is missing. Sub-Element SV202-01 (Product/Service ID Qualifier) is missing. This Sub-Element's standard option is 'Mandatory'. Segment SV2 is defined in the guideline at position 3750.

 

Description

This error is found in the Electronic Module on a Batch Report and will appear when a revenue code is billed with a modifier without an HCPC or CPT code, such as 0945 HA. Revenue codes cannot be billed with a modifier unless there is a CPT or HCPC code also attached, such as H2035 0945 HA. You will either need to update the code on the service line or, remove the modifier at time of billing.

 

Resolution

Update the Code on the Service Line

  1. Go to the Electronic Module.
  2. Locate the Invoice with the rejection.
  3. Click on the invoice number link.
  4. Double-click on the service line involved to open the Change Time Window.
  5. Click the picklist next to the code.
    Change_Time_for_Code.png
    • A new window will open with a list of available codes.
  6. Select the correct code.
  7. Click OK.
  8. Click Save.
  9. Resend the service line.

 

Remove Modifier at Time of Billing

  1. Go to the Electronic Module.
  2. Locate the Invoice with the rejection.
  3. Click on the invoice number link.
  4. Click once on the service line involved to highlight.
    Invoice_Window__1_.png
     
  5. Click Resend.
  6. In the Create Invoice window, click Data.
    Create_Invoice_Data_Link.png
    • A new X12 Claim data window will appear.
  7. Click in the modifier field and using your backspace button remove the modifier.
    Edit_Invoice_Remove_Modifier2.png
     
  8. Click Save.
    Edit_Invoice_Save.png
    • Close the Edit window.
  9. Return to the Create Invoice window.
    • Important: This window will still be open in your browser. Do not return to the Invoice window and click Resend, as this will cause your saved changes to no longer be reflected on the claim.
  10. Click Create.
    Create_Invoice_Create.png

NOTE: We recommend removing the revenue-only code with the modifier from each payer via the Payers Module to prevent this code from being selected and billed out in the future. We would also recommend making this code inactive in the Codes module.

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