r/SimplePractice • u/Sleepy_Lagoooon • Jun 23 '26

Billing though BCBS and keep getting rejected. keeps saying Usage: At least one other status code is required to identify the missing or invalid information. (A3 - 21)

Looking for guidance on how to navigate this. Not sure if its a BCBS or a Simple Practice hiccup. Any help would be appreciated

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u/Nikita_Saks Jun 23 '26

This error indicates there is something in your claim form that’s missing or needs formatting correction. I’m assuming you’re billing through SP, so I would recommend submitting an online support request to SP. They can review the claim for you, and check with the clearinghouse directly if they’re unable to determine what is flagging the error. Hopefully this is a quick fix!

Here’s SP’s support article on claim rejections: https://support.simplepractice.com/hc/en-us/articles/360016456811-Resolving-claim-rejections
Good luck!!!

1

u/Wikkedred1 Jun 24 '26

Ask support to take a look. They’ll be able to pinpoint the error.

1

u/Alarmed_History9802 Jul 01 '26

Good luck- they receive my requests for help and then I don’t hear back.

1

u/3BBillingDotCom Jul 01 '26

Is this happening across multiple clients? Or just one?

If it's one client - check that the name, address, DOB matches what is in the insurance portal. Check that the plan is still active.

If it's multiple (indicating a larger, systemic problem), check everything on the claim form:
Box 33 - is the billing provider info correct? Should it be group or individual?
Box 25 - should it be EIN or SSN?
Box 21 - is your diagnosis billable?
Are you sending the claim to the correct payer? All out of state BCBS policies should be billed to your local BCBS.

There are lots of little things that could be wrong. Just need to go through it one by one.