Missing Information and Required Fields The following information is required from the client when sending a specimen for testing. If this data is not supplied, a missing information report will be sent by fax or email to a designated contact person. The report is generated each Tuesday and will be sent to the designated contact person on a weekly basis until the required information is supplied. We ask that you please return any missing information to the billing fax #1.888.972.1105 prior to the following Tuesday or it will result in the same information being requested on the next week’s report. Note: See example missing information report and error codes included in binder DEFINITION Unknown Payor/Insurance Information If no insurance information was provided with the requisition and self pay is not noted, it will result in a request for the information. **Copy of the insurance card suggested.** MISSING INFO ERROR
Missing Information Report Common Error Codes and Explanation
DESCRIPTION
ERROR CODE
LCNOABN
Patient has a Medicare Advantage/Replacement or Medicare Plan which requires a medically necessary diagnosis code for Qualitative/Quantitative testing. Please see the Common ICD-10 Codes submitted to DRUGSCAN ® attachment for further details. If the patient has a Worker’s Comp or no-fault claim the Date of Injury/Accident is required for the claim to be processed properly. The insurance information provided to DRUGSCAN ® for this date of service is not valid or active. Please provide updated Insurance Information for the patient or mark as self-pay. The specimen was received by DRUGSCAN ® without insurance information provided or additonal information is needed to determine the insurance carrier. Please provide the insurance carrier/member ID number. The patient’s address was not provided on the face sheet. This information is required to submit our claim to the specified insurance/WC/ MVA carrier. The diagnosis code provide is missing digits/ incomplete. This information is required to submit our claim to the specified insurance/WC/ MVA carrier. The diagnosis code provided is invalid. Please check the code and provide a valid diagnosis code. The specimen was received by DRUGSCAN ® without a diagnosis code provided on the requisition form or face sheet. This information is required to submit our claim to the specified insurance/WC/ MVA carrier. The diagnosis code provided is not an ICD-10 acceptable code. Please review the code and provide a valid ICD-10 code. The insurance/WC/MVA member ID number or claim number is invalid or missing. We received the patient’s Worker’s Comp/MVA carrier information but the claim number is missing or invalid.
ONSETDATE
INELIGIBLE
Insurance ID/Subscriber ID
The insurance/subscriber ID of the patient’s insurance. This can be alpha numeric.
UNKPYR
Date of Birth
The date of birth of the patient.
Patient Address
The current address of the patient. Please keep updated for accuracy.
PTADD1
Medicare Patients
Patients that have a Medicare Plan: Provide a valid member ID number and complete spelling of the patient’s name including any suffix(Jr, Sr, III…) as listed on the Medicare card. If the patient has a Medicare replacement plan please provide insurance name & ID number. **Copy of the Insurance Card suggested** Patients that have a Medicaid Plan: Provide a valid member ID number. If the patient has a Medicaid replacement plan please provide insurance name & ID number. **Copy of the Insurance Card suggested** Patients that have a worker comp or no-fault (MVA) claim should provide the complete carrier name, address, phone number, valid claim number & date of injury/date of accident. For Worker’s Compensation claims, date of injury or date of accident for Motor Vehicle accidents is necessary for billing. This code is a classification describing the diagnosis from the physician determining the medical necessity for testing. This should always be to the highest specificity, when applicable. We require the diagnosis code be provided for each date of service, and the report needs to be signed for the code to be valid. Medicare requires a specific diagnosis code for the testing to be deemed as medically necessary. Please see the Medicare Coverage update for the list of covered codes for screens and confirms included in this binder and attached to every missing information report.
DXLVL*
Medicaid Patients
NOVALIDDIAG*
NODIAG*
Work Comp/ No-Fault Claim
DIAGTABLE*
Date of Injury/Date of Accident
SUBID
ICD-10 Diagnosis Code
CLAIM #
LCNOABN
* The signature of the office employee providing any diagnosis code information is required on the report. ** Reports are generated on a weekly basis and requested information will be faxed or emailed directly to the client
For questions call billing customer service at 844.345.1821 or email patient.billing @ DRUGSCAN.com
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