New validation error messages

New validation error messages have been added to the system. This will ensure that these errors are corrected before saving/sending claims. Hence, preventing claim rejections as soon as possible.

All these validations will occur from the following locations:

  • Send/Save claim from “New/Edit Encounter”
  • Send/Save claim in Manage Claims within “New/Edit Encounter”
  • Send/Save claim from the “Encounters” “unbilled” queue.
The service date cannot be in the future.

A validation error saying "The service date cannot be in the future." occurs if a claim is sent/saved with a service date that is in the future.

mceclip2.png

The first character of the patient's first name must be A-Z.

A validation error occurs saying "The first character of the patient's first name must be A-Z." if the first character of the patient's first name is not an alphabet.

mceclip4.png

The first character of the patient's last name must be A-Z.

A validation error occurs saying "The first character of the patient's last name must be A-Z." if the first character of the patient's last name is not an alphabet.

mceclip5.png

The patient's date of birth cannot be after the service date.

A validation error occurs saying "The patient's date of birth cannot be after the service date." if the patient's date of birth is after the service date. In this example, the patient's date of birth was set to 01/01/2021

mceclip2.png

mceclip1.png

The payer ID must be exactly 5 characters.

A validation error occurs saying "The payer ID must be exactly 5 characters." if the payer ID for the selected payer is less than or greater than 5 characters. In this example, the payer ID was set to 123.

mceclip0.png

The payer ID must be exactly 5 characters while creating the payer.

A validation error occurs saying "The payer ID must be exactly 5 characters." if the payer ID for the payer being created is less than or greater than 5 characters. In this example, the payer ID was set to 12345678.

mceclip1.png

The payer ID you entered for paper claim submission is invalid while creating the payer.

A validation error occurs saying "The payer ID you entered for paper claim submission is invalid. Please select one of the following payer IDs to generate a printed claim automatically:

  • CMS1500 - SPRNT

  • UB04 - HPRNT

  • ADA - 06126

Note: Auto-generated printed claims are $.40/claim. Alternatively, you can choose to print these claims manually at no cost by selecting "Print" as the claim filing method." if Print/Paper is entered as one of the payer ID's while saving the payer.

mceclip0.png

The payer ID you entered for paper claim submission is invalid.

A validation error occurs saying "The payer ID you entered for paper claim submission is invalid. Please select one of the following payer IDs to generate a printed claim automatically:

  • CMS1500 - SPRNT

  • UB04 - HPRNT

  • ADA - 06126

Note: Auto-generated printed claims are $.40/claim. Alternatively, you can choose to print these claims manually at no cost by selecting "Print" as the claim filing method." when a claim is sent or saved and the payer ID is either PAPER or PRINT.

mceclip0.png

Here, the payer ID was entered as PRINT.

mceclip3.png

The zip code must be exactly 5 digits while saving a patient.

A validation error message saying "The zip code must be exactly 5 digits." occurs if the zip code is not exactly 5 digits while saving a patient.

This has been implemented in Billing and Scheduler.

mceclip2.png

The zip code extension must be exactly 4 digits when a value is present while saving a patient.

A validation error message saying "The zip code extension must be exactly 4 digits when a value is present" occurs if the zip code extension is present and it's not exactly 4 digits while saving a patient.

This has been implemented in Billing and Scheduler.

mceclip1.png

The patient's zip code can only contain numbers while sending/saving a claim.

A validation error occurs saying "The zip code can only contain numbers" if a claim is saved or sent for a patient whose zip code contains a character other than a number. 

mceclip3.png

The patient's zip code must be exactly 5 digits while sending/saving a claim.

A validation error message saying "The zip code must be exactly 5 digits." occurs if the zip code is not exactly 5 digits in sent/saved claim. 

mceclip4.png

The patient's zip code extension must be exactly 4 digits when a value is present while sending/saving a claim.

A validation error message saying "The zip code extension must be exactly 4 digits when a value is present" occurs if the zip code extension is present and it's not exactly 4 digits in a sent/saved claim. 

mceclip5.png

Missing required fields for patient address - Send/Save claim

A validation error message saying

"The following required fields are missing:

  • Address 1
  • Zip
  • Patient city
  • Patient state”

occurs if any of the above fields are missing from the patient profile in a sent/saved claim. The error message will reflect only the missing fields. 

mceclip0.png

mceclip6.png 

The zipcode must be exactly 5 digits while saving a payer.

A validation error message saying "The zipcode must be exactly 5 digits." occurs if the zip code is not exactly 5 digits while saving a payer. mceclip0.png

 

The zip code extension must be exactly 4 digits when a value is present while saving a payer.

