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OA Rejections

UB - Payer Claim Control Number (RC191)

Rejection

Payer Claim Control Number (REF-F8) is missing/invalid. Required when Claim Frequency Code (CLM05-3) indicates a Resubmission. (RC191)

What happened

The last digit of the type of bill (box 4) is 7 or 8, but the payer's original claim number (box 64) was not sent on the UB04.

Resolution

Need to add the payer's original claim number in box 64 or change the last digit of the type of bill in box 4.