What do the Claims Generations Errors mean, how do I fix them?

2000A

PRV - Billing Provider Specialty Information

"PRV01", "The value must equal 'BI'"

Contact ReLiMed Support, this indicates the Billing Provider is not identified properly

2000A

PRV - Billing Provider Specialty Information

"PRV02", "The value must equal 'PXC'"

Contact ReLiMed Support, this indicates the Billing Provider Taxonomy Code is not identified properly

2000A

PRV - Billing Provider Specialty Information

"PRV03", "A valid non-null, non-empty value is expected."

Admin -> Location -> Billing sub tab should have a valid Taxonomy Code listed. However, if the Payor Entry has an override of the Billing Provider, for example, you bill under an individual Provider, then you must check the Admin -> Personnel Entry for that Provider and make sure there is a valid Taxonomy Code on the Provider Info tab

2000A

CUR - Foreign Currency Information

"CUR01", "The value must equal '85'"

Contact ReLiMed Support, this indicates the Billing Provider Currency is not identified properly

2000A

CUR - Foreign Currency Information

"CUR02", "A valid non-null, non-empty value is expected."

Contact ReLiMed Support, this indicates the Billing Provider Currency is not identified properly

2010AA

NM1 - Billing Provider Name

"NM101", "A valid code is expected."

Contact ReLiMed Support, this indicates the Billing Provider Name is not identified properly

2010AA

NM1 - Billing Provider Name

"NM102", "A valid code is expected."

Contact ReLiMed Support, this indicates the Billing Provider Entity Type is not identified properly

2010AA

NM1 - Billing Provider Name

"NM103", "A valid non-null, non-empty value is expected."

Make sure Billing Provider Last Name (if an individual provider) or Organization Name is entered and valid which would be Admin -> Location Name or Admin -> Personnel Entry -> Provider Last Name

2010AA

NM1 - Billing Provider Name

"NM109", "When NM108 is provided, a valid non-null, non-empty value is expected."

Make sure Billing Provider NPI (if an individual provider) or Organization NPI is entered and valid which would be Admin -> Location NPI or Admin -> Personnel Entry -> Provider NPI located on the Provider Info sub tab

2010AA

N3 - Billing Provider Address

"N301", "A valid non-null, non-empty value is expected."

Make sure Billing Provider Street 1 (and optionally Street 2) address is entered and valid which would be Admin -> Location Address. When individual provider is used as an override, we still populate this from Location Address

2010AA

N4 - Billing Provider City, State, Zip Code

"N401", "A valid non-null, non-empty value is expected."

Make sure Billing Provider City, State and Zip +4 under  address is entered and valid which would be Admin -> Location Address. When individual provider is used as an override, we still populate this from Location Address

2010AA

REF - Billing Provider Tax Identification Number

"REF01", "A valid code is expected."

Contact ReLiMed Support, this indicates the Billing Provider Tax ID is not identified properly

2010AA

REF - Billing Provider Tax Identification Number

"REF02", "A valid non-null, non-empty value is expected."

Make sure Billing Provider Tax ID/SSN (if an individual provider) or Organization Tax ID is entered and valid which would be Admin -> Location, Billing sub tab and Tax ID or Admin -> Personnel Entry -> Provider Tax ID/SSN located on the Provider Info sub tab

2010AA

REF - Billing Provider UPIN / License Information

REF01", "A valid code is expected." Or "REF02", "A valid non-null, non-empty value is expected."));

If you are populating Billing Provider State LIcense or Provider UPIN License, make sure it is a valid/non empty value

2010AA

PER - Billing Provider Contact Information

"PER01", "A valid code is expected." Or “PER03", "The value must equal 'EM', 'FX' or 'TE'"

Contact ReLiMed Support, this indicates the Billing Contact is not identified properly

2010AA

PER - Billing Provider Contact Information

"PER04", "A valid non-null, non-empty value is expected."));

Make sure you have a Billing Contact with at least Phone populated on Admin -> Location and Billing sub tab

2010AB

NM1 - Pay-To Address Name

"NM101", "A valid code is expected." Or “NM102", "A valid code is expected."

Contact ReLiMed Support, this indicates the Remit To Address Name is not identified properly

2010AB

N3 - Pay-To Address - Address

N301", "A valid non-null, non-empty value is expected."

If you have a different Remit-To address (Most commonly a PO Box) then make sure to have an address entered on Admin -> Location switching Address type to “Billing”. This is Street 1 and optionally Street 2

2010AB

N4 - Pay-To Address City, State, Zip Code

"N401", "A valid non-null, non-empty value is expected."

If you have a different Remit-To address (Most commonly a PO Box) then make sure to have an address entered on Admin -> Location switching Address type to “Billing”. This is City, State and Zip

2010AC

NM1 - Pay-To Plan Name

"NM101", "A valid code is expected." Or ", "NM102", "A valid code is expected."

