Knowledgebase: Claim Rejections
BCBS (ALL) - Value of element NM109
Posted by Will Morrow, Last modified by Charmagne Williams on 18 May 2017 07:06 AM
Rejection: Value of element NM109 is incorrect. It should be different from value of element SBR03. Segment NM1 is defined in the guideline at position 0150.

What happened: The information in box 1a is the same as 11.

Resolution: Insured ID and group number cannot be the same. Double check the insured ID and update the claim as necessary (see attached picture below).

 group number (hcfa).jpg (22.61 KB)
 insured id (hcfa).jpg (16.90 KB)