Value of element NM109 is incorrect. It should be different from value of element SBR03. Segment NM1 is defined in the guideline at position 0150.

NM109 is the primary ID that you have entered on the insurance card in Therabill and is equivalent to Box 1A on the CMS-1500.

SBR03 is the policy / group number that you have entered on the insurance card in Therabill and is equivalent to Box 11 on the CMS-1500.

It appears that you have the same value entered for the primary ID (Box 1A of the CMS-1500) and for the policy/group number (Box 11 of the CMS-1500).

How to fix

From the error page, click the edit icon next to the insurance card.  This will open up the edit insurance card form.  On the right, make sure you have the correct values entered for the primary ID (Box 1A) and the policy number (Box 11).  If there is no policy number listed on the insurance card, then leave the policy number blank in Therabill.

Once you have edited the insurance card in Therabill and saved your changes.  You can then click the Resubmit Electronically button at the top of the error page.