Errors on X12, submission to Medicaid

x12

(Jit Chawla) #1

Hello,

I’ve got to submit 837P Claims to NC Medicaid and get the following errors on a validation tool. Using 5.02 dev version and filled out the x12 parameters under Admin/Practice/X12 per the specifications guide. I understand there is some previous discussion on X12 topics but the posts are so long not sure if/where corrected code has been submitted. Note, this is all test data so no worry about PHI. Whoever can help, greatly appreciated. Thanks!

1 Element ISA03 (Security Information Qualifier) does not contain a valid identification code: ‘7D’ is not allowed. Segment ISA is defined in the guideline at position N/A.

This error was detected at:
Segment Count: 1
Element Count: 3
Characters: 18 through 20

SNIP Type : 2
Severity : Normal ISA00 7D ZZ7DCD ZZN CTRACKSBAT 1904110113*^00501 0259157540T*: Element: 03


Name: Security Information Qualifier
ID:
Standard Option: Mandatory
Type: Identifier
Min Length: 2
Max Length: 2
Must Use
2 If either of NM108, NM109 is present, then all must be present. The syntax rule P0809 of Segment NM1 is violated. Segment NM1 is defined in the guideline at position 0200.

This error was detected at:
Segment Count: 5
Element Count: 8
Characters: 263 through 265

SNIP Type : 1
Severity : Normal NM1412*YOUR CLINIC NAME HERE*****46 Element: 08


Name: Identification Code Qualifier
ID:
Standard Option: Relational
Type: Identifier
Min Length: 1
Max Length: 2
Must Use
3 Element NM109 (Identification Code) is missing. This Element’s user option is ‘Must Use’. Segment NM1 is defined in the guideline at position 0200.

This Element was expected in:
Segment Count: 5
Element Count: 9
Character: 265

SNIP Type : 2
Severity : Normal NM1412*YOUR CLINIC NAME HERE***** 46M Element: 09


Name: Identification Code
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 2
Max Length: 80
Must Use
4 If either of NM108, NM109 is present, then all must be present. The syntax rule P0809 of Segment NM1 is violated. Segment NM1 is defined in the guideline at position 0200.

This error was detected at:
Segment Count: 5
Element Count: 9
Characters: 265 through 265

SNIP Type : 1
Severity : Normal NM1412*YOUR CLINIC NAME HERE***** 46M Element: 09


Name: Identification Code
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 2
Max Length: 80
Must Use
5 If either of PER03, PER04 is present, then all must be present. The syntax rule P0304 of Segment PER is violated. Segment PER is defined in the guideline at position 0450.

This error was detected at:
Segment Count: 6
Element Count: 3
Characters: 274 through 276

SNIP Type : 1
Severity : Normal PER*ICTEEM Element: 03


Name: Communication Number Qualifier
ID:
Standard Option: Relational
Type: Identifier
Min Length: 2
Max Length: 2
Must Use
6 Element PER04 (Communication Number) is missing. This Element’s user option is ‘Must Use’. Segment PER is defined in the guideline at position 0450.

This Element was expected in:
Segment Count: 6
Element Count: 4
Character: 277

SNIP Type : 2
Severity : Normal PERIC**TEM*EM Element: 04


Name: Communication Number
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 1
Max Length: 256
Must Use
7 Value of element PER04 is incorrect. Expected value is Telephone Number (format is ‘10 digits’) when PER03=‘TE’. Segment PER is defined in the guideline at position 0450.

This error was detected at:
Segment Count: 6
Element Count: 4
Character: 277 through 277

SNIP Type : 2
Severity : Warning PERIC**TEM*EM Element: 04


Name: Communication Number
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 1
Max Length: 256
Must Use
8 If either of PER03, PER04 is present, then all must be present. The syntax rule P0304 of Segment PER is violated. Segment PER is defined in the guideline at position 0450.

This error was detected at:
Segment Count: 6
Element Count: 4
Characters: 277 through 277

SNIP Type : 1
Severity : Normal PERIC**TEM*EM Element: 04


Name: Communication Number
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 1
Max Length: 256
Must Use
9 If either of PER05, PER06 is present, then all must be present. The syntax rule P0506 of Segment PER is violated. Segment PER is defined in the guideline at position 0450.

