Claim edit: State and province codes must be two characters
Stedi now rejects 837P professional, 837D dental, and 837I institutional claims that include a state or province code that is not exactly two characters.
How the edit works
X12 standards require claims to use a 2-character state or province code for any address in the U.S. or Canada:
-
US addresses must use the USPS two-letter state abbreviation. For example,
FLfor Florida orCAfor California. -
Canadian addresses must use the Canada Post province or territory symbol. For example,
ONfor Ontario orBCfor British Columbia.
If a state or province code is not exactly two characters, 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.
Important: X12 standards only require state and province codes for addresses in the U.S. and Canada. Claims that omit a state or province code are unaffected by this edit.
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:
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: