Claim edit: Missing total claim charge amount
Stedi now rejects 837P professional, 837D dental, and 837I institutional claims that are missing the total claim charge amount.
What is the total claim charge amount?
The total claim charge amount is the full dollar amount billed by the provider for a claim, before adjustments or payments.
The total claim charge amount should equal the sum of the individual service line charges. Payers use it to balance a claim by checking its math.
Total claim charge amount
| Claim type | JSON API field | X12 element |
|---|---|---|
| 837P professional | claimInformation.claimChargeAmount | CLM-02 (Total Claim Charge Amount) of Loop 2300 (Claim Information) |
| 837D dental | claimInformation.claimChargeAmount | CLM-02 (Total Claim Charge Amount) of Loop 2300 (Claim Information) |
| 837I institutional | claimInformation.claimChargeAmount | CLM-02 (Total Claim Charge Amount) of Loop 2300 (Claim Information) |
How the edit works
When the total claim charge amount 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.
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 Claim Charge Amount. The total claim charge is required on all claims. 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>178*[DATE]*U*[AMOUNT]********Missing Claim Charge Amount. The total claim charge is required on all claims. Correct and resubmit.~Related claim edits
Stedi has another edit that validates the total claim charge amount. See Total claim charges must equal line-level charges.