Contact ReLiMed Support, this indicates the Payor Name is not identified properly

2010AC

NM1 - Pay-To Plan Name

"NM103", "A valid non-null, non-empty value is expected."));

Make sure you have a Payor Name populated accurately for this claim, from Admin -> Billing -> Payor Entry

2010AC

NM1 - Pay-To Plan Name

"NM108", "A valid code is expected.") or "NM109", "A valid non-null, non-empty value is expected."

Make sure the Payor ID (EDI Payor ID) is populated accurately for this Payor, from Admin -> Billing -> Payor Entry

2010AC

N3 - Pay-To Plan Address

"N301", "A valid non-null, non-empty value is expected."

Make sure you have an Address (Street 1 and optionally Street 2) for this Payor, from Admin -> Billing -> Payor Entry

2010AC

N4 - Pay-To Plan City, State, Zip Code

"N401", "A valid non-null, non-empty value is expected."

Make sure you have an Address with City, State, and Zip code for this Payor, from Admin -> Billing -> Payor Entry

2010AC

REF - Pay-To Plan Secondary Identification

"REF01", "A valid code is expected." Or “REF02", "A valid non-null, non-empty value is expected."

This is a secondary ID for the payor, NOT USED AT THIS TIME

2010AC

REF - Pay-To Plan Tax Identification Number

"REF01", "A valid code is expected." Or "REF02", "A valid non-null, non-empty value is expected."

This is the Tax ID for the payor, NOT USED AT THIS TIME

2010BA

NM1 - Subscriber Name

"NM101", "A valid code is expected.” Or "NM102", "A valid code is expected."

Contact ReLiMed Support, this indicates the Policy Holder Name is not identified properly

2010BA

NM1 - Subscriber Name

"NM103", "A valid non-null, non-empty value is expected."

Make sure the Policy Holder Name is entered properly from Patient Info -> Insurance, select Insurance record and then Policy Holder tab

2010BA

NM1 - Subscriber Name

"NM108", "The code must equal 'II' or 'MI'" or "NM109", "A valid non-null, non-empty value is expected."

Make sure the Policy Number is entered properly from Patient Info -> Insurance, select Insurance record and check Policy Number field

2010BA

N3 - Subscriber Address

"N301", "A valid non-null, non-empty value is expected."

Make sure you have an Address (Street 1 and optionally Street 2) for this Policy Holder, from Patient Info -> Insurance, select Insurance record and then Policy Holder tab

2010BA

N4 - Subscriber City, State, Zip Code

"N401", "The subscriber's city is required."

Make sure you have an Address with City for this Policy Holder, from Patient Info -> Insurance, select Insurance record and then Policy Holder tab

2010BA

N4 - Subscriber City, State, Zip Code

"N402", "The subscriber's state is required."

Make sure you have an Address with State for this Policy Holder, from Patient Info -> Insurance, select Insurance record and then Policy Holder tab

2010BA

N4 - Subscriber City, State, Zip Code

"N403", "The subscriber's zip code is required (must be 5 or 9 digits)."

Make sure you have an Address with a valid Zip code for this Policy Holder, from Patient Info -> Insurance, select Insurance record and then Policy Holder tab

2010BA

N4 - Subscriber City, State, Zip Code

"When the subscriber's relationship is 'self, the N4 element (Subscriber City, State, Zip Code) is expected."));

Make sure you have an Address with City, State, and Zip code for this Policy Holder, from Patient Info -> Insurance, select Insurance record and then Policy Holder tab

2010BA

DMG - Subscriber Demographic Information

"DMG01", "A valid code is expected." or "DMG02", "A valid date is expected."

Make sure you have a Date of Birth entered for this Policy Holder, from Patient Info -> Insurance, select Insurance record and then Policy Holder tab OR if the patient is the Policy Holder, on Patient Info -> Demographics

2010BA

DMG - Subscriber Demographic Information

"DMG03", "A valid code is expected."

Make sure you have a Gender entered for this Policy Holder, from Patient Info -> Insurance, select Insurance record and then Policy Holder tab OR if the patient is the Policy Holder, on Patient Info -> Demographics

2010BA

REF - Subscriber Secondary Information

"REF01", "A valid code is required.” Or "REF02", "A valid identifier is required.”

If entering an SSN for the patient, make sure this information is entered correctly, from Patient Info -> Insurance, select Insurance record and then Policy Holder tab OR if the patient is the Policy Holder, on Patient Info -> Demographics

2010BA

REF - Property and Casualty Claim Number

"REF01", "A valid code is required." Or "REF02", "A valid identifier is required."

Check Agency Claim Num entered on Claim Override tab for Accident/Worker’s Comp for valid format

2010BA

PER - Property and Casualty Subscriber Contact Information

PER01", "A valid code is expected." Or "PER03", "A valid code is expected." Or "PER04", "A valid communication number is expected."

NOT USED AT THIS TIME

2010CA

NM1 - Patient Name

"NM1", "", "The NM1 element (Patient Name) is expected."

Patient Last Name is required, check Patient Demographics

2010CA

N3 - Patient Address

"N301", "The patient's address is required.”

