Insurance Claim Rejection
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I received a rejection from Blue Cross Blue Shield of Illinois that I've never seen before and not sure how to fix.  It says: (A3) Missing or invalid information. DUPLICATE FILE ID-CANNOT USE TWICE IN 12 MONTHS (21)

 

I've gotten so few rejections that I'm not sure where to start, though I expect to be on hold forever if I call BC.  Any clue as to what this means? Not even sure what File ID refers to  And is "A3" or "21" referencing a certain section of the claim form?  Box 21 is the dx code...but that doesn't seem like File ID...and it's a typical code.

 

Would greatly appreciate any help in sleuthing this one.  Thanks.

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    Lauren Zerbst

    I also received this notice for two claims. Hoping to get some clarification to fix it and prevent it in the future!

     

    I also received this notice for two claims. Hoping to get some clarification to fix it and prevent it in the future!

     

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    Lauren Zerbst

    Here is a notice from the BCBS Website:

     

    Due to a system problem, some electronic claim files that had already been accepted and processed were re-processed.

    This issue resulted in the following “Duplicate File” rejection message on electronic claim reports to providers: R^^1SG - Duplicate File ID-Cannot Use Twice in 12 months^^

    If you received the above message, please note that no action is needed on your part.

    We apologize for any inconvenience this issue may have caused your practice. If you have any questions regarding this notice, please contact our Electronic Commerce Center at 800-746-4614.

    Here is a notice from the BCBS Website:

     

    Due to a system problem, some electronic claim files that had already been accepted and processed were re-processed.

    This issue resulted in the following “Duplicate File” rejection message on electronic claim reports to providers: R^^1SG - Duplicate File ID-Cannot Use Twice in 12 months^^

    If you received the above message, please note that no action is needed on your part.

    We apologize for any inconvenience this issue may have caused your practice. If you have any questions regarding this notice, please contact our Electronic Commerce Center at 800-746-4614.

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    Ruth

    Hi Michael and Lauren, I'm happy to clarify this for you. As Lauren mentioned, this system error occurred on BCBS's end and has since been resolved. You won't need to do anything for these claims to be processed correctly. 

    Hi Michael and Lauren, I'm happy to clarify this for you. As Lauren mentioned, this system error occurred on BCBS's end and has since been resolved. You won't need to do anything for these claims to be processed correctly. 

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    Mark Vaughan

    Thank you for this info! Can I just go ahead and delete the rejected claim from SP? 

    Thank you for this info! Can I just go ahead and delete the rejected claim from SP? 

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    Ruth

    Hi Mark - You won't want to delete these claims. If you're enrolled in Payment Reports through SimplePractice, these claims' statuses will update from "Rejected" to "Paid" when the Payment Report is issued. If you typically add insurance payments manually, you'll want to leave the claim as is until you receive a corresponding insurance payment and then add the payment as you normally do. This will update the claims' statuses from "Rejected" to "Paid."

    Hi Mark - You won't want to delete these claims. If you're enrolled in Payment Reports through SimplePractice, these claims' statuses will update from "Rejected" to "Paid" when the Payment Report is issued. If you typically add insurance payments manually, you'll want to leave the claim as is until you receive a corresponding insurance payment and then add the payment as you normally do. This will update the claims' statuses from "Rejected" to "Paid."