Enable 2320-SBR-05 Validation - Registry Setting

Avatar MSO > Claims Processing > HIPAA Health Care Claims > All 837 Inbound

When this registry setting is set to 'Y', the 'Insurance Type Code (2320-SBR-05)' will be evaluated on all claims within any inbound 837 Professional or Institutional file.

If the Insurance Type Code is not found in the PM dictionary Insurance Type Code (File: Payor, Element Number: 499), all services for that claim will be denied and a critical error will be generated. 

Additionally, for any 837 Professional file, Avatar will require a value for SBR-05 if the SBR-09 segment contains a Medicare code ("MA" or "MB") and it is not the Primary Payor. If it is missing, all services for that claim will be denied and a critical error will be generated. 

Selecting 'N' will disable this check.