Patient Relationship to Insured is not Self (RC168)

Rejection: Payer Specific Edit: Insured First Name Required when Patient Relationship to Insured is not Self (RC168)

What happened:
Box 6 was not marked self, but no patient first name was sent in box 4.

Resolution: Need to add patient first name in box 4 or update box 6 to self and resubmit the claim.