Reason Code 31313

Published 01/11/2018

FISS Narrative
The release of information indicator field contains an invalid value.

  • UB04 the valid values are Y, N, R or blank
  • 837 the valid values are A, I, 'M, N, O or Y

Correction Steps
Please verify billing and if appropriate, correct.

  • Online providers: PF9 to store the claim
  • Other providers: Return to the MAC

Explanation and Suggestion
This locator is identified on the claim with field name "RI" and the UB-04 field locator is 52 A, B, C. The Release of Information Certification Indicator (RI) indicates whether the provider has on file, a signed statement permitting the provider to release data to other organizations in order to adjudicate the claim. The "RI" field locator is a required field on the claim. A "Y" code indicates that the provider has on file a signed statement permitting it to release data to other organizations in order to adjudicate the claim.  

Please ensure this field locator is present and accurate. Correct and re-submit the claim. Notify software vendors if necessary.


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