Claim Rejections

BCBS (ALL) - Value of element NM109

Rejection: Value of element NM109 is incorrect. It should be different from value of element SBR03. Segment NM1 is defined in the guideline at position 0150.

What happened: The information in box 1a is the same as 11.

Resolution: Insured ID and group number cannot be the same. Double check the insured ID and update the claim as necessary (see attached picture below).

group number (hcfa).jpg|insured id (hcfa).jpg