Common Claim Processing Errors
An error message will appear with the following format:
Field in error: displays the tab and then the field where the error has occured in the format tabname.fieldname
Message: displays what the problem with the field is.
A list of potential errors when processing a claim are below:
Field in Error
|
Error message
|
What this means
|
referral.provider
|
Checksum didn't match
|
In the Referral tab the Provider Number is not correct
|
referral.date
|
Must be after [patient.dateofbirth] and be before today and be before [item.date]
|
In the Referral tab the referral date field is at a future time. It should be a date between the patients DOB and the date of the appointment. Both of these dates must be before "today's" date.
|
provider.servicing
|
Checksum didn't match
|
In the Provider tab the Practitioners (servicing) Provider Number is not correct
|
patient.medicare.number
|
Medicare Card Number should be 11 characters long.
|
In the Patient tab the Medicare Card Number is missing or incomplete
|
patient.medicare.number
|
Checksum didn't match
|
In the Patient tab the Medicare Card Number is not a valid number
|
patient.medicare.ref
|
Invalid data type. Should be an unsigned integer.
|
In the Patient tab the Medicare Card Reference is missing or incomplete
|
patient.dateOfBirth
|
Expected string containing date (YYYY-MM-DD)
|
In the Patient tab the date of birth field has a problem. Either the date is a future date or it is too far into the past.
|
flags.account paid
|
Required
|
In the Flags tab the Account Paid field is not ticked. This is required before a Patient claim can be processed.
|