Claim Rejections

BCBS MI 00710 - CONTRACT ALPHA PREFIX

Rejection: A3 164 P615 CONTRACT ALPHA PREFIX IS REQUIRED

What happened: There are a few possibilities:

  • 1: The insured ID in box 1a did not contain the alpha prefix from the subscriber ID.
  • 2: The patient is a member of the Federal Employee Plan and a qualifier other than "FI" was sent in loop 2000B SBR09. Note: This is generally the issue when this error message is posted along with this message on the claim: A3 164 P013 CONTRACT NUMBER IS INVALID

Resolution:

  • 1: Verify the ID on the insured ID card and update the claim as necessary.
    ?
  • 2: Depending on the submission method, the resolution will vary:
  • Office Ally Online Entry, Practice Mate/EHR, Print Image Upload: Add the word "Federal" or "FEP" in box 11c.
  • ANSI 837p Upload: This cannot be fixed in Claim Fix. This will need to be corrected in the software and resent. The qualifier "FI" will need to be sent in 2000B SBR09.