Claim edit: Missing street address

Stedi now rejects 837P professional, 837D dental, and 837I institutional claims that are missing a required street address.

How the edit works

X12 standards require a street address for many claim entities. Some entities, like the billing provider, always require a street address. Others, like the service facility, only need a street address when the entity appears on the claim.

If a required street address is missing, 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.

The edit checks only that the address line is present. It doesn't validate the format or contents.

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 Street Address. When submitting billing provider information, a valid street address must also be provided. 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]********Missing Street Address. When submitting billing provider information, a valid street address must also be provided. Correct and resubmit.~

Related claim edits

Stedi has another edit for addresses that populate line 2 without line 1. See Missing address line 1 when line 2 is present.

This edit only checks that a street address is present, not what it contains. A separate edit rejects PO box addresses for the billing provider. See Invalid billing provider address.