Check the Patient’s Address (Street 1 and optionally Street 2) on Patient Info -> Demographics

2010CA

N4 - Patient City, State, Zip Code

"N401", "The patient's city is required."

Check the Patient’s Address for City on Patient Info -> Demographics

2010CA

N4 - Patient City, State, Zip Code

"N402", "The patient's state is required.”

Check the Patient’s Address for State on Patient Info -> Demographics

2010CA

N4 - Patient City, State, Zip Code

"N403", "The patient's zip code is required (must be 5 or 9 digits)."

Check the Patient’s Address for Zip code on Patient Info -> Demographics

2300

CLM - Claim Information

"CLM01", "The patient control number (claim identifier) is required"

Contact ReLiMed Support, this indicates the Claim Number has not been generated properly

2300

CLM - Claim Information

"CLM02", "The total claim charge amount must be greater than or equal to zero"

Check claim total charges amount from Billing -> Edit Claims

2300

CLM - Claim Information

"CLM05", "The place of service code is required", "CLM05-01" or “CLM05", "The place of service code qualifier is required

Check claim for Place of Service (Billing Facility) selected  from Billing -> Edit Claims

2300

CLM - Claim Information

"CLM05", "The claim frequency code is required"

Check claim for Claim Frequency Code from Billing -> Edit Claims, then Rebills/COB tab, must be not selected for new claim or a selection from the list

2300

CLM - Claim Information

"CLM05", "When the 'Claim Rebill/Correction Code' is 'Rebill' or 'Void', then the 'Payer Claim Control Number' must be present."

Check claim for Claim Frequency Code from Billing -> Edit Claims, then Rebills/COB tab, when it is a “Replacement..” or “Void..” then the Payer Claim Control Number must be populated

2300

DTP - Date - Statement

“DTP01”, "A valid non-null, non-empty value is expected for Statement date"

Check Start Date and End Date of encounter for this claim from Edit Claims

2300

CL1- Institutional Claim

"CL103", "A valid non-null, non-empty value is expected for Patient Discharge Status"

For Institutional Claims Only: Check for selected Patient Discharge Status on Edit Claims, UC-04 tab

2300

HI - Health Care Diagnosis Code

"The HI element (Health Care Diagnosis Code) is expected.")

Make sure there id at least one Diagnosis code added to the encounter and selected on the line items from Edit Claims; Diag PTRs pop-up. **NOTE: the Diagnosis Number selected MUST be from 1-12. Only 12 go on the claim

2310A

NM1 - Attending Provider Name

"NM109", "The attending provider identifier (NPI number) is required."

NOT USED AT THIS TIME

2310B

NM1 - Rendering Provider Name

"NM109", "The rendering provider identifier (NPI number) is required."

Make sure the Provider on the encounter has an NPI populated under Personnel -> Provider Info. This can also be seen from Edit Claims, Referral/Authorization tab

2320

AMT - Coordination of Benefits (COB) Payer Paid Amount

"AMT", "The COB payor paid amount is required."

For Secondary Claims, this amount must be there and equal to the total amount paid by the Primary/previous payor. Check this amount from Edit Claims, Rebills/COB tab “Payor Paid Amt” **NOTE the Payor ID must match the Primary/previous payor ID on the line item override pop-up

2400

SV1 - Professional Service

"SV107", "The first diagnosis code pointer must be specified."

This line item MUST have at least one diagnosis PTR from Edit Claims; Diag PTRs pop-up. . **NOTE: the Diagnosis Number selected MUST be from 1-12. Only 12 go on the claim

2400

SV1 - Professional Service

"SV102", "The COB line item totals do not balance."

For Secondary Claims, each line item totals must balance: Total charges – Previously Paid - Adjustment – Remaining Pt Liability = $0. Additionally, the total  Amount Paid from Primary/previous Payor from each line item must match the total paid for the claim on Rebills/COB tab for Payor Paid Amt

2410

CTP - Drug Quantity

"CTP04", "The quantity must be greated than zero.”

The Quantity must be specified with NDC code for any drugs. Check CPT Code Entry for the particular CT code OR line item Overrides pop-up for the three fields

2410

CTP - Drug Quantity

"CTP05", "The unit of measure code qualifier must be specified."

The Quantity must be specified with NDC code for any drugs. Check CPT Code Entry for the particular CT code OR line item Overrides pop-up for the three fields

2430

SVD - Line Adjudication Information

The 'Other Payer Primary Identifier' must contain a valid ID

For Secondary Claims, make sure the Payor ID of the Primary/previous payor matches the one on the claim level Rebills/COB tab and is valid

2430

SVD - Line Adjudication Information

A line adjustment requires a line payment.

For Secondary Claims, make sure the Primary Payment amount plus valid Remittance date is populated on the line item Overrides pop-up.

2430

DTP - Line Check or Remittance Date

The payment date is required

For Secondary Claims: Check for the Remittance date on the Line Item Overrides pop-up