BCBS: (A3) Missing or invalid information. (21)
AnsweredHi! I'm new to billing and am still figuring out claim rejections. Any sense of what this code means? If it's referring to box 21, that's diagnosis, and I have F43.21 (adjustment disorder with depression) which other folks tell me they use frequently with BCBS. Any thoughts? Thank you!
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Hi Molly and Papillion,
Turns out you were both experiencing claim rejections because your client's State wasn't indicated on the claim, just like Pappillion suspected! Please add this information to your client's address from their file > Edit > Client Info tab. You can then delete the previously created claim and regenerate it and submit it. Molly, my colleague Sarah has emailed you with further instructions, let her know if you're still unable to successfully submit a claim for this client.
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Having the same problem as Tiffany. Diagnosis is fine, state is in there. Claim rejected multiple times. Also have "missing payment" message next to the claim in the billing area of the client's profile. I'm now behind four months on her billing. I have a few BCBS clients for whom I cannot get the claims through. Many other BCBS client claims going through fine. So frustrating.
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Hi all, just had the same issue, never happened before; but weirdly enough my Dx codes were the same as above (the adjustment disorder with depression, plus MDD recurrent). Everything else is filled in, and I have checked client's eligibility on web page and he is good to go.??? Is this a rejection from the clearinghouse or the insurance company. My client has Blue Cross/Blue Sheild but is a Teamster and still asks me to use local payer ID which is WABLC here in Washington state.
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Hi Everyone, our Insurance Team is ready to help resolve any claim rejection issues! They'll be able to look into your account and open an investigation with our clearinghouse if necessary. Please reach out to them by clicking on the ? icon in your account > Get Help > No > Contact Support > Send an Email Request! Here's more on how to email us for further investigation: https://support.simplepractice.com/hc/en-us/articles/360002795252
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