jmager2020 wrote on Wednesday, May 11, 2011:
I’m using Availity and they are rejecting a batch file because in the Loop 2310B it is showing E1 when it should be showing EI. How in the world do I fix this. I have looked at the gen_x12_837.inc.php file. Located the Loop 2310B but not sure what to change. Thanks for any help you can give me!!
drholmes wrote on Tuesday, August 16, 2011:
There is a typographical error on the menu available at Administration-Practice-Insurance Numbers-Providers-(select provider name)-then there is a field for the Provider Number. Next to the field is the Type: menu with the error and the error is that E1 is not correct, but must be capital E followed by the capital letter I, not by number 1.
In which file should this correction take place? Not the generate X12 file?
uhsarp wrote on Thursday, August 18, 2011:
@drholmes, You can change the E1 in /library/classes/InsuranceNumbers.class.php line 22
nursejeff wrote on Thursday, September 15, 2011:
I have a similar problem.
My claim made it through Availity, but was rejected from BC/BS because of a " Loop 2400, SV107 " error.
The error message stated, " Composite Diagnosis Code Pointer is required. "
Thank you to anyone who could help me with this please?
drholmes wrote on Thursday, September 15, 2011:
First, get the Availity reference guide to help you troubleshoot the error codes. Go to Availity home page-click on Availity Resources tab-click on References-click on EDI Guidelines (pdf). In the PDF file, click on the Availity CMS-1500 Quick Reference Guide for Electronic Data Elements (a pdf file) and print a copy. Use this Quick Reference to determine the error, in this case one of the 4 diagnoses. Go back to OpenEMR to the date-of-service Fee Sheet to verify the diagnoses are justified and look for any other input error you may have made regarding the particular loop or segment.
drholmes wrote on Thursday, September 15, 2011:
Regarding the E1 / EI error, I found that with x12 claims to Availity I do not need any data in the Update Provider Number fields for insurance companies at the Administration-Practice-Insurance Numbers-Providers-(select provider name, select insurance company). All are left blank and solved the issue.
nursejeff wrote on Tuesday, September 20, 2011:
Thank you Dr. Holmes,
I figured out the problem. It was simply that I did not justify my CPT code with the ICD-9.