This error was detected at:
Segment Count: 6
Element Count: 5
Characters: 278 through 280

SNIP Type : 1
Severity : Normal PER*ICTEEM Element: 05


Name: Communication Number Qualifier
ID:
Standard Option: Relational
Type: Identifier
Min Length: 2
Max Length: 2
Used
10 Value of element PER06 is incorrect. Expected value is E-mail address when PER05=‘EM’. Segment PER is defined in the guideline at position 0450.

This error was detected at:
Segment Count: 6
Element Count: 6
Character: 280 through 280

SNIP Type : 2
Severity : Warning PER*ICTEEMM Element: 06


Name: Communication Number
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 1
Max Length: 256
Used
11 If either of PER05, PER06 is present, then all must be present. The syntax rule P0506 of Segment PER is violated. Segment PER is defined in the guideline at position 0450.

This error was detected at:
Segment Count: 6
Element Count: 6
Characters: 280 through 280

SNIP Type : 1
Severity : Normal PER*ICTEEMM Element: 06


Name: Communication Number
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 1
Max Length: 256
Used
12 PRV segment is missing. Billing Provider Taxonomy is required for NCTracks

SNIP Type : 7
Severity : Normal HL1**201M Name: Billing Provider Specialty Information
13 Value of element NM108 is incorrect. Expected value is ‘XX’ for covered providers when National Provider ID is mandated for use. Segment NM1 is defined in the guideline at position 0150.

This error was detected at:
Segment Count: 9
Element Count: 8
Character: 358 through 358

SNIP Type : 4
Severity : Warning NM1852*YOUR CLINIC NAME HEREM Element: 08


Name: Identification Code Qualifier
ID:
Standard Option: Relational
Type: Identifier
Min Length: 1
Max Length: 2
Used
14 Unrecognized data was found in the data file as part of Loop 2010AA. The last known Segment was NM1 at guideline position 0150.

This error was detected at:
Segment Count: 10
Characters: 359 through 361

SNIP Type : 1
Severity : Normal N3 Name: Billing Provider Name
15 Unrecognized data was found in the data file as part of Loop 2010AA. The last known Segment was NM1 at guideline position 0150.

This error was detected at:
Segment Count: 11
Characters: 362 through 364

SNIP Type : 1
Severity : Normal N4 Name: Billing Provider Name
16 Segment N3 (Billing Provider Address) at guideline position 0250 is missing. This Segment’s user option is ‘Must Use’.

This Segment was expected after:
Segment Count: 11
Character: 364

SNIP Type : 2
Severity : Normal N4M Name: Billing Provider Address
17 Segment N4 (Billing Provider City, State, ZIP Code) at guideline position 0300 is missing. This Segment’s user option is ‘Must Use’.

This Segment was expected after:
Segment Count: 11
Character: 364

SNIP Type : 2
Severity : Normal N4M Name: Billing Provider City, State, ZIP Code
18 Segment REF (Billing Provider Tax Identification) at guideline position 0350 is missing. This Segment’s user option is ‘Must Use’.

This Segment was expected after:
Segment Count: 11
Character: 364

SNIP Type : 2
Severity : Normal N4M Name: Billing Provider Tax Identification
19 Unrecognized data was found in the data file as part of Loop 2000B. The last known Segment was HL at guideline position 0010.

This error was detected at:
Segment Count: 13
Characters: 377 through 380

SNIP Type : 1
Severity : Normal SBR Name: Subscriber Hierarchical Level
20 Segment SBR (Subscriber Information) at guideline position 0050 is missing. This Segment’s user option is ‘Must Use’.

This Segment was expected after:
Segment Count: 13
Character: 380

SNIP Type : 2
Severity : Normal SBRM Name: Subscriber Information
21 Element NM103 (Name Last or Organization Name) is missing. This Element’s user option is ‘Must Use’. Segment NM1 is defined in the guideline at position 0150.

This Element was expected in:
Segment Count: 14
Element Count: 3
Character: 390

SNIP Type : 2
Severity : Normal NM1IL1M***MI Element: 03


Name: Name Last or Organization Name
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 1
Max Length: 60
Must Use
22 Element NM104 is missing. It is recommended to be used when Subscriber is a person (NM102=‘1’). Segment NM1 is defined in the guideline at position 0150.

