The payer is rejecting based on accident indicators. The general rule when submitting accident claims is that if you have any of the three things listed below on the claim, then you need to report them all.
- An accident indicator (e.g. employment, auto, or other).
- An accident date
- An accident related diagnosis code.
The first place you will want to check in Therabill is the Advanced tab on the edit client form. If you have an accident indicator selected or if you have an accident date entered, make sure they are both present (you have both the accident indicator and the accident date).
If you do not have an accident date or an accident indicator selected, then check the diagnosis code that you have entered to determine if it is considered an accident related diagnosis code. If it is, then you must include the accident indicator and the accident date.