Introduction
Office Ally is the recommended clearinghouse integrated with OptiMantra. [Note: we also work with ChangeHealthcare and Jopari].
What is a clearinghouse?
It’s a third-party service that acts as an intermediary between healthcare providers and insurance payers. It:
Checks medical claims for errors
Formats claims correctly
Securely transmits claims to insurance companies for processing and payment.
How does Office Ally communicate errors?
Office Ally communicates rejections as error codes. Below is a list of error codes they use to communicate various errors with claim submission.
What is a clearinghouse rejection?
A clearinghouse rejection occurs when a medical claim is not accepted by the clearinghouse due to errors or missing information. This means the claim never reached the insurance payer and must be corrected and resubmitted.
Glossary of Terms
Below are some definitions for terms Office Ally uses within their error codes. If you’d like a full list of insurance billing terms, please visit our Glossary.
CPT (Current Procedural Terminology) Codes: codes are developed by the American Medical Association (AMA) and are used to describe services and procedures provided by healthcare professionals.
Diagnosis/ICD-10 Codes: codes used to classify and identify medical diagnoses, diseases, and health conditions. They provide detailed information about a patient’s diagnosis. Unlike CPT codes, which describe the medical services or procedures performed, ICD-10 codes specify the reason for those services by indicating the patient’s diagnosis.
NDC Code (National Drug Code): a unique 10- or 11-digit number assigned to medications in the United States that identifies the drug’s manufacturer, product, and packaging. In medical billing, NDC codes are used to report and bill for prescription drugs and certain medical products.
Not Otherwise Specified (NOS): In medical billing and coding, this term is used when a diagnosis lacks detailed information or specificity in the medical record. It allows coders to assign an ICD-10 code when the exact condition or subtype is not documented by the provider. NOS codes are often considered less precise and may affect claim processing or reimbursement.
National Provider Identifier (NPI) Number: A unique 10-digit identification number assigned to healthcare providers in the US by the Centers for Medicare & Medicaid Services (CMS). It is used in all administrative and financial transactions under HIPAA, such as billing, claims, and referrals. All covered healthcare providers must have an NPI to be recognized by insurance companies and federal health programs.
Place of Service (POS): a two-digit code used on medical claims to indicate the location where healthcare services were provided, such as a physician’s office, outpatient facility, or patient’s home. The POS code helps payers determine appropriate reimbursement rates and coverage policies based on the setting of care.
Pre-Certification: Also known as prior authorization or prior approval, is the process by which a healthcare provider or patient must obtain approval from the insurance company before a specific treatment, service, or procedure is performed. This step confirms that the service is medically necessary and covered under the patient’s plan. Without pre-certification, the insurance company may deny payment.
Primary Payer: The insurance plan or program that pays first on a healthcare claim when a patient has multiple sources of coverage. The primary payer is responsible for processing the claim and covering costs up to its plan limits before any other insurer contributes.
Rendering Physician: The healthcare provider who directly performs the medical service or procedure for the patient. In medical billing, the rendering physician is identified on the claim as the individual responsible for delivering the care, even if the billing is submitted by a group or facility. Their name and National Provider Identifier (NPI) must be included for accurate claims processing and reimbursement. In some cases, the attending and rendering physician can be the same person, but not always.
Revenue Code (Rev Code): a three- or four-digit code used in institutional billing (e.g., hospitals, skilled nursing facilities) to categorize services, supplies, and accommodations provided to a patient. These codes help insurance companies identify the type of service rendered and the department where it was provided. For instance, Rev Code 0111 represents general medical/surgical services.
Secondary Payer: The insurance plan or program that pays after the primary payer has processed a healthcare claim. The secondary payer may cover some or all the remaining costs not paid by the primary payer, depending on the benefits and coordination rules.
Service Units: the numerical quantity that represents the amount of a healthcare service or procedure provided to a patient. Service units are used on medical claims to indicate how many times a service was performed or the duration/quantity of that service.
Error Codes with Description
Got an Error Code? Check the list below to understand what the error code means - you can then use that to update your claim and resubmit it in OptiMantra for processing.
Make sure you stay on top of code errors using your Claims dashboard - more information on managing your claims here.
| Error Code | Description |
| AT001 | Missing/Invalid Attachment Report Type Code |
| AT002 | Missing/Invalid Attachment Transmission Code |
| AT003 | Missing/Invalid Attachment Control Number |
| CA01 | Claim Accepted |
| DE001 | Area of Cavity invalid (area), Valid Values =00,01,02,09,10,20,30,40,L,R |
| DE100 | Invalid Billing Provider NPI |
| DE101 | Invalid Rendering Provider NPI |
| DE102 | Invalid Referring Provider NPI |
| DE103 | Invalid Primary Care Provider NPI |
| DE104 | Invalid PayTo Provider NPI |
| DE105 | Invalid Billing Provider TaxId |
| DE106 | Invalid Specialty, Taxonomy Code |
| DE110 | Invalid Date of Service |
| DE111 | Invalid Date of Service |
| DE1110 | Date of Service Must be Greater or equal to Patients DOB |
| DE1111 | Date of Service Must be Greater or equal to Patients DOB |
| DE1112 | Date of Service Must be Greater or equal to Patients DOB |
| DE1113 | Date of Service Must be Greater or equal to Patients DOB |
| DE1114 | Date of Service Must be Greater or equal to Patients DOB |
| DE1115 | Date of Service Must be Greater or equal to Patients DOB |
| DE1116 | Date of Service Must be Greater or equal to Patients DOB |
| DE1117 | Date of Service Must be Greater or equal to Patients DOB |
| DE1118 | Date of Service Must be Greater or equal to Patients DOB |
| DE1119 | Date of Service Must be Greater or equal to Patients DOB |
| DE112 | Invalid Date of Service |
| DE1121 | Date of Service Cannot be a Future Date |
| DE1122 | Date of Service Cannot be a Future Date |
| DE1123 | Date of Service Cannot be a Future Date |
| DE1124 | Date of Service Cannot be a Future Date |
| DE1125 | Date of Service Cannot be a Future Date |
| DE1126 | Date of Service Cannot be a Future Date |
| DE1127 | Date of Service Cannot be a Future Date |
| DE1128 | Date of Service Cannot be a Future Date |
| DE1129 | Date of Service Cannot be a Future Date |
| DE113 | Invalid Date of Service |
| DE1130 | Date of Service Cannot be a Future Date |
| DE114 | Invalid Date of Service |
| DE115 | Invalid Date of Service |
| DE1151 | Invalid Place of Service |
| DE1152 | Invalid Place of Service |
| DE1153 | Invalid Place of Service |
| DE1154 | Invalid Place of Service |
| DE1155 | Invalid Place of Service |
| DE1156 | Invalid Place of Service |
| DE1157 | Invalid Place of Service |
| DE1158 | Invalid Place of Service |
| DE1159 | Invalid Place of Service |
| DE116 | Invalid Date of Service |
| DE1160 | Invalid Place of Service |
| DE1161 | Invalid Tooth Surface Code |
| DE1162 | Invalid Tooth Surface Code |
| DE1163 | Invalid Tooth Surface Code |
| DE1164 | Invalid Tooth Surface Code |
| DE1165 | Invalid Tooth Surface Code |
| DE1166 | Invalid Tooth Surface Code |
| DE1167 | Invalid Tooth Surface Code |
| DE1168 | Invalid Tooth Surface Code |
| DE1169 | Invalid Tooth Surface Code |
| DE117 | Invalid Date of Service |
| DE1170 | Invalid Tooth Surface Code |
| DE118 | Invalid Date of Service |
| DE119 | Invalid Date of Service |
| DE140 | Invalid Dental Procedure Code |
| DE141 | Invalid Dental Procedure Code Line 1 |
| DE142 | Invalid Dental Procedure Code Line 2 |
| DE143 | Invalid Dental Procedure Code Line 3 |
| DE144 | Invalid Dental Procedure Code Line 4 |
| DE145 | Invalid Dental Procedure Code Line 5 |
| DE146 | Invalid Dental Procedure Code Line 6 |
| DE147 | Invalid Dental Procedure Code Line 7 |
| DE148 | Invalid Dental Procedure Code Line 8 |
| DE149 | Invalid Dental Procedure Code Line 9 |
| DE150 | Invalid Dental Procedure Code Line 10 |
| DE160 | Invalid Tooth Surface Code |
| DE170 | Invalid Tooth Surface Code |
| DE171 | Facility Code not accepted by this payer |
| DE180 | Date of Accident Required |
| DE190 | Invalid Billing Provider State License |
| DE200 | Invalid Patient Name |
| DE210 | Invalid Subscriber Name |
| DE220 | Billing Provider City,State,Zip Invalid |
| DE221 | Billing Provider Phone Number Required as Secondary Provider Id |
| DE230 | Rendering Provider City,State,Zip Invalid |
| DE240 | Subscriber City,State,Zip Invalid |
| DE250 | Patient City,State,Zip Invalid |
| DE260 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE261 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE262 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE263 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE264 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE265 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE266 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE267 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE268 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE269 | CptCode Term Date Less Then Service Date/Todays Date Predetermination |
| DE300 | LineItems Exceeded Payer Maximum |
| DE301 | Primary Payer Required on Secondary Claim |
| DE302 | Secondary Payer Required on Tertiary Claim |
| DE303 | Invalid or Missing Service line |
| DE304 | Other Payer Information Required |
| DE305 | Tooth Letter Number cannot be blank |
| DE306 | Invalid PayTo TaxId |
| DE307 | Invalid Subscriber Id |
| DE308 | Claim Previously Transmitted |
| DE310 | Secondary Claim: Invalid/Missing Reason Amount |
| DE312 | Secondary Claim: Invalid/Missing Primary Payer Payment Amount |
| DE313 | Secondary Claim: Invalid/Missing Allowed Amount |
| DE315 | Invalid/Missing Prior Authorization (Box 23) |
| DE316 | Payer Not Accepting Institutional (UB) claims |
| DE322 | Other PayerId Missing |
| DE323 | Cannot Submit pre-determination with chargeable claims |
| DE324 | Leave Date Of Service Blank for PreDetermination Claims |
| DE325 | Other Subscriber Id Missing/Invalid |
| DE326 | SubscriberId and Plan-Group Can Not be The Same |
| DE500 | Tertiary Claims Not Supported for this Payer |
| DE501 | Secondary Claims Not Supported for this Payer |
| DE502 | Tooth Status (DN2) exceeded maximum number of repetitions |
| DE503 | Tooth Number Letter Invalid |
| DE504 | Admission Date Required |
| DE505 | Payer with payment info should be Primary and claim should be going to Secondary or Tertiary payer |
| DE506 | Payer does not Accept 2013 CDT codes |
| DE507 | Tertiary Payer Required When there is a Forth Payer |
| DE508 | Payer Specific Edit: Dental Code D8670 must be used in combination with other Dental Codes |
| FE10 | Billing Provider Name Missing/Invalid |
| FE100 | Patients Account Number Missing/Invalid |
| FE101 | Patient Birth Date After Claim Date |
| FE102 | Claim is Health Plan responsibility: UCI Medical Center |
| FE103 | Claim is Health Plan responsibility: CHOC Health Alliance |
| FE104 | Claim is Health Plan responsibility: Family Choice Health Network |
| FE105 | Claim is Health Plan responsibility: Noble Mid-Orange County |
| FE106 | Claim is Health Plan responsibility: AMVI/Prospect |
| FE107 | Claim is Health Plan responsibility: Arta Western |
| FE108 | Claim is Health Plan responsibility: United St Joseph/Mission Network |
| FE109 | Claim is Health Plan responsibility: United Care Medical Network |
| FE11 | Billing Provider Street Address Missing/Invalid |
| FE110 | Claim is Health Plan responsibility: Memorial/Talbert Health Network |
| FE111 | Claim is Health Plan responsibility: Monarch Family HealthCare |
| FE112 | Resubmit claim on the PM160 claim form. |
| FE113 | Resubmit claim to Kaiser on the PM160 claim form. |
| FE114 | Invalid Facility Zip |
| FE115 | Missing / Invalid NDC Code |
| FE116 | Inpatient Services, without admitting diagnosis code |
| FE117 | Rate is required for Room and Board Codes |
| FE118 | Billing Provider Required |
| FE119 | Payer does not accept claims with more than 22 line items |
| FE12 | Billing Provider City Missing/Invalid |
| FE120 | Billing Provider Zip Code Invalid or Doesnt Match State Code |
| FE121 | Patient Zip Code Invalid or Doesnt Match State Code |
| FE122 | Service Facility Zip Code Invalid or Doesnt Match State Code |
| FE123 | Medical Record ID/Number is required by Payer |
| FE124 | Admission Date required for this Type of Bill |
| FE125 | Kaiser North Requires a valid SiteID |
| FE126 | REQUIRED: Insured Group Name (HCFA 11C, UB04 61, 837 2000B SBR04) |
| FE127 | Ambulance transport information is incomplete: Transport Code and Transport Reason Code Required |
| FE128 | Claim corrected OR edited through claim fix interface. |
| FE129 | Revenue code does not exist and is required |
| FE13 | Billing Provider State Missing/Invalid |
| FE130 | Failed for Global - User Requested All Temecula Claims be Failed |
| FE131 | User Requested claim to be rejected |
| FE132 | Payer does not accept claims with more than 6 line items |
| FE133 | Payer does not accept claims with more than 49 line items |
| FE134 | Accident Date Required on Accidents and Workers Comp Claims |
| FE135 | Tax id format is not consistent with SSN |
| FE136 | Maximum number of lineitems exceeded (50 per claim) |
| FE137 | Diagnosis code 5(E) not effective for this DOS |
| FE138 | Diagnosis code 6(F) not effective for this DOS |
| FE139 | Diagnosis code 7(G) not effective for this DOS |
| FE14 | Billing Provider Zip Missing/Invalid |
| FE140 | Diagnosis code 8(H) not effective for this DOS |
| FE141 | Diagnosis code 5(E) is not billable (further specification required) |
| FE142 | Diagnosis code 6(F) is not billable (further specification required) |
| FE143 | Diagnosis code 7(G) is not billable (further specification required) |
| FE144 | Diagnosis code 8(H) is not billable (further specification required) |
| FE145 | Please Bill Mammography Procedure codes to healthplan |
| FE146 | ADOC will not accept claims Prior to 2005 |
| FE147 | Payer Specific Edit: IEHP Requires 9 character alphanumeric, 12 or 14 character numeric Member ID |
| FE148 | HCPCS / Procedure code invalid |
| FE149 | BCBS NV Provider Pin Must be format, 2 alphas + 4 digits ex: NV1234 |
| FE15 | Billing Provider Tax ID Missing/Invalid |
| FE150 | Invalid CPT (Payer Specific: 90782 or G9142) |
| FE151 | Valid Admission Type (Box 14) Is required for all inpatient claims |
| FE152 | Admitting Diagnosis code required for inpatient services |
| FE153 | Line Level Service Date(s) required on Outpatient claims (Box 45 / Loop 2400, DTP*472) |
| FE154 | Payer Specific Edit: Receiver Is Not Accepting Electronic Claims From This Submitter |
| FE155 | Providers have 180 days from DOS to submit |
| FE156 | Outpatient claims require Procedure Code on lineitems |
| FE16 | Billing Provider Tax ID Must be exactly 9 digits |
| FE190 | Date of Onset is greater than the Latest Date of Service |
| FE191 | Date of Onset is prior to Patients Birth Date |
| FE20 | Pay-To Provider Name Missing/Invalid |
| FE201 | Hospitalization from Date Missing/Invalid |
| FE205 | Hospitalization From Date Greater Than Date Of Service |
| FE206 | Emergency Cert. Missing/Invalid |
| FE207 | Employment Indicator Missing/Invalid |
| FE208 | Date of Onset Missing/Invalid |
| FE209 | Billing Provider Telephone Number is required |
| FE210 | Payer Specific Edit: Member ID (1A) must be 9 thru 11 digit number. |
| FE211 | Regence BS WA Assigned Provider IDs must be length 8 or less |
| FE212 | Secondary Claim Information Missing or Invalid (Loop 2430) - Each line must balance; Line Charge Amount (SV102 [HCFA]/SV203 [UB]) = Line sum of Adjustment Amts (CAS) + Line Payer Paid Amt (SVD02) |
| FE213 | Secondary Claims Submission Unsupported for this Payer |
| FE214 | REQUIRED: Insured Group Number (HCFA 11, UB04 62, 837 2000B SBR03) |
| FE215 | Payer Specific Edit: Provider ID Cannot Be Same Value as Tax ID |
| FE216 | Invalid Facility City ST Zip |
| FE217 | Release of Information Code Is Required and Must be Y |
| FE218 | Payer Specific Edit: Rendering Provider Name Required |
| FE219 | Service Dates Spanning 12/01/2009 Must Be Sent On Separate Claims |
| FE220 | Medical Mutual of Ohio Provider Pin Must be 9 or 12 numeric characters |
| FE221 | Invalid Pin / Group Number |
| FE222 | Incomplete Facility Information |
| FE223 | Invalid 2 Character State Code |
| FE224 | Insured Group Policy Number Cannot Equal Insured ID |
| FE225 | Billing Provider/Supplier Missing Address Information |
| FE226 | BSCA Encounter Billing Provider ID Must Begin with IPA0 When NPI is Not Present |
| FE227 | Invalid Symbols or Characters in Box 19 |
| FE228 | Patient City, State, or Zip Invalid |
| FE229 | Child File Id Split into Multiple FileIds |
| FE230 | Error In Processing File Please Re-Submit |
| FE231 | Invalid Revenue Code Must Be Numeric |
| FE232 | Invalid Pri Insured Zip Code |
| FE233 | Payor requires 9 digit, billing provider, zip code. |
| FE234 | Payor requires 9 digit, rendering provider, zip code. |
| FE235 | Payer requires 9 digit facility zip code. |
| FE236 | Payor requires 9 digit, patient address, zip code. |
| FE237 | Failed at Payer |
| FE238 | LineItem Must Have a dollar amount greater than or equal to 0 to be billed |
| FE239 | Claim Amounts Invalid |
| FE240 | Payer Specific Edit: 11 Digit Primary Patient ID Required |
| FE241 | Ambulance transport information is incomplete: Condition Indicator is Missing or Invalid |
| FE300 | Invalid Symbols In Box 9 |
| FE301 | Missing / Invalid MEA Data |
| FE302 | CLIA Number is required for all lab services. |
| FE303 | Diagnosis Codes must be entered in sequence (do not skip Fields) |
| FE304 | Revenue Code and HCPCS blank on claim, at least one of the two is required. |
| FE305 | Value Code Associated Amount ( Missing / Invalid ). |
| FE306 | Invalid characters in Insurance Plan Name (box 11c) |
| FE307 | Per Payer: Exceeds 90 day timely filing limit. Please drop to paper and include proof of timely submission for reconsideration. |
| FE308 | Claim is Health Plan responsibility: Kaiser Permanente |
| FE309 | Claim is Health Plan responsibility: Universal Care |
| FE310 | Per Payer: Exceeds 120 day timely filing limit. Please drop to paper and include proof of timely submission for reconsideration. |
| FE311 | Tufts Health Plan: Insured ID must be all numeric OR begin with A,S,T, or U followed by 9 or 10 numerics |
| FE312 | Coordination of Benefits: Line Adjudication Date (Missing or Invalid). |
| FE313 | Invalid Facility Street Address |
| FE314 | Procedure Code Requires a Valid Date (Boxes 74, 74a-74e) |
| FE315 | Payer Specific Edit: Recipient Does Not Accept Out of State Claims |
| FE316 | Discharge Hour is missing. It is required on all final inpatient claims. |
| FE317 | Date of Service is invalid. Must be Between Statement Date Range |
| FE318 | Invalid Claim Frequency Code |
| FE319 | Maximum allowed value for line item charge is 99,999.99. |
| FE32 | Facility Provider City Missing/Invalid |
| FE320 | Invalid Rendering Entity Type in Rendering Loop (NM1 02) Loop 2310B |
| FE321 | Invalid Entity Type Qualifier in Billing Loop. Loop 2010AA NM102 |
| FE322 | Line Item units must be integer value greater than 0. |
| FE323 | Secondary Claim: Reason Code (Invalid Type / Missing Value). |
| FE324 | Pacificare: Insured ID must not begin with letter P. |
| FE325 | Missing/Invalid Ambulance Miles |
| FE326 | Payer Specific Edit: Primary Patient ID must be 11 Digit Numeric (or 10 Digit AlphaNumeric, Ending in 00) |
| FE327 | Payer Specific Edit: Admission Date must match Statement Date when Bill Type Code Ends in 1 or 2. |
| FE328 | Payer Specific Edit: Member ID (1A) must not be length 9 numeric (SSN). |
| FE329 | Payer Specific Edit: Member ID (1A) must not be less than length 9. |
| FE330 | Payer Specific Edit: Member ID must begin with 954 or 100. |
| FE331 | Blue Shield of CA is not responsible for Institutional FEP claims. Please submit to Blue Cross