This element was expected in:
Segment Count: 14
Character: 391

SNIP Type : 2
Severity : Warning NM1IL1M*MI Element: 04


Name: Name First
ID:
Standard Option: Optional
Type: Alphanumeric
Min Length: 1
Max Length: 35
Used
23 Element NM108 is missing. It is required when NM102 is ‘1’. Segment NM1 is defined in the guideline at position 0150.

This element was expected in:
Segment Count: 14
Character: 396

SNIP Type : 2
Severity : Normal NM1IL1*****MIM Element: 08


Name: Identification Code Qualifier
ID:
Standard Option: Relational
Type: Identifier
Min Length: 1
Max Length: 2
Used
24 Element NM109 is missing. It is required when NM102 is ‘1’. Segment NM1 is defined in the guideline at position 0150.

This element was expected in:
Segment Count: 14
Character: 396

SNIP Type : 2
Severity : Normal NM1IL1*****MIM Element: 09


Name: Identification Code
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 2
Max Length: 80
Used
25 Element NM103 (Name Last or Organization Name) is missing. This Element’s user option is ‘Must Use’. Segment NM1 is defined in the guideline at position 0150.

This Element was expected in:
Segment Count: 15
Element Count: 3
Character: 406

SNIP Type : 2
Severity : Normal NM1PR2*M*****PI Element: 03


Name: Name Last or Organization Name
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 1
Max Length: 60
Must Use
26 If either of NM108, NM109 is present, then all must be present. The syntax rule P0809 of Segment NM1 is violated. Segment NM1 is defined in the guideline at position 0150.

This error was detected at:
Segment Count: 15
Element Count: 8
Characters: 411 through 413

SNIP Type : 1
Severity : Normal NM1PR2******PI Element: 08


Name: Identification Code Qualifier
ID:
Standard Option: Relational
Type: Identifier
Min Length: 1
Max Length: 2
Must Use
27 Element NM109 (Identification Code) is missing. This Element’s user option is ‘Must Use’. Segment NM1 is defined in the guideline at position 0150.

This Element was expected in:
Segment Count: 15
Element Count: 9
Character: 413

SNIP Type : 2
Severity : Normal NM1PR2******PIM Element: 09


Name: Identification Code
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 2
Max Length: 80
Must Use
28 If either of NM108, NM109 is present, then all must be present. The syntax rule P0809 of Segment NM1 is violated. Segment NM1 is defined in the guideline at position 0150.

This error was detected at:
Segment Count: 15
Element Count: 9
Characters: 413 through 413

SNIP Type : 1
Severity : Normal NM1PR2******PIM Element: 09


Name: Identification Code
ID:
Standard Option: Relational
Type: Alphanumeric
Min Length: 2
Max Length: 80
Must Use
29 Unrecognized data was found in the data file as part of Loop 2010BB. The last known Segment was NM1 at guideline position 0150.

This error was detected at:
Segment Count: 16
Characters: 414 through 416

SNIP Type : 1
Severity : Normal N3 Name: Payer Name
30 Unrecognized data was found in the data file as part of Loop 2010BB. The last known Segment was NM1 at guideline position 0150.

This error was detected at:
Segment Count: 17
Characters: 417 through 419

SNIP Type : 1
Severity : Normal N4 Name: Payer Name
31 Unrecognized data was found in the data file as part of Loop 2000C. The last known Segment was HL at guideline position 0010.

This error was detected at:
Segment Count: 19
Characters: 432 through 435

SNIP Type : 1
Severity : Normal PAT Name: Patient Hierarchical Level
32 Segment PAT (Patient Information) at guideline position 0070 is missing. This Segment’s user option is ‘Must Use’.

This Segment was expected after:
Segment Count: 19
Character: 435

SNIP Type : 2
Severity : Normal PATM Name: Patient Information
33 Element NM104 is missing. It is recommended to be used when Patient is a person (NM102=‘1’). Segment NM1 is defined in the guideline at position 0150.

This element was expected in:
Segment Count: 20
Character: 452

SNIP Type : 2
Severity : Warning NM1QC1*PATIENTM Element: 04


Name: Name First
ID:
Standard Option: Optional
Type: Alphanumeric
Min Length: 1
Max Length: 35
Used
34 Unrecognized data was found in the data file as part of Loop 2010CA. The last known Segment was NM1 at guideline position 0150.

