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  1. Procentive
  2. Claim Resolution
  3. Claim Errors or Rejctions

Claim Errors or Rejctions

  • Entity's Health Insurance Claim Number (HICN)
  • IDTP0367: Missing Payer Adjudication Date
  • Segment DTP is Missing
  • Invalid Adjudication Date
  • Member Pick Rejection
  • Sub-Element SV202-01 is Missing
  • Service Unit Count Required
  • Remaining Patient Liability is Required
  • PrimeWest Billing Change on April 14, 2017
  • Max Use Exceeded
  • LOOP 2300 Segment PWK
  • Invalid Bill Class
  • ICD10 Diagnosis Not Valid
  • Free Form Message Text
  • Element SBR05 Is Missing
  • Detailed Description of Service
  • Claim Filing Indicator Code Missing
  • A Composite Data Element Marked As Excluded Is Present
  • Submitter Not Approved For Electronic Claim Submissions
  • Sub-element SV101-07
  • Remark Code N350
  • Processed According To Contract Provisions Error
  • Present on Admission Indicator for Reported Diagnosis
  • Loop 2430 segment CAS: Segment Has Data Element Errors
  • Loop 2000 segment PRV: Segment Has Data Element Errors
  • If either of NM108, NM109 is present, then all must be present.
  • ICD10 Diagnosis For Services Rendered
  • Entities Middle Name: Insured or Subscriber
  • Determine Which Client is Rejected on a Claim
  • COB Claim Failed to Balance
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