Common Submission Errors and Resolutions

  • Updated

Encountering a submission error in not uncommon and can happen time to time to any user. Whenever an error is an encountered and resolved, the affected claim will always need to be deleted and recreated in the Work Center > Insurance Billing > Create New Claims section to ensure the most recent version of the claim reflects any changes made. Let's review some of the common claim submission errors and how to resolve them. 

Error Definition  Resolution

No Professional Services Lines are active for service [Service Name] from [Earliest DOS - Latest DOS] 

This indicates a professional claim is being created but there is no Professional Service Reference in the billing profile. The professional service line will first need to be referenced in the billing profile. To learn more about this process, click here
This Claim Requires a Paper Payer Address but this address is not specified for the primary [Insurer Name] patient insurance profile This indicates a rule is in place requiring the physical mailing address of the payer to be written to the claim. 
  • Update the payer's mailing address. To learn more about this process, click here.
  • If the rule is not meant to apply to this claim, include additional conditions to further instruct the system which claims the rule should not apply to. 
Service [Service Name] Billing Profile does not allow multiple units per day on [Date] This means the billing profile used to create the claim is not configured to allow multiple units recorded for the same date.  Update the configuration of the Service Billing Profile to allow for multiple units to be recorded for the same DOS. To learn more about the process, click here
Upon Claim Submission Validation, the contents of the claim have changed. Please delete and recreate this claim. This indicates something changed within the patient demographics, attendance calendar, or configuration of the service.  Delete the claim(s) and navigate back to the Create New Claims tab to recreate the claims with the updated information. 
Service [Service Name] Billing Profile [Profile Name] is not active on [DOS] This means the claim was created with a billing profile that was deactivated.
  • Reactivate the billing profile using the instructions here.
  • Update the billing profile being used.
    • For instructions on updating U/R Required Service Billing Profiles, click here.
    • For instructions on updating Standalone Service Billing Profiles, click here

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