Claim Rejection - Rejected for Missing Or Invalid Information - Patient Account # Not Alphanumeric

Rejection Message

REJECTED FOR INVALID INFORMATION. MISSING OR INVALID INFORMATION. PATIENT PATIENT ACCOUNT #, NOT ALPHANUMERIC.

Definition

When this claim was being processed, the payer rejected the claim for an invalid character that was not accepted by their system. This rejection message often occurs for Sentara Health Management (54154).

Resolution

When a claim is rejected for invalid information related to a character not being alphanumeric, it is because of the decimal point in the claim instance number. 

To resolve this rejection, a claim form rule will need to be created with the behavior "Claim ID Decimal" selected and the dropdown changed to "Omit" after adding the behavior.

Conditions will also need to be added to the claim rule in order for the rule to be created. For this rule, it can be as simple as adding the Primary Behavioral Payer condition. (For assistance with claim rules please see our Claim Rules article.)

After this rule has been added, the claims can be corrected by using the "Resubmit" link next to the claim and submit with no changes.

For assistance with Claim Corrections, please see our Claim Corrections and Rejections article.