A validation error message saying "The zip code extension must be exactly 4 digits when a value is present" occurs if the zip code extension is present and it's not exactly 4 digits while saving a payer.

mceclip0.png

 

The payer's zip code can only contain numbers - Send/Save claim

A validation error message saying "The payer zip code can only contain numbers." will occur if the payer's zip code in the claim is saved or sent contains a character other than a number."

mceclip4.png

mceclip5.png

 

The payer's zip code must be exactly 5 digits - Send/Save claim

A validation error message saying "The payer zipcode must be exactly 5 digits." occurs if the payer's zip code in the claim saved or sent is not exactly 5 digits.

mceclip6.png

The payer's zip code extension must be exactly 4 digits when a value is present - Send/Save claim

A validation error message saying "The payer zip code extension must be exactly 4 digits when a value is present" occurs if the payer's zip code extension in the claim sent/saved is not exactly 4 digits when a value is present.

mceclip1.png

Missing required fields for payer address while saving a payer in the system.

A validation error message saying

"The following required fields for payer are missing:

  • Address 1
  • Zip
  • Payer City
  • Payer State”

occurs if any of the above fields have a value and the other address field values are missing while saving a payer. The error message will reflect only the missing fields.

mceclip3.png

Missing required fields for payer address - Send/Save claim.

A validation error message saying

"The following required fields for payer are missing:

  • Address 1
  • Zip
  • City
  • State”

occurs if any of the above fields have a value and the other address field values are missing from the payer screen while a claim is sent/saved. The error message will reflect only the missing fields.

mceclip2.png

mceclip1.png

Invalid referring provider NPI - Send/Save claim

A validation error message saying "The referring provider NPI is invalid." occurs if the referring provider NPI doesn't meet the following criteria when a claim is sent/saved:

  • It should be exactly 10 digits

  • The first digit should be a "1" or a "2"

  • It should only contain numbers

  • The last digit should be a check digit."

If the referring provider selected for the line item doesn't meet the above criteria, a validation error message saying "The line item referring provider NPI is invalid." occurs. 

mceclip1.png

mceclip2.png

Note: The National Provider Identifier (NPI) check digit is calculated using the ISO standard Luhn algorithm. The Luhn algorithm was designed to avoid accidental keying errors. 

Invalid rendering provider NPI when saving the NPI.

A new validation error message saying "The individual NPI is invalid." occurs if the rendering provider individual NPI doesn't meet the following criteria when saving the NPI in the rendering provider profile:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

mceclip0.png

A new validation error message saying "The group NPI is invalid." occurs if the rendering provider group NPI doesn't meet the following criteria when saving the NPI in the rendering provider profile:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

mceclip1.png

A new validation error message saying "The secondary identifier NPI for ______ is invalid." occurs if the secondary identifier  NPI doesn't meet the following criteria when saving the NPI in the rendering provider profile:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

____ indicates the payer’s name.

mceclip2.png

Note: The National Provider Identifier (NPI) check digit is calculated using the ISO standard Luhn algorithm. The Luhn algorithm was designed to avoid accidental keying errors. 

Invalid rendering provider NPI - Send/Save claim

A new validation error message saying "The rendering provider NPI for ____ is invalid." occurs if the rendering provider NPI doesn't meet the following criteria when a claim is sent/saved:

  • It should be exactly 10 digits

  • The first digit should be a "1" or a "2"

  • It should only contain numbers

  • The last digit should be a check digit."

__ indicates the rendering provider's name. 

mceclip3.png

Note: The National Provider Identifier (NPI) check digit is calculated using the ISO standard Luhn algorithm. The Luhn algorithm was designed to avoid accidental keying errors. 

Prevent Invalid Billing Provider NPI

A new validation error message saying "The secondary identifier NPI for the billing provider is invalid." occurs if the secondary identifier NPI for the billing provider doesn't meet the following criteria when sending/saving the claim:

  • It should be exactly 10 digits.
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.
Prevent Invalid Billing Provider NPI

A new validation error message saying "The secondary identifier NPI for the billing provider is invalid." occurs if the secondary identifier NPI for the billing provider doesn't meet the following criteria when sending/saving the claim:

  • It should be exactly 10 digits.
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

mceclip0.png

Prevent Invalid Supervising Provider NPI

A new validation error message saying "The supervising provider NPI is invalid." occurs if the supervising provider NPI doesn't meet the following criteria when sending/saving the claim:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

mceclip1.png

Prevent Invalid Attending Provider NPI

A new validation error message saying "The attending provider NPI is invalid." occurs if the attending provider NPI doesn't meet the following criteria when sending/saving the claim:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

mceclip2.png

Prevent Invalid Service Facility NPI - Send/Save claim

A new validation error message saying "The service facility location NPI is invalid. " occurs if the service facility location NPI doesn't meet the following criteria when a claim is sent/saved:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

mceclip3.png

Prevent Invalid Service Facility NPI 

A new validation error message saying "The secondary identifier NPI for ___ is invalid." occurs if the secondary identifier NPI for the service facility location doesn't meet the following criteria when saving the NPI:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

__ indicates the name of the service facility location.

 

A new validation error message saying "The service facility location NPI is invalid. " occurs if the service facility location NPI doesn't meet the following criteria when saving the NPI:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

mceclip4.png

Prevent Invalid Provider NPI for Additional Providers - Saving NPI

The group or individual NPI of additional providers should meet the following criteria while saving the NPI in the system:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

If the group/individual NPI doesn't meet the above requirements, a validation error message saying "The individual NPI is invalid." or "The group NPI is invalid." occurs.

mceclip5.png

mceclip6.png

The billing provider secondary identifier NPI and additional provider secondary identifier NPI should meet the following criteria:

  • It should be exactly 10 digits
  • The first digit should be a "1" or a "2"
  • It should only contain numbers
  • The last digit should be a check digit.

If the NPI doesn't meet the above criteria, the following validation errors occur:

  • The billing provider secondary identifier NPI for ______ is invalid.
  • The secondary identifier NPI for ______ is invalid.
    ___ indicates the provider name. It should be in the formal Firstname Lastname.

mceclip7.png

mceclip8.png

 

Prevent rejections due to invalid patient sex

A new validation error message saying "Patient sex must be “F” when adding a date for “Last Menstrual Period." occurs if the user sends/saves a claim containing date type as “Last Menstrual Period“ and the patient sex value is “M” or “Unspecified”.

mceclip9.png

 

Prevent rejections due to missing Injury/Accident date

A new validation error message saying "Injury/Accident date is missing from the patient's case. Please navigate to the case dates section of the patient's case to resolve." occurs if a user saves a patient case (new or existing) where employment, abuse, auto accident, or other accident is selected as the patient's related condition and Injury/Accident date field is not present in the case.

A new validation error message saying "Injury/Accident date is missing from the patient's case. Please navigate to the case dates section of the patient's case to resolve." occurs if a user sends/saves a claim in which employment, abuse, auto accident, or other accident is selected as the patient's related condition and Injury/Accident date field is not present in the case.

mceclip10.png

 

Prevent rejections due to incorrect patient address while saving a patient in the system.

A new validation error message saying

"The following required fields for payer are missing:

  • Address 1
  • Zip
  • Payer City
  • Payer State”

occurs if any of the above fields have a value and the other address field values are missing while saving a patient in the system. The error message will reflect only the missing fields.

mceclip0.png

Prevent rejections due to incorrect patient case information.

A new validation error message saying "The group number and policy number must be different." occurs if a case is being saved with the same policy number and group number.

A validation error message saying "The group number and policy number must be different." if a claim is sent with a case that has the same policy number and group number.

mceclip1.png

mceclip0.png 

Prevent rejections due to the billing provider address containing the PO Box information.

A new validation error message saying "This address cannot be for a Post Office box. If a Post Office box is required, please check the box “Use the Pay To Address” and add the Post Office Box accordingly." occurs if the billing provider address contains PO Box information while saving the provider in the system.

A validation error message saying "This address cannot be for a Post Office box. If a Post Office box is required, please check the box “Use the Pay To Address” and add the Post Office Box accordingly." occurs if the billing provider address contains PO Box information when claims are sent or saved.

mceclip2.png

mceclip3.png

 

Prevent rejections due to invalid taxonomy code.

A new validation error message saying "The taxonomy code is invalid “Provider Name”." occurs when the user adds an invalid taxonomy code to a provider in the system (rendering provider or any additional provider).

A validation error message saying "The taxonomy code is invalid for “Provider Name”." occurs when a claim is sent or saved with an invalid taxonomy code.

mceclip0.png

mceclip1.png

G-codes can only go to Medicare payers when a claim is sent/saved.

A validation error called "Payer type should be Medicare when G-codes are present." occurs when one or more G codes are present on the encounter screen, without the payer type being Medicare when a claim is sent or saved.

mceclip2.png

 

Was this article helpful?
0 out of 0 found this helpful