Knowledgebase: Claim Rejections
BCBS (ALL) - SUB-ELEMENT SV101-04
Posted by Will Morrow, Last modified by Charmagne Williams on 18 May 2017 07:05 AM
Rejection: Rejected - Unprocessable Claim SUB-ELEMENT SV101-04 IS USED. IT IS NOT EXPECTED TO BE USED WHEN SUB-ELEMENT SV101-03 IS NOT USED. SEGMENT SV1 IS DEFINED IN THE GUIDELINE AT POSITION 3700.{BR}{BR}THIS ERROR WAS DETECTED AT|{BR}{TAB}SEGMENT COUNT| 26{BR}{TA

What happened: A modifier was sent in the second box of box 24D with no modifier being sent in the first box of box 24D.

Resolution: Move the modifier to the first box of box 24D and resend the claim (see attached picture below).


Attachments 
 
 missing modifier.jpg (24.24 KB)