Knowledgebase: Claim Rejections
Blue Shield CA BS001 - Element SBR05 is missing
Posted by Will Morrow, Last modified by Charmagne Williams on 22 May 2017 10:58 AM
Rejection: Rejected - Unprocessable Claim Normal-0x393944f-Element SBR05 is missing. It is required when SBR01 is not ''P'' and payer is Medicare. Segment SBR is defined in the guideline at position 2900.This element was expected in:Segment Count: 29Character: 965

What happened: An incorrect code was sent in SBR05.

Resolution: If the patient's secondary insurance is Mediare, in Loop 2320 SBR05, put the code as to why Medicare is the secondary insurance. For a list of the codes, please contact our customer service department (360-975-7000 opt 1). If the file is being sent in ANSI, update the billing software. If the claim is being sent in print image, there is not a way to put that number and will need to remove information from box 9a-d and reupload the claim.