If you have received a rejection stating the type code for Medicare is incorrect: Modify Client Setup Go to Insurance tab Click on Additional button Under Medicare Type Code and select the desired code that Medicare is requesting from the dropdown

Taxonomy codes are administrative codes set for identifying the provider type and area of specialization for health care providers. They are required for electronic claims. The taxonomy code is most often used in the loop 2310B PRV segment of an ANSI X12…

Applies to 4010, 5010 Possible Rejection Message Benefits Assignment Certification Indicator is required and must be N, W, or Y. ERROR: Primary assignment of benefits indicator Assignment of Benefits Indicator is required. Assignment of Benefits Indicator…

Applies to 4010, 5010 - Possible issue in 5010 Claims Production Possible Rejection Messages Diagnosis Code Pointer 1 must be a number 1 through 12. Diagnosis code pointer is missing or invalid. Must point to a valid diagnosis. This rejection could be related…

Applies Only to 5010 Possible Rejection Messages Billing Provider Address1 cannot be a PO Box or Lockbox Address. Billing Provider Address2 cannot be a PO Box or Lockbox Address. With 5010, the Billing Provider Address you use on claims must be a physical…

Errors in loop 2300, DTP-03 segment This segment is not commonly used unless there is a special circumstance and the payer is requesting this information to be sent. The most common culprit is that one of these 5 boxes contains invalid data. You should contact…

Applies to 4010, 5010 Possible Rejection Messages Facility address must be complete if sent. Facility Zip Code must be 9 digits. Facility Name or Address or City or State or Zip Required Facility Type Code is required. Service Facility State is invalid. In…

Possible Rejection Messages Billing provider NPI cannot be repeated in rendering loops Billing provider NPI is required must be valid for this payer There are two types of NPI's Type 1 NPI (Individual) - is defined as an individual who renders healthcare…

Invalid REF Segment in 2010BA Symptoms: Error in loop 2010BA REF02 is missing or invalid Subscriber secondary ID missing Subscriber SSN/ID/Policy # missing This is caused by the “Type” pulldown—located to the right of “Secondary Subscriber ID”—on…

Applies to 4010, 5010 Possible Rejection Messages Subscriber and subscriber id not found Subscriber's Member ID number must be 9 or more numeric. Member ID is Invalid Please make sure the subscriber ID setup in Office Therapy is exactly as it appears on the…