Claim edit: Missing line item charge amount
Stedi now rejects 837P professional, 837D dental, and 837I institutional claims that have a service line missing a charge amount.
How the edit works
In a claim, a service line represents billing for a specific procedure, such as an office visit or X-ray. Each service line must include a line item charge – the amount billed for the related procedure.
Line item charge amount
| Claim type | JSON API field | X12 element |
|---|---|---|
| 837P professional | claimInformation.serviceLines[].professionalService.lineItemChargeAmount | SV1-02 (Line Item Charge Amount) of Loop 2400 (Service Line Number) |
| 837D dental | claimInformation.serviceLines[].dentalService.lineItemChargeAmount | SV3-02 (Line Item Charge Amount) of Loop 2400 (Service Line Number) |
| 837I institutional | claimInformation.serviceLines[].institutionalService.lineItemChargeAmount | SV2-03 (Line Item Charge Amount) of Loop 2400 (Service Line Number) |
Payers add up a claim's line charges to confirm they match the claim's total. They also use each line's charge when determining how much to pay for a specific procedure.
If a service line in a claim is missing its charge amount, 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": "Missing Service-line Charge Amount. Each service line must include a charge amount. Line 1 is missing a charge. 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*A6>583*[DATE]*U*[AMOUNT]********Missing Service-line Charge Amount. Each service line must include a charge amount. Line 1 is missing a charge. Correct and resubmit.~Related claim edits
Stedi has another edit for claims missing the total claim charge amount. See Claim edit: Missing total claim charge amount.