This error occurs when a claim was submitted to a payer that does not use the Family Planning Indicator (or EPSDT). Clinics will need to remove the information in box 24h before submitting the claim.
- From the Edit Claim Information section of the EDI rejection page, click on the affected Date of Service (DOS) under Claim Sessions.
- Under Billing & Coding, remove the code in the EPSDT field.
- Click Save & Done at the bottom of the session.
- To resubmit the claim, click Resubmit Electronically at the top of the EDI rejection page.
Loop 2400, Segment SV111