Knowledgebase: Claim Rejections
Blue Shield CA BS001 - Diagnosis Related Group (229)
Posted by Will Morrow, Last modified by Charmagne Williams on 22 May 2017 10:59 AM
Rejection: Normal-0x3939611-Value of sub-element HI01-02 is incorrect. Expected value is from external code list - Diagnosis Related Group (229). Segment HI is defined in the guideline at position 2310.This error was detected at Segment Count 30Composite

What happened: What this is referring to is the code that's in box 71, HI*DR. They are saying either that code is not correct in general, or not valid for that segment (that kind of Dx code).

Resolution: Contact provider services to verify if that segment is needed and update claim as necessary.