Which of the following may indicate that a claim submitted to a third-party payer has an error?

A claim submitted to a third-party payer being assigned a status of ‘invalid’ is a clear indication that an error exists. This status usually arises when the claim does not meet the required criteria for processing, which could result from various factors such as incorrect coding, missing information, or discrepancies in the patient data. When a claim is deemed invalid, it cannot be processed for payment until the errors are addressed and the claim is resubmitted.

In contrast, a claim listed as paid reflects successful processing, indicating that the billing and coding were likely correct. If a claim has a pending review status, it means that the payer is still assessing the claim, but this does not necessarily imply an error; it might be due to routine processing or verification. Lastly, a notification of additional information needed signifies that the payer is requesting more details to complete the processing, which could highlight potential issues but doesn’t directly indicate that the claim itself is incorrect at that time. Therefore, the status of ‘invalid’ best signifies a claim error that must be rectified before seeking payment.