Claim edit: Missing address line 1 when line 2 is present

Stedi now rejects 837P professional, 837D dental, and 837I institutional claims that include an address with line 2 populated but line 1 missing or blank.

How the edit works

Every address in a healthcare claim can contain two lines:

• Line 1 is the primary street address (e.g. 123 Main St).

• Line 2 is a secondary line such as a suite, apartment, or floor (e.g. Suite 100).

X12 standards require that addresses with a populated line 2 also have a populated line 1. If any address on the claim has line 2 populated but a missing or blank line 1, 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.

The error description names the specific entity whose address failed the check. For example, Billing Provider, Subscriber, or Service Facility.

{
  "errors": [
    {
      "code": "33",
      "description": "Missing Address line. When submitting address lines, line 1 is required when line 2 is present. Submitted Billing Provider address includes a line 2 but missing the line 1 address. Correct and resubmit.",
      "followupAction": "Please Correct and Resubmit"
    }
  ]
}

{
  "errors": [
    {
      "code": "33",
      "description": "Missing Address line. When submitting address lines, line 1 is required when line 2 is present. Submitted Billing Provider address includes a line 2 but missing the line 1 address. Correct and resubmit.",
      "followupAction": "Please Correct and Resubmit"
    }
  ]
}

{
  "errors": [
    {
      "code": "33",
      "description": "Missing Address line. When submitting address lines, line 1 is required when line 2 is present. Submitted Billing Provider address includes a line 2 but missing the line 1 address. 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, entity identifier code, and error message:

STC*A6>503>85*[DATE]*U*[AMOUNT]******A8>732**Missing Address line. When submitting address lines, line 1 is required when line 2 is present. Submitted Billing Provider address includes a line 2 but missing the line 1 address. Correct and resubmit

STC*A6>503>85*[DATE]*U*[AMOUNT]******A8>732**Missing Address line. When submitting address lines, line 1 is required when line 2 is present. Submitted Billing Provider address includes a line 2 but missing the line 1 address. Correct and resubmit

STC*A6>503>85*[DATE]*U*[AMOUNT]******A8>732**Missing Address line. When submitting address lines, line 1 is required when line 2 is present. Submitted Billing Provider address includes a line 2 but missing the line 1 address. Correct and resubmit