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CLAIM LEVEL – INSTITUTIONAL CLAIM CODE IS MISSING OR INVALID

Rejection Message Rejection Details Resolution

CLAIM LEVEL – INSTITUTIONAL CLAIM CODE IS MISSING OR INVALID.

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.

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

  1. Click Encounters > Track Claim Status.
  2. Look for and double-click on the encounter that needs correcting.
  3. On the Edit Claim window, double-click on the Encounter number.
  4. Navigate to the Admission section and populate the type of visit in the "Type" dropdown.
  5. Ensure that the “Point of Origin” and "Discharge Status" field under the Admission section are populated as well.
  6. Click Save all the way out.

Then, rebill and resubmit all affected claims.