BCBSNE RULE: 837P – ACCIDENT RELATED INJURY INDICATOR 837P – ACCIDENT RELATED INJURY INDICATOR (I00)

Rejection Details:

This rejection indicates that the payer requires an accident date (Qualifier 439) and related cause for at least one of the diagnosis codes included on the claim. If there is a code between 800.00 – 999.99, V01.5, or 535.11, an injury or accident date are required for this payer.

Resolution:

Kindly use the following workflow:

• Patient > Clinical > Case Review
• Click on Add > Select “Accident” as the Type
• Scroll down to Accident Details
• Select “AA. Auto Accident” as Condition Related to
• Enter the Accident Date & Accident State and Save the case
• Go back to the charge screen of the appointment date
• Click on the double-arrows pointing downwards next to Insurance section
• Select the Case from the Appointment section and save the charge