Scroll

eClaims - Common Rejections - Plan Type (Self-Pay)

Plan Type (Self-pay)
Rejection Message:

  • CLAIM LEVEL - CLAIM FILING INDICATOR CODE IS MISSING OR INVALID.
  • CLAIM LEVEL - OTHER PAYER CLAIM FILING INDICATOR CODE IS MISSING OR INVALID.

This rejection is stating that the 'Claim Filing Indicator Code' also known as 'Plan Type' was not set to a valid indicator. This is usually indicative of the plan type being set to 'Self-pay' which is not a valid plan type when attempting to receive insurance benefit. Within the insurance reference under the 'Claims' tab there is a dropdown menu for 'Plan Type' which should be set to anything but 'Self-Pay'. If there is a plan set on the insurance there is also a demographics tab within the plan tab that will have a Plan Type dropdown as well. This will also need to be set to something other than 'Self-pay'. The claim can be rebuilt and resent.
Note: If the rejection message denotes 'Other payer', this is referring to the insurance that is NOT the insurance currently being sent to.

Was this article helpful?
0 out of 0 found this helpful

Comments