SBR Error Codes

HCDS Clearinghouse Electronic Claims Rejection Errors

 

303 SBR_02-Code 34 not valid for this element. Valid codes: Valid code list is too long to print. Refer to the ANSIX12837P Implementation guide for complete list. Invalid relationship to the subscriber or patient, relationship cannot be �other�

 

303 SBR_05-Code W? not valid for this element. Valid codes: Valid code list is too long to print. Refer to the ANSIX12837P Implementation guide for complete list. If using the � Relationship to Medicare field, in patient coverage then the �Policy Type also needs to be used.

 

304 SBR_09- required element 09(Claim filing Indicator Code) is not present. Source of Payment, under carriers-ESC/Other is missing or blank, Source of payment must be MC=Medicaid, MB=Medicare, BL=Blue Cross, and other insurance can be CI.

 

303 SBR_05-Code�OT� not valid for this element. Valid codes: 12 Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan 13-Medicare Secondary End State Renal Disease Beneficiary in the 12 month coordination period with an employers group health plan 14-Medicare Secondary, No-fault Insurance including Auto is Primary 15-Medicare Secondary Workers Compensation 16-Medicare Secondary Public Health Service 41-Medicare Secondary Black Lung 42-Medicare Secondary Veterans Administration 43-Medciare Secondary Disabled Beneficiary Under age 65 with Large Group Health Plan LGHP 47-Medicare Secondary, Other Liability Insurance is Primary. Patient has coverage checked inactive without an end date or has checked active but has an end date

 

303 SBR_02-Code�12� not valid for this element. Valid codes: valid code list is too long to print. Refer to the ANSI X12 837P implementation guide for complete list. Invalid Relationship code, patient relationship to insured cannot be other, for Medicare must be (18) self. Also check patient coverage relationship code.