Claim edit: State and province codes must be two characters

Claims

Stedi now rejects 837P professional, 837D dental, and 837I institutional claims that include a state or province code that is not exactly two characters.

How the edit works

X12 standards require claims to use a 2-character state or province code for any address in the US or Canada:

If a state or province code is not exactly two characters, 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.

Important: X12 standards only require state and province codes for addresses in the US and Canada. Claims that omit a state or province code are unaffected by this edit.

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:

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:

Stedi now rejects 837P professional, 837D dental, and 837I institutional claims that include a state or province code that is not exactly two characters.

How the edit works

X12 standards require claims to use a 2-character state or province code for any address in the US or Canada:

If a state or province code is not exactly two characters, 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.

Important: X12 standards only require state and province codes for addresses in the US and Canada. Claims that omit a state or province code are unaffected by this edit.

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:

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:

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Stedi and the S design mark are registered trademarks of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.

Get updates on what’s new at Stedi

Backed by

Stedi and the S design mark are registered trademarks of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.

Get updates on what’s new at Stedi

Backed by

Stedi and the S design mark are registered trademarks of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.