Insurance Type Code is required for non-Primary Medicare payer. Element SBR05 is missing. It is required when SBR01 is not ‘P’ and payer is Medicare.

Rejection Reason:

This rejection occurs when Medicare is used as a secondary insurance and the Insurance code (S) has been left blank.

The Insurance code indicates why the insured has Medicare as a secondary payer and is required when submitting secondary claims to Medicare.

Rejection Resolution:

Follow the instructions below to specify a claim filing indicator where Medicare is selected as a secondary insurance:

• Go to Patient>Select Patient>Insurance>Select Medicare.
• Medicare should be setup as a secondary insurance in order to see the option for “Insurance Type Code (S)”.
• Whenever Medicare is secondary you will need to select “Other liability insurance is primary”.
• Sometimes another claim filing indicator is required but this can vary by patient.