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