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DI Insurance Pre-Submission Claim Validation

Claims are validated against payer requirements before submission, reducing preventable denials

Updated this week

What's New

As of March 19, 2026, DI Insurance now includes pre-submission claim validation, helping your practice catch and correct claim errors before they're submitted to payers. Claims are checked against payer-specific requirements using a Common Claim Validator, and any missing or incorrect information is flagged upfront — reducing preventable denials and saving your team time.

What's Changing

Previously, DI Insurance claims were submitted without automated pre-submission checks, which meant errors were often caught only after rejection. Going forward, claims will be validated automatically before submission, and any issues will be clearly surfaced in the Unsent Claims tab.

How It Works

Failed Validation Status

If a claim doesn't pass validation, it will appear with a Failed Validation status in the Unsent Claims tab. A tooltip next to each error will tell you exactly what needs to be corrected and where to find it.

Common validation errors and how to resolve them:

Validation Error

How to Fix It

Invalid Tax ID

Verify the Tax ID on the Provider Tab

Invalid Date of Service

Verify the Date of Service on the Procedure Tab

Invalid Patient Date of Birth

Verify the Patient's Date of Birth on the Patient Tab

Missing Patient First / Last Name

Verify the Patient's name on the Patient Tab

Invalid Provider Address / City / State / Zip

Verify the address fields on the Provider Tab

Invalid Carrier Information

Verify the Carrier Name and Address combination

Invalid Treating Provider First / Last Name

Verify the provider's name on the Provider Tab

Invalid NPI

Verify the Treating NPI on the Provider Tab

Invalid Subscriber Date of Birth

Verify the Subscriber's DOB on the Patient Tab

Invalid Subscriber First Name / Last Name / ID

Verify the Subscriber's information on the Patient Tab

Invalid Relationship to Subscriber

Verify the Relationship to Subscriber on the Patient Tab

Invalid CDT/ADA Code

Verify the Procedure Codes on the Procedures Tab

Invalid Oral Cavity Code

Verify the Oral Cavity Code on the Procedures Tab

Remarks or Narrative Required by Carrier

Add Remarks or Narrative on the Attachments Tab

Invalid Number of Surface Codes

Verify the number of Surfaces on the Procedures Tab

Surface Code / Tooth Code Required by Carrier

Add the required code on the Procedures Tab

Invalid Billing Address / City / State / Zip

Verify billing address fields on the Provider Tab

Invalid Billing Provider Name

Verify the Billing Name on the Provider Tab

Invalid Group NPI

Verify the Group NPI on the Provider Tab

Invalid Benefits Assigned

Verify the Assignment of Benefits on the Procedures Tab

Invalid Place of Treatment

Verify the Place of Treatment on the Procedures Tab

Invalid Patient Address / City / State / Zip

Verify the Patient's address on the Patient Tab

Invalid Procedure Fee

Verify the Procedure Fee on the Procedures Tab

Invalid Procedure Date

Verify the Procedure Date on the Procedures Tab

Invalid Provider Specialty Code/Taxonomy

Verify the Provider Specialty Code on the Provider Tab

Invalid Subscriber Address / City / State / Zip

Verify the Subscriber's address on the Patient Tab

CDT/ADA Code Validation Error

Click the EOB icon in the Details column for more information


Unsent Claims Tab

Summary Cards

The Unsent Claims tab displays three summary cards to give you a quick snapshot of your claim queue:

  • All Unsent — The total number of unsent claims, including any that are on hold.

  • Needs Attention — Claims with a Failed Validation status or that are pending review.

  • Ready — Claims that have passed validation and are ready to send.

You can show or hide these cards using the Show/Hide toggle on the Claim Management page.

Action Menu

A three-dot (⋮) menu on each claim row lets you take action directly from the claims grid without navigating away. Available actions include:

  • Send — Submit the claim immediately

  • Add Attachment — Attach supporting documentation

  • Ignore Requirement — Bypass an attachment requirement when applicable

  • Hold / Release — Place a claim on hold or release it for submission

  • Delete — Remove the claim from the queue


Frequently Asked Questions

Why is this changing? DI Insurance is moving to a single, unified validation framework to improve consistency and reduce the manual effort required to catch errors before submission.

How will I know if a claim has an issue? Claims with errors will display a Failed Validation status in the Unsent Claims tab. Hover over the status to see a tooltip describing the specific issue and which tab to navigate to in order to correct it.

Where can I find the full list of validation rules? The complete list is included in this article. Additional rules will be added over time as the validation framework expands.

What if I have more questions? Reach out to your DI support team for additional assistance.

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