EDI Claim Error - Applied to Ded

EDI Claim Error - Applied to Ded

This EDI Claim Error is happening because of the transaction "Applied to Deductible". You can fix this issue following the steps listed below:

1. Double-click on the EDI claim error bucket
2. Double-click on one of the patient claims
3. Go to the Claim Transaction Detail screen (list paper by claim final tab)
4. Click on the  "Applied to Deductible" transaction 
5. In the box that opens at the bottom, change the transaction to "Patient Responsible"
6. Click the Add to Preview button and if the claim has more than one line repeat 4 and 5
7. Click the Save and Commit button to finalize the change
8. Click the "Go To Claim" button and release the claim as New
    • Related Articles

    • EDI Claim Error - Processing Errors

      Here are the steps to resolve. 1. Pull up claim id# in Claim - General 2. Go to the Claim-Details tab 3. Uncheck any red line items and then recheck, saying OK or yes to any pop-up boxes 4. Release the claim as New
    • EDI Claim Error for Corrected Claim

      If you have received an EDI Claim Error for Original Reference number for your corrected claims please see the information listed below. 1. To send a corrected claim to a payer, the claim must have been previously accepted by the payer and responded ...
    • EDI Claim Error - Processing Errors

      Here are the steps to resolve. 1. Pulled up claim #  2. Go to Claim-Details tab 3. Uncheck line items and then recheck, saying OK or yes to any pop up boxes 4. Release the claim as New.
    • Billing Applet Claim Bucket Definitions

      Introduction A description of each of our claim buckets and the claim types they contain More Information Bucket   Status   Description   For Follow-up                 Statements Not Going   Claims for accounts with statements on hold. Also includes ...
    • EDI Claim Error-Pmts Adj Pt Resp Does Not Balance to Zero

      Reasons that Claims Don’t Balance Error Message Occurs The signs in the transactions (-) may be incorrect Must have patient responsibility lines  Adjustment Codes may not be mapped in the database to a CO 45 or PR code, will need to check with ...