This error was detected at:
Segment Count: 21
Characters: 453 through 455

SNIP Type : 1
Severity : Normal N3 Name: Patient Name
35 Unrecognized data was found in the data file as part of Loop 2010CA. The last known Segment was NM1 at guideline position 0150.

This error was detected at:
Segment Count: 22
Characters: 456 through 458

SNIP Type : 1
Severity : Normal N4 Name: Patient Name
36 Segment N3 (Patient Address) at guideline position 0250 is missing. This Segment’s user option is ‘Must Use’.

This Segment was expected after:
Segment Count: 22
Character: 458

SNIP Type : 2
Severity : Normal N4M Name: Patient Address
37 Segment N4 (Patient City, State, ZIP Code) at guideline position 0300 is missing. This Segment’s user option is ‘Must Use’.

This Segment was expected after:
Segment Count: 22
Character: 458

SNIP Type : 2
Severity : Normal N4M Name: Patient City, State, ZIP Code
38 Element CLM02 (Monetary Amount) has a data type of ‘Numeric’ ®. Leading zeros are not allowed. Segment CLM is defined in the guideline at position 1300.

This error was detected at:
Segment Count: 24
Element Count: 2
Characters: 485 through 489

SNIP Type : 1
Severity : Normal CLM1-20.0000:B:1YAN*Y Element: 02


Name: Monetary Amount
ID:
Standard Option: Optional
Type: Numeric
Min Length: 1
Max Length: 18
Must Use
39 Value of sub-element CLM05-01 is incorrect. Expected value is from external code list - Place of Service (237). Segment CLM is defined in the guideline at position 1300.

This error was detected at:
Segment Count: 24
Composite Count: 5
Sub-Element Count: 1
Character: 492 through 494

SNIP Type : 5
Severity : Warning CLM1-20.0000:B:1YAN*Y Element: 01


Name: Facility Code Value
ID:
Standard Option: Mandatory
Type: Alphanumeric
Min Length: 1
Max Length: 2
Must Use
40 Value of sub-element HI01-02 cannot be verified because there were no pointers to this code. Segment HI is defined in the guideline at position 2310.

This error was detected at:
Segment Count: 25
Composite Count: 1
Sub-Element Count: 2
Character: 514 through 521

SNIP Type : 4
Severity : Warning HI*ABK:E083219 Element: 02


Name: Industry Code
ID:
Standard Option: Mandatory
Type: Alphanumeric
Min Length: 1
Max Length: 30
Must Use
41 Unrecognized data was found in the data file as part of Loop 2310C. The last known Segment was NM1 at guideline position 2500.

This error was detected at:
Segment Count: 27
Characters: 553 through 555

SNIP Type : 1
Severity : Normal N4 Name: Service Facility Location Name
42 Segment N3 (Service Facility Location Address) at guideline position 2650 is missing. This Segment’s user option is ‘Must Use’.

This Segment was expected after:
Segment Count: 27
Character: 555

SNIP Type : 2
Severity : Normal N4M Name: Service Facility Location Address
43 Segment N4 (Service Facility Location City, State, ZIP Code) at guideline position 2700 is missing. This Segment’s user option is ‘Must Use’.

This Segment was expected after:
Segment Count: 27
Character: 555

SNIP Type : 2
Severity : Normal N4M Name: Service Facility Location City, State, ZIP Code
44 Element SV102 (Monetary Amount) has a data type of ‘Numeric’ ®. Leading zeros are not allowed. Segment SV1 is defined in the guideline at position 3700.

This error was detected at:
Segment Count: 29
Element Count: 2
Characters: 574 through 578

SNIP Type : 1
Severity : Normal SV1HC:992120.00UN1 Element: 02


Name: Monetary Amount
ID:
Standard Option: Optional
Type: Numeric
Min Length: 1
Max Length: 18
Must Use
45 Composite SV107 (Composite Diagnosis Code Pointer) is missing. This Composite’s user option is ‘Must Use’. Segment SV1 is defined in the guideline at position 3700.

This Composite was expected in:
Segment Count: 29
Composite Count: 7
Character: 583

SNIP Type : 2
Severity : Normal


(Stephen Waite) #2

alot of these errors are easily understood, like the last one, there’s no charge $ on the 99212