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Coding and billing

AD-3-2 A bundled code was needed

Services that should have been billed together, under one code, were billed separately.

What the insurer’s message says: “[NPHIES display text for AD-3-2]”

In our own words, from the NPHIES Codeable Concept list v5.4. Reviewed by [name, role], [date].

GroupCoding and billing
Who usually fixes itBilling
Deadline15 days from the rejection

What it means

For example: A minor procedure is billed with its dressing and its consultation as three separate lines.

The rejection is about the claim as it was sent, not about whether the care was right.

Why it usually happens

  • Parts of one procedure were billed line by line.
  • The contract bundles these services into one price.

How to fix this claim

  1. Replace the separate lines with the bundled code from the contract.
  2. Resend before the deadline.
Mind the deadline. You have 15 days from the rejection to answer it (CHI Unified Health Insurance Contract, clause 5.4). Your contract with the insurer may set a different window, so check it.

How to stop it next time

Load each insurer’s contract price list, including its bundles.

This page explains the common causes. Your insurer’s policy and your contract decide each claim.

Before sending

Nabdah catches this before you send.

Claims are priced from each contract’s price list, so bundles are billed the way the contract sets them.

Book a 30-minute demoChat on WhatsApp
CLM-2026-01067 · Nasser Al-MutairiChecked before sendingHeld
Price matches the contractFix
Patient’s cover activeChecked
NPHIES fields completeChecked
Sample · fix 1, then send

Often seen with

BE-1-6

Claim amounts do not add up

The totals on the claim don’t match its lines: the sum, the patient’s share or the tax.

Billing
AD-2-4

Same service billed twice

The insurer already has a claim for this service, for this patient, on this date.

Billing

All rejection codes