Error Messages
Category: Acknowledgement/Rejected for Missing Information - The claim/encounter is missing the information specified in the Status details and has been rejected. Status: NUBC Value Code(s)
Description
This error appears as a rejection in the Electronic Module. When billing institutional claims, this error is given when the Value 80 Code is missing on the claim but required.
Resolution
If your agency uses the payer in question to bill both professional and institutional claims, you will need to create a new duplicate payer for residential services to allow the value 80 codes to travel on the claims.
- Add a Payer.
- When adding the duplicate payer, in the Payer Type field, type in the payer ID needed and hit Tab.
- From the dropdown menu, select the payer type option with the (Residential) in the name.
NOTE: If you do not see a payer type with (Residential) in the name, please submit a case to our support team so that a new payer type can be added for this payer ID.
- Once the new payer has been added, update the needed clients and dates of service to use the residential version of the payer.
- Resend claims.
- You can verify that the Value 80 codes are travelling on the claim by clicking the "data" link when resending the claims. In the X12 Detail, the Value 80 code will display on the 2300 Claim Loop, in the HI Segment.
NOTE: If your agency only uses the payer in question to bill institutional claims, please submit a case to our support team so that we can update your existing payer type to the (Residential) version of the payer.