CLAIM LEVEL – INSTITUTIONAL CLAIM CODE IS MISSING OR INVALID

Rejection Message

CLAIM LEVEL – INSTITUTIONAL CLAIM CODE IS MISSING OR INVALID.

Rejection Details

UB-04 Institutional Rejection

This rejection indicates that an Admitting Type is missing from the claim.

Per the payer’s requirements, all institutional claims now requires the Type of Admission or Visit.

Resolution

Follow the instructions below to enter an admitting type from the encounter:

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 Encounter number.  The Edit Encounter window opens.
4. Navigate to the Admission section and select a Type from the drop-down.
5. Verify the Point of Origin and Discharge Status are populated as well.
6. Click Save & Rebill.

Then, resubmit all affected claims.