Sub-element SV101-07 is missing error?
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Sub-element SV101-07 is missing error?
RMSG: HIPAA R0x393967e Loop: 2400 Segment: SV1 Element: 1
Sub-element SV101-07 is missing. It is required when procedure code is non-specific (
SV101-02 is 'J3490'). Segment SV1 is defined in the guideline at position 3700.
In medisoft, the CPT code description is "Unclassified Drug"
Medisoft help says:
Unspecified Procedure Descriptions –When billing for a non-specific, not
otherwise classified (NOC), unlisted, unspecified, or unclassified procedure code,
the 5010 TR3 requires that a brief narrative description of the service rendered
must be submitted in Loop 2400 element SV101-07.
Does this mean I need to change the description to the actual drug that is being used? We have been sending the NDC # in an EDI note for years, so, this is a first.
- Gavin Walker
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Re: Sub-element SV101-07 is missing error?
Steps to Populate the 2400 SV101-7 Element for NOC Procedure Codes
NOC (Not Otherwise Classified) procedure codes need to have the 2400 SV101-7 element populated to get the claims accepted at many carriers. Below are instructions of how to populate that element for Medisoft.
Medisoft
- In transaction entry, if the end-user does not have NDC drug information on the service line or on the procedure code, RM will always pull the description directly off the procedure code itself and write it to 2400 SV101-7. This handles all payers and clearinghouses who want to see the procedure description for all non-drug related procedure codes.
In transaction entry, if the end-user does have NDC drug information on the service line or on the procedure code, RM will never pull any description for the procedure code and will leave 2400 SV101-7 empty. This handles all payers and clearinghouses who do not want to see the procedure description for all drug related procedure codes.
In transaction entry, if the end-user does have NDC drug information on the service line or on the procedure code, but are getting the PSV10100:SL PROC DESCRIPTION REQUIRED rejection because RM is not pulling any description for the procedure code, they need to highlight the service line, click the Note button, select EDI: Unclassified procedure description from the drop-down list, and enter a custom description for the procedure/service. RM will always pull a custom description from the Note button regardless of whether they have NDC drug information present or not. This handles all payers and clearinghouses who want to see the procedure description for all unclassified or other procedure codes, even if drug information might be present.
Reason: Cleaned up formatting issues that occurred when we switched to MySQL database
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Re: Sub-element SV101-07 is missing error?
- Gavin Walker
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- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
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Re: Sub-element SV101-07 is missing error?
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Re: Sub-element SV101-07 is missing error?
so, I was able to fix this problem back in December. I appreciate your help. We are note getting any EDI rejects for procedure code J3490. The claims are making it to the insurance company. BTW, we have two different unclassified drugs we administer in the office, so, we do not have an NDC # for J3490 inputted under the procedure/payment/adjustment codes list. we have left this box blank.
A new problem has seemed to surface over the last 8 weeks or so in that the insurance companies are requesting the NDC number 30-45 days later when the paper EOB's come back to our office. It is like they can;t find the information in the electronic claim. We have been putting the NDC and drug info in the transaction entry by clicking ""NOTE - EDI:UNCLASSIFIED PROCEDURE DESCRIPTION - and then inputting the NDC number in the text box". Medicare can see these notes just fine, as well as Aetna, but all other commercial insurance companies seem to not be able to find the NDC. This is causing a lot of paperwork in the office.
we have tried two other ways to send the NDC but the clearing house is rejecting these 2 other ways. In transaction entry, we click on details and enter the NDC info here, and we get this from availity:
Sub-element SV101-07 is missing. It is required when procedure co
de is non-specific (SV101-02 is 'J3490'). Segment SV1 is defined in the guideline at pos
ition 3700.
the other way we tried was clicking EDI notes, line NTE, then ADD and entereing the info here, and we get a slightly different error from availity:
Sub-element
SV101-07 is missing. It is required when procedure code is non-specific (SV101-02 is 'J3
490'). Segment SV1 is defined in the guideline at position 3700.
thanks for any ideas. I have a call into the mega easy people as well.
-S
- Gavin Walker
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- Location: Springfield, MO
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Re: Sub-element SV101-07 is missing error?
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