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Insurance Type Code is required for non-Primary Medicare payer. Element SBR05 is missing. It is required when SBR01 is not 'P' and payer is Medicare

Updated: 01/09/2024|Views: 26601

Rejection Message

Insurance Type Code is required for non-Primary Medicare payer. Element SBR05 is missing.

It is required when SBR01 is not 'P' and payer is Medicare.

Rejection Details

This rejection occurs when Medicare is the secondary insurance and the Insurance Type code is missing.

The Insurance Type indicates why the insured has Medicare as a secondary payer and is required when submitting secondary claims to Medicare.

Resolution

Follow the steps below to enter the Insurance Type code:

  1. Click Encounters > Track Claim Status. The Find Claim window opens.
  2. Look for and double click the appropriate claim to open. The Edit Claim window opens.
  3. Double click the Case name. The Edit Case window opens.
  4. Double click the appropriate Medicare policy listed as the secondary payer. The Insurance Policy window opens.
  5. Click the Insurance Type drop-down arrow and select the appropriate code.
  6. Click Save at the bottom of each relevant insurance window until it is no longer available.

Then, rebill and resubmit all affected claims when ready.

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