Insurance Type Code is required for non-Primary Medicare payer. Element SBR05 is missing. It is required when SBR01 is not 'P' and payer is Medicare

Rejection Message

Insurance Type Code is required for non-Primary Medicare payer. Element SBR05 is missing.

It is required when SBR01 is not 'P' and payer is Medicare.

Rejection Details

This rejection occurs when Medicare is used as a secondary insurance and the Insurance Type field has been left blank.

The Insurance Type indicates why the insured has Medicare as a secondary payer and is required when submitting secondary claims to Medicare.

Resolution

Follow the instructions below to enter the insurance type code:

1. Click Encounters > Track Claim Status. The Find Claim window opens.
2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
3. Double-click on the Case. The Edit Case window opens.
4. Double-click on the Medicare policy listed as secondary. The Insurance Policy window opens.
5. Select the correct Insurance Type from the drop-down menu.
6. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.