aBelow are the most common Claims Errors and suggestions for correcting each type.
 

• Consent not found: This means Billing Consent has not been documented on the member's profile. If you have consent to bill the member's insurance, you can document this on the member's profile under the Consents section. Click +Consent and select Billing Consent. No other fields are required. Return to the Claims page and regenerate the claim to remove the error.
   
• Missing CIN, Missing Insurance, Missing Address or other missing profile information: This means that the member's profile is missing one or more elements required for a claim. After you are able to add that information to the member's profile, return to the Claims page and regenerate the claim to remove the error.
   
• Invalid CIN format:  The CIN or Subscriber ID formats can vary slightly per health plan and need to be in the format they accept. The error message displays the acceptable formats such as 12345678Z.  This means the CIN should contain 8 numbers followed by one capital letter. Often the CIN can be corrected by removing trailing digits that might appear on the member's card but which aren't needed for a claim. 
   
• Cannot create a claim with multiple places of service: This applies when a claim contains more than one activity, which will only happen if entered on the same day.  If the places of service truly were different (One at member's Home, one in your Office, for example) then the solution is to remove one of the activities from the claim by marking it as not billable.  Regenerate the claim without that activity and mark it Ready for Screening. Then go into the member's profile and edit that activity that you just removed from the claim. Mark that as billable and it will now get its own claim.  
   
• No Billable Activities Found: This happens if you've switched insurances for a member or if you've marked an activity not billable. This can be removed by clicking Delete under the Actions column. 
   
• We found billable activities, but under the current configuration, none of their time can be combined to form a single billable unit:  This means the start and end times on the activity indicates it was under the time needed to be billable. If this is an error, you can adjust the start and end times to be accurate. If this is already accurate, you can edit the activity by unchecking the “Mark as billable” option and deleting the claim. 
   
• All services must have at least one diagnosis code: A diagnosis code (Zcode) is required on each claim, but you can have no more than 3. To add a diagnosis code, click into the Claim Details.  From there click into the Activity. Once the Update Activity module is open, click into the Diagnosis Codes field to select the most appropriate Zcode for this member, then click Update Activity. 
   
• Member Zip Code Too Short: Claims require addresses to have a 4 digit zip code extension after the 5 digit zip code. Pear Suite's system automatically appends the 4 digit extension if the rest of the address is valid. If you get this error message, please edit the member's profile by adding a valid address or add the 4 digit extension to their zip code.