Duplicate Procedures Not Allowed in 837 Institutional Claims Transactions, TR 39743

February 11, 2014

Institutional claims submitted with duplicate procedures in the electronic 837I transaction has caused claims to be rejected in error. Claims rejected for this reason are returned to providers on their Business Rejection Reports (BRR). The following is an example of a duplicate procedure code rejection:

Value of sub-element HI01-02 has been already used. Procedure Codes are expected to be unique within claim. Segment HI is defined in the guideline at position 2310.

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