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ET4 - Virtual Care Program B-Code Missing or SLI Code Invalid

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Background:

The “ET4” error code will be issued and the entire claim will be returned to the physician’s/dentist’s error report if:
a) a claim includes the “OTN” Service Location Indicator code but does not include a valid Virtual Care Program B-code; or
b) a claim includes a Virtual Care Program B-code and the Service Location Indicator code is present but is not “OTN”.

Solution:

If the claim is for video visit then the claim should be resubmitted with an applicable Virtual Care Program B-code or SLI code set to “OTN”. If the claim is not for a video visit, then the claim should be resubmitted
without the “OTN” SLI code or a Virtual Care Program B-code.

For the instruction on how to add SLI in the claim, see How to Select The Service Location Indicator (SLI)

 

 

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