Character Limits for eClaims

You will encounter errors and rejections if you exceed the character limits for electronic claims. Here is a guide help you identify and correct these errors!

Remarks Field (box 35)

  • 400-character limit
  • To see this field, right-click on the claim and select Edit Claim

Tops v9.11.0 and 9.11.1, the Remarks field has an 80 character limit. For initial claims, this leaves 21 characters available after 59-characters are used for detailing the initial fee and monthlies in an initial claim. As of Tops v9.11.2, the character limit has been increased to 400 characters.

Brief Description field

  • 80-character limit
  • To see this field, right-click on the claim and select Edit Claim

Billing Entity Name (box 53)

  • 35-character limit

Pay-to Entity Name (box 48)

  • 35-character limit

Pay-to NPI (box 49)

  • 80-character limit
  • Cannot be fewer than 2 characters

Employer Policy group number (box 16)

  • 30-character limit

Policy Holder's Street Address (box 12)

  • 55-character limit

Patient's Street Address (box 20)

  • 55-character limit

Insurance Company's Address (boxes 3 and 11)

  • 55-character limit
  • If Address Field 2 is present, make sure that the soft-Return (Option-Return) is used to enter text in Address Field 2. Holding the spacebar to force the text to go to Address Field 2 will exceed your character limit.

Insurance Company's Name (boxes 3 and 11)

  • 25-character limit

Policy Holder's First Name (box 12)

  • 25-character limit

Policy Holder's Last Name (box 12)

  • 35-character limit

Policy Holder's Middle Name (box 12)

  • 25-character limit

Policy Holder's Suffix (box 12)

  • 10-character limit

Policy Holder's Identification Code (box 15)

  • 80-character limit
  • Cannot be fewer than 2 characters
Did this answer your question? Thanks for the feedback There was a problem submitting your feedback. Please try again later.