NUBC Value Code(s) Acknowledgement/Returned as unprocessable claim

Rejection Message

NUBC Value Code(s) Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system.

Rejection Details

UB-04 Institutional Rejection

This rejection indicates the claim is missing Value Code 80. 

Michigan BCBS put a new edit in place on 5/1/16 requiring this value code for claims going forward.

Resolution

Follow the instructions below to enter the value code on 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. Navigate to the Health Information section and select a Value from the Type drop-down.
5. Select a 80 from the Code drop-down.
6. Enter an Amount.
7. Populate the From Date and To Date as needed.
8. Click Save & Rebill.

Then, resubmit all affected claims.