Claim edit: Field values longer than maximum length

Stedi now rejects 837P professional, 837D dental, and 837I institutional claims with a field value that's longer than the maximum length allowed by X12 standards.

How the edit works

X12 standards set a maximum length for every text field in a claim. For example, the field for the subscriber's first name has a maximum length of 35 characters. The field for the billing provider's name has a maximum length of 60.

If a claim contains a field value that's longer than the maximum length of that field, the payer may reject the claim. This edit catches the issue before the claim reaches the payer. It prevents payer rejections, which take longer to resolve and delay payment for the provider.

Rejection errors

If you submit a claim using Stedi's Claim Submission API endpoints and the claim fails the edit, you'll get back an error response in real time. The response includes details in the errors array:

{
  "errors": [
    {
      "code": "33",
      "description": "Invalid string length. A Subscriber First Name (2010BA/NM1-04) cannot exceed 35 characters. The submitted value contains 40 characters. Correct and resubmit.",
      "followupAction": "Please Correct and Resubmit"
    }
  ]
}

If you submit a claim using SFTP and the claim fails the edit, Stedi will reject the claim with a 277CA claim acknowledgment. The acknowledgment will include a related claim status category code, claim status code, and error message:

STC*A7>481*[DATE]*U*[AMOUNT]********Invalid string length. A Subscriber First Name (2010BA/NM1-04) cannot exceed 35 characters. The submitted value contains 40 characters. Correct and resubmit.~