Claim edit: Invalid facility type code on institutional claims

Stedi now rejects 837I institutional claims that contain an invalid facility type code.

Facility type codes

In an institutional claim, the facility type code tells the payer what kind of facility, such as a hospital or a skilled nursing facility, delivered the care.

Facility type code

The National Uniform Billing Committee (NUBC) maintains an official list of valid facility type codes.

Every valid facility type code consists of two digits. The first digit represents the type of facility. The second digit represents the bill classification. For example, 13 indicates a hospital (first digit of 1) outpatient claim (second digit of 3).

How this edit works

Each digit of the facility type code must be in the range of 1 through 9 (inclusive). Facility type codes containing 0 in any position, such as 09 or 80, aren't valid.

If you submit an institutional claim that contains an invalid facility type code, 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 Facility Type Code. The facility type code (bill type) must be two digits with each between 1 and 9. The submitted value, 09, is not a valid code. 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>228*[DATE]*U*[AMOUNT]********Invalid Facility Type Code. The facility type code (bill type) must be two digits with each between 1 and 9. The submitted value, 09, is not a valid code. Correct and resubmit.~

Related claim edits

Stedi has another edit for invalid place of service codes on professional and dental claims. See Claim edit: Invalid place of service code.