Use this article to understand the post-submission validations that may appear after submitting Medical claims in 340B ESP and what they mean for your submission.
Post-submission validations may appear as either Issues or Warnings depending on the applicable manufacturer policy. The same validation may be treated as an Issue for one manufacturer, a Warning for another, or may not apply.
A single claim may also be associated with more than one Issue or Warning. As a result, validation counts may not add up to the total number of processed claims.
List of Medical Submission Issues & Warnings
Validation | What it means |
Claim Expired | Date of service is outside the manufacturer's lookback period. |
Invalid Service Provider ID | The Service Provider ID provided could not be validated for the servicing provider. |
Aberrant Quantity | The quantity submitted for the claim falls outside the expected range for the applicable product. |
Duplicate | Identified as duplicative of a previously submitted claim. |
Duplicate - Submission Type | The claim was identified as a duplicate of a claim previously submitted under another submission type. |
Invalid Unit of Measure | The Unit of Measure provided does not match the expected unit of measure for the submitted product. |
Invalid Rendering Physician ID | The ID provided could not be verified for the rendering physician. |
Missing Rendering Physician ID | No value was provided for this field in the submitted claim |
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