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DIAGNOSIS/ PROCEDURE/ CONDITION/ OCCURRENCE/ TREATMENT/ VALUE CODE/ DATE IS MISSING, INVALID OR DUPLICATE

Rejection Message Rejection Details Resolution

DIAGNOSIS/ PROCEDURE/ CONDITION/ OCCURRENCE/ TREATMENT/ VALUE CODE/ DATE IS MISSING, INVALID OR DUPLICATE

UB-04 Institutional Rejection

This rejection indicates that an Admitting Diagnosis was included on the claim.

Per the payer’s requirements, Admitting Diagnoses should be used only when the claim involves inpatient admission.

Follow the instructions below to remove the admitting diagnosis 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. Select the “Admitting Diagnosis” field under the Diagnosis section and click “Delete” on your keyboard.
  5. Ensure that the “Admitting Diagnosis” field now displays "None".
  6. Click Save all the way out.

Then, rebill and resubmit all affected claims.