Author: Mahnoor Tariq

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

ACKNOWLEDGEMENT/ RETURNED AS UNPROCESSABLE CLAIM THE CLAIM/ ENCOUNTER HAS BEEN REJECTED

Acknowledgement/ Returned as unprocessable

Acknowledgement/Rejected For Missing Information Entity’s Tax ID. Rendering Provider

USE OF MODIFIER XX (CROSSWALKS TO XX), IS NOT TYPICAL FOR PROCEDURE XXXXX or PROCEDURE CODE MODIFIER(S) FOR SERVICE(S) RENDERED

Accident Date is required when the diagnosis code is between 800 – 999, or the diagnosis code is V015 or 53511.

2400 Sub-Element SV101-07 is missing

2400 Loop 2420E (Ordering Provider Name) is Used

2310C Element NM109 is used. It is not expected to be used when it has the same value as element NM109 in loop 2010AA.

2010BB VALUE OF ELEMENT N403 IS INCORRECT