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5010 Edit: Claim filing indicator code is either missing or one of the invalid codes such as 09, 10, LI for a 5010 claim. Change the insurance program type on the "Edit Insurance Company" screen under the General tab such as CI, MB, etc.

 

Rejection Message

5010 Edit: Claim filing indicator code is either missing or one of the invalid codes such as 09, 10, LI for a 5010 claim. Change the insurance program type on the "Edit Insurance Company" screen under the General tab such as CI, MB, etc.

Rejection Details

Kareo Validation Error

This rejection indicates that the insurance program is invalid.

Claims billed without a valid insurance program will reject at the clearinghouse; therefore Kareo has held the claim until the error has been corrected. You must correct the error and resubmit the claims in order for them to be delivered to the payer.

Note: Since claims rejected within Kareo are not forwarded to the clearinghouse you will be unable to generate timely filing for that submission until validation errors have been corrected and the claim resubmitted.

Resolution

Follow the instructions below to change the insurance program code:

  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. Double-click on the appropriate Insurance Policy. The Insurance Policy window opens.
  5. Double-click on the Insurance Name. The Edit Insurance Plan window opens.
  6. Double-click on the Insurance Company 
     name. The Edit Insurance Company window opens.
  7. Click the Insurance Program drop-down to select the  correct insurance program code.
  8. Click Save all the way out (multiple saves may be required).

Then, rebill and resubmit all affected claims.




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