837p file Error Codes
SV101-04 Procedure Modifier List of validations:
*required element REF02 Subscriber Supplemental Identifier is blank: This means the SSN is blank and needs to be filled out accordingly. (Client's Profile>Edit screen)
*for segment NM1 Subscriber Name, elements 9 must be present when elements 8 are present: This means the Insurance Number for 837p is blank and needs to be filled out accordingly with the interchange receiver ID. (Clients Profile)
*required element PER04 Communication Number is blank: This means that the phone number on the clients profile is missing and needs to be filled out accordingly. (Clients Profile)
*required element REF02 Prior Authorization Number is blank: This happens when the Prior Authorization field is blank, needs to be filled out accordingly. (Edit Claim Screen)
*required element ISA08 Interchange Receiver ID is blank: This happens when the payer id field is missing and needs to be filled out accordingly. (Payer Edit Screen)
*required element CLM05-01 Place of Service Code is blank:
● Place of Service is blank
● Place of Service might be archived
● Place of Service CHANGE HEALTHCARE TYPE CODE is missing
*Value N is not allowed in element DMG03 Subscriber Gender Code:
● Client gender is blank
*required element DMG02 Subscriber Birth Date is blank:
● Missing client birthdate
*required element N301 Payer Address Line is blank:
● Payer Contact Information is missing
*value is too long in element N402 Laboratory or Facility Province Code:
● The company address zip code is too long
● On the payer screen try unselect the checkbox for the Send Custom Company Address as Service Location
*for segment NM1 Billing Provider Name, elements 9 must be present when elements 8 are present:
● PROVIDER MEDICAID is missing on the the Company settings
*for segment NM1 Rendering Provider Name, elements 9 must be present when elements 8 are present:
● Missing Therapist NPI
*value is too long in element SV101-03 Procedure Modifier:
- This error exist if we have Billing code name
- To solve this problem update the Billing code that was used Settings>> Financial Settings >> Billing Codes
*value is too short in element SV101-04 Procedure Modifier:
for segment NM1 Supervising Provider Name, elements 9 must be present when elements 8 are present. NPI nuSomething went wrong, please contact support
Check clients Dx
Check if the names of therapists and or client has invalid characters
EDI ERROR: value UK is not allowed in element SBR09 Claim Filing Indicator Code. Edit the payer and change the claim filing code.