Knowledgebase: Claim Rejections
CMS - Custody Medical Services AMM03 - Box 11c (SBR04) (RC124)
Posted by Will Morrow, Last modified by Charmagne Williams on 22 May 2017 03:01 PM
Rejection: Missing Plan Name: AMM03 Requires EMSF, CMS, CAR, TPB, or CTU indicator in Box 11c (SBR04) (RC124)

What happened: Box 11c is missing one of the above indicators.

Resolution: Add one of the indicators in box 11c and update the claim.