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NUBC Value Code(s) Acknowledgement/Returned as unprocessable claim

Rejection Message Rejection Details Resolution

NUBC Value Code(s) Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system.

UB-04 Institutional Rejection

This rejection indicates that the claim is missing Value Code 80. 

Michigan BCBS put a new edit in place on 5/1/16 requiring this value code for claims going forward.

Follow the instructions below to enter the value code on 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 Health Information section
  5. Ensure that the Type field is set to "Value"
  6. Click in the Code dropdown and select "80"
  7. Enter any other necessary information in the Date or Amount fields
  8. Click Save & Rebill.

Then resubmit all affected claims.

 

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