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FIM Rejection Reason Codes

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Created by Lance L on 2010-11-02 12:57:49 Back to Topics

FIM Rejection Reason Codes

For FIM rejections (44,45,46), is the expectation that the reason code should always be 5B or 5C as shown on page 42 of the newest ISPG, or can a FIM rejection utilize "normal" rejection reason codes such as 1A or 1C?
 
If 5B and 5C must be used for FIMs, will this be validated by SIS?
 
If 1A or 1C can be used, can you please explain the rational behind 5B and 5C?
 
Thx
Replied by Alex S on 2010-11-17 18:36:36
The expectation is that Reason Codes 5B or 5C will be mentioned in case of FIM Rejections. This will be validated by SIS.


From:
Posted: Tuesday, November 02, 2010 12:57 PM
Subject: FIM Rejection Reason Codes

For FIM rejections (44,45,46), is the expectation that the reason code should always be 5B or 5C as shown on page 42 of the newest ISPG, or can a FIM rejection utilize "normal" rejection reason codes such as 1A or 1C?
 
If 5B and 5C must be used for FIMs, will this be validated by SIS?
 
If 1A or 1C can be used, can you please explain the rational behind 5B and 5C?
 
Thx
Replied by Konda R (Qantas) on 2011-07-24 19:54:56

Hi

Can I request a further clarification?

Reason Code 5C should only be used where a FIM bilateral agreement applies, and Reason Code 5B requires a full coupon breakdown. We have thought of some scenarios where "standard" rejection reason code 5Z without coupon breakdown on a FIM rejection would be more appropriate than Reason Codes 5B or 5C.

a. Duplicate billing for the FIM
b. Billing against void FIM cpn
c. FIM Billing Carrier has already billed on a coupon by coupon basis

Will rejection Reason Code 5Z on rejection of FIM billing pass IS validation?

Konda/QF


From:
Posted: Wednesday, November 17, 2010 6:36 PM
Subject: FIM Rejection Reason Codes

The expectation is that Reason Codes 5B or 5C will be mentioned in case of FIM Rejections. This will be validated by SIS.


From:
Posted: Tuesday, November 02, 2010 12:57 PM
Subject: FIM Rejection Reason Codes

For FIM rejections (44,45,46), is the expectation that the reason code should always be 5B or 5C as shown on page 42 of the newest ISPG, or can a FIM rejection utilize "normal" rejection reason codes such as 1A or 1C?
 
If 5B and 5C must be used for FIMs, will this be validated by SIS?
 
If 1A or 1C can be used, can you please explain the rational behind 5B and 5C?
 
Thx
Replied by Ashley H on 2011-09-15 14:35:13

Hi Konda,

 

Yes – Rejection Memo for FIM billings with Reason Code 5Z will pass IS Validation.

 

Best regards

 
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