Electronic Claim Errors
A knowledge base of common electronic claim errors and possible solutions.
- The Subscriber ID is not found in the payers system. Please contact the member to confirm insurance information and resubmit claim as necessary.
- Member matching error - member not found.
- (HEW) Subscriber ID not valid. Submit claims with correct Identification Number and Group Number
- 511 - Invalid character. Usage: At least one other status code is required to identify the data element in error.
- THIS ALPHA PREFIX MUST BE BILLED DIRECTLY TO REGENCE BLUE SHIELD OF IDAHO.
- REJECTED - CLAIM CAN NOT SPAN MONTHS
- Subscriber ID number (loop 2010BA, NM109) must begin with three alphabetic characters followed by alphanumeric characters or R followed by eight numeric digits (R12345678). No spaces or special characters are allowed.
- 043Billing provider Tax IDEIN submitted does not match BCBSF files. Correct and resubmit the claim or complete and submit the form located at prov :
- 583 - Line Item Charge Amount
- Member Date of Birth Must be Present and Valid
- The subscriber ID (loop 2010BA, NM109) must be in one of the following formats: 1) the first 2 characters must be XB, followed by a letter, followed by up to 9 numerals for a total of up to 12 characters; or 2) the first character must be an R, followed b
- Rejected - Unprocessable Claim N70003 Subscriber is not an authorized BCBSMA Member.
- REJECTED AT CLEARINGHOUSE PROCEDURE CODE DESCRIPTION IS MISSING OR INVALID
- Invalid Rendering Provider. Rendering Provider ID not fou Invalid Rendering Provider. Rendering Provider ID not found on file.00 Pay To Affiliation Error No Affiliation found to PayTo P Pay To Affiliation Error No Affiliation found to PayTo
- ACK/REJECT INVAL INFO - CLAIM SUBMITTED TO INCORRECT PAYER.
- MISSING INVALID RENDERING PROVIDER ADDRESS
- Rejected - No Additional Details Please contact BCBS VA Claims Dept (800) 533-1120 for more detail.
- 530 - Claim Adjustment Indicator
- Diagnosis Reference Pointers Exceeds Limit of Four
- Segment DTP (Date - Accident) is missing. It is required when CLM11-1, -2, or -3 is one of AA, OA.
- ELIGIBILITY REJECT
- 254 - Principal diagnosis code.
- EXACT MATCH CANNOT BE MADE USING NPI AND TAXONOMY REPORTED
- We are unable to identify the patient on this claim as our member using the patient information submitted (ID, DOB, Name, Address). If you believe the information on your claim is correct, please fax proof of eligibil
- The insurance ID of the patient may have recently changed and is not eligible for benefits under this plan on the date(s) of service. If you believe the information on your claim is correct, please fax proof of eligib
- 743 - Entity's credential/enrollment information. Usage: This code requires use of an Entity Code.
- Cannot identify this insured / group for CHA network access.
- 507 - HCPCS
- 655 - Total Medicare Paid Amount
- Location 2300 - HI05-02 Clm The Diagnosis Code 6268 has been used more than once.