How do I resolve this claim rejection?

Answered

Follow

Amber McGinnis

• April 27, 2022 00:28

Missing or invalid information. VALUE OF SUB-ELEMENT HEALTH CARE CODE INFORMATION-02 IS INCORRECT. EXPECTED VALUE IS FROM EXTERNAL CODE LIST - ICD-10-CM DIAGNOSIS CODE (897) WHEN HEALTH CARE CODE INFORMATION-01='ABK'. HEALTH CARE INFORMATION CODES IS DEFINED IN THE GUIDELINE AT POSITION 2310. (A3 - 21)

-1

• 

  Candee Sharp

  • April 27, 2022 21:24

  I just received this message as well hoping you receive an answer

   

  0

  Comment actions Permalink
• 

  Sara

  • April 28, 2022 19:15

  Hi everyone,

  Please create a Help Request so that our Customer Success Team can look into this for you and offer assistance. Click on the ? icon in your account > Ask Questions > No > Contact Support > Send an Email Request.

  0

  Comment actions Permalink
• 

  Candee Sharp

  • April 28, 2022 19:38

  I did, thank you for explaining the procedure though just waiting for answer

  -1

  Comment actions Permalink
• 

  Ellecia DeCouteau

  • July 31, 2022 23:07

  What is the solution? I have received this message too.  

  VALUE OF SUB-ELEMENT HEALTH CARE CODE INFORMATION-02 IS INCORRECT. EXPECTED VALUE IS FROM EXTERNAL CODE LIST - ICD-10-CM DIAGNOSIS CODE (897) WHEN HEALTH CARE CODE INFORMATION-01='ABK'. HEALTH CARE INFORMATION CODES IS DEFINED IN THE GUIDELINE AT POSITION 2310. (A3 - 21)

  0

  Comment actions Permalink
• 

  Candee Sharp

  • August 01, 2022 15:51

  Its all about the diagnosis code being used make sure it is an ICD-10

  0

  Comment actions Permalink
• 

  Jessica Sarabale

  • August 16, 2022 20:18

  Is it enough to change it on the treatment plan since the diagnosis won't be retroactively changed on the progress note? And there's no way that I can see to edit it on the progress note. 

  -1

  Comment actions Permalink
• 

  Kurt Weakland

  • October 11, 2022 15:47

  Oh jeeesh, can we just get some direction on this without a ticket? 

  0

  Comment actions Permalink
• 

  Candee Sharp

  • October 11, 2022 16:58

  Hi Kurt I found that the ICD code was not an ICD 10 code and needed to updated to one

   

  0

  Comment actions Permalink

Please sign in to leave a comment.