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BillingWhy ABA Charges Get Held: 14 Reasons and How to Fix Each One

The 14 reasons an ABA charge is held before it reaches a claim — no insurance, no authorization, missing NPI, rate, diagnosis or place of service, too many modifiers, timely filing — and how to fix or release each.
When a signed session can't become a correct claim line, TargetFlo doesn't guess — it holds the charge with a reason. Billing → Charges lists every held charge; fix the data and click Recheck, or release it with a note where that's allowed.
| # | Hold reason | How to fix it |
|---|---|---|
| 1 | No primary insurance on the date of service | Add the client's primary insurance with the right effective dates |
| 2 | No payer ID | Add the payer's electronic ID to the insurance company |
| 3 | No payer rule (missing or inactive) | Set up the payer in Payer rules |
| 4 | No authorization | Record the authorization line for the code and dates |
| 5 | Authorization used up | Request more units or start the reauthorization |
| 6 | Rendering NPI missing | Add the renderer's NPI (when the payer requires it) |
| 7 | Missing rate | Add the contracted rate for the code in Payer rules |
| 8 | Zero units | Check the session's start and end times |
| 9 | Past timely filing | Release with a note if you will still submit, or write it off |
| 10 | Missing diagnosis | Add a primary ICD-10 diagnosis active on the date of service |
| 11 | Missing place of service | Set the payer's place-of-service code for the location type |
| 12 | More than four modifiers | Review credential, authorization and telehealth modifiers |
| 13 | Session not completed on the calendar | Complete the calendar event (its authorization check may have blocked it) |
| 14 | Session voided | Nothing to bill; a sent claim gets a correction |
What fills a charge automatically
Date of service from the calendar; units from actual minutes and the payer's rounding; the authorization line the calendar booked; credential modifiers (HM, HN, HO), authorization modifiers and the telehealth modifier; place of service; the payer's code mapping and rate; and the supervising provider.
Related: ABA claim scrubber checks · From signed note to paid claim · Billing & Claims
- ABA charge capture
- ABA held charges
- ABA billing errors
- how to fix ABA billing holds
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