DIAGNOSIS/ PROCEDURE/ CONDITION/ OCCURRENCE/ TREATMENT/ VALUE CODE/ DATE IS MISSING, INVALID OR DUPLICATE

Rejection Message

DIAGNOSIS/ PROCEDURE/ CONDITION/ OCCURRENCE/ TREATMENT/ VALUE CODE/ DATE IS MISSING, INVALID OR DUPLICATE

Rejection Details

UB-04 Institutional Rejection

This rejection indicates an Admitting Diagnosis was included on the claim.

Per the payer’s requirements, Admitting Diagnoses should be used only when the claim involves inpatient admission.

Resolution

Follow the instructions below to remove the admitting diagnosis from the encounter:

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 Encounter number.  The Edit Encounter window opens.
4. Select the Admitting Diagnosis field under the Diagnosis section and click Delete on your keyboard.
5. Verify the Admitting Diagnosis field now displays None.
6. Click Save & Rebill.

Then, resubmit all affected claims.