Claim edit: Missing property and casualty claim number
Stedi now rejects 837P professional claims that include a property and casualty date of first contact without a related claim number.
How the edit works
Property and casualty (P&C) insurance claims cover injuries from accidents or liability events like auto accidents, Workers' Compensation, personal injury, and liability cases. These claims go to a P&C insurer rather than a healthcare payer.
In P&C claims, the date of first contact notes when a healthcare provider first treated the patient for the injury.
Property and casualty date of first contact
| Claim type | JSON API field | X12 element |
|---|---|---|
| 837P professional | claimInformation.claimDateInformation.firstContactDate | DTP (Date - Property and Casualty Date of First Contact) of Loop 2300 (Claim Information) |
The insurer opens an incident file and assigns a related claim number before it can process any billing.
Property and casualty claim number
| Claim type | JSON API field | X12 element |
|---|---|---|
| 837P professional | claimInformation.propertyCasualtyClaimNumber | REF (Property and Casualty Claim Number) of Loop 2010BA (Subscriber Name) |
If a P&C claim includes the date of first contact but not the claim number, the payer may reject the claim.
This edit catches the issue before the claim reaches the payer. It prevents payer rejections, which are slower 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 Property Casualty Claim Number. When the Property and Casualty Date of First Contact is submitted (20260101), the Property and Casualty Claim Number must also be present. 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>629*[DATE]*U*[AMOUNT]********Missing Property Casualty Claim Number. When the Property and Casualty Date of First Contact is submitted (20260101), the Property and Casualty Claim Number must also be present. Correct and resubmit.~