Rejection: Missing or Invalid Information

Rejection: Missing or Invalid Information

Missing or Invalid Information Rejections

Because these Rejection messages are from the Payer, Support may be are unable to discern the reason for a rejection. It is recommended that you reach out to the Payer for more information.


Rejection for NDC

PE- MISSING OR INVALID INFORMATION. USAGE- AT LEAST ONE OTHER STATUS CODE IS REQUIRED TO IDENTIFY THE MISSING OR INVALID INFORMATION. P4999NDCDN SMARTEDIT (NDCDN) PROCEDURE J1100 MUST BE BILLED WITH VALID NDC DATA. REQUIRED ELEMENTS ARE THE VALID (11 DIGIT) NDC NUMBER WITHOUT SPACES OR HYPHENS, THE UNIT OF MEASURE, AND UNITS DISPENSED. 
  1. Reason for rejection
    1. The NDC is incorrect. The Clearinghouse drops the hyphens (dashes).
  2. Resolution
    1. Update the J code with the correct NDC and resubmit.

SmartEdit Rejections

PE- MISSING OR INVALID INFORMATION. USAGE- AT LEAST ONE OTHER STATUS CODE IS REQUIRED TO IDENTIFY THE MISSING OR INVALID INFORMATION. P4999INFO SMARTEDIT 

(INFO) FOR SUPPORTING DOCUMENTATION REGARDING THIS EDIT REFER TO UNITEDHEALTHCARE POLICIES FOR THE SMART EDITS POLICY REFERENCE GUIDE AT UHCPROVIDER.COM/SMARTEDITS. IF APPLICABLE, UPDATE YOUR SUBMISSION. P4999NDCDN SMARTEDIT (NDCDN) PROCEDURE J3301 MUST BE BILLED WITH VALID NDC DATA. REQUIRED ELEMENTS ARE THE VALID (11 DIGIT) NDC NUMBER WITHOUT SPACES OR HYPHENS, THE UNIT OF MEASURE, AND UNITS DISPENSED. P4999CSP SMARTEDIT (CSP) [PATTERN 26649] THIS CLAIM HAS BEEN IDENTIFIED AS BEING BILLED WITH A CONSULTATION CODE 99243. 

  1. Reason for rejection
    1. Rejection: SmartEdits - United Healthcare
    2. This displays as a Payer Rejection. This is informational. The payer indicates that one or more line items may be rejected on an ERA/Insurance Remittance.
  2. Resolution 
    1. You can choose to make corrections to the Claim and resubmit, or wait until the payer remits on an ERA or a paper Insurance Remit.


Rejection for Procedure Code

A6
-A7-;Rejected for Invalid Information;Cannot provide further status electronically.;-A7-;Rejected for Invalid Information; Copy of Medicare ID card.;-A7-;Rejected for Invalid Information;Procedure Code Modifier(s) for Service(s) Rendered;-Reference line item control number 107E48677L1; Procedure Code 11721; Total Charges 55-;-A7-;Rejected for Invalid Information; Copy of Medicare ID card.;-Reference line item control number 107E48677L2; Procedure Code 1036F; Total Charges 0-; [PE]

Rejection for NPI

A6
R^^Category- Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. Status- Entity's National Provider Identifier (NPI)^^^ [PE]

  • Reason for rejection

    • NPI does not match the Payer's records.

  • Resolution

    • Verify the NPI with the Payer.

Rejection for Entity not Affiliated 

A6 -A7-;Rejected for Invalid Information;Entity not affiliated. Usage- This code requires use of an Entity Code.;

  • Reason for Rejection

    • Enrollment may need to be completed for Claims to be sent to this Payer.

  • Resolution

    • Verify that enrollment has been done for this Payer and/or you have chosen the correct Payer.


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