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Tebra Help Center

First Symptom Date Required


Rejection Message

First Symptom Date REQUIRED

Rejection Details

This rejection indicates that the payer requires an accident date (Qualifier 439) and related cause for at least one of the diagnosis codes included on the claim.


Check the diagnosis codes on the claim. If the code is 800.00 – 999.99, V01.5, or 535.11, an injury or an accident date is required by this payer.

Certain payers are looking for an Accident Date even if the rejection message says “First Symptom Date.”

Follow the instructions below to add an accident date:
  1. Click Encounters > Track Claim Status. The Find Claim window opens.
  2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
  3. Double-click on the Case. The Edit Case window opens.
  4. Click on the Condition tab.
  5. Click the appropriate condition checkbox in the Condition related to section.
    • Valid Related Cause codes for Qualifier 439:
      • Auto Accident? = AA
        • Select a State from the drop-down menu.
      • Other? = OA
  6. To add the accident date:
    1. In the Date Type drop-down menu, select the Accident Date.
    2. In the Start Date field, enter or select the date in the drop-down menu.
    3. In the End Date field, enter or select the date in the drop-down menu (if applicable).
    4. Click on the Add button to populate the date to the field below.
  7. Click Save all the way out (multiple saves may be required). 

Then, rebill and resubmit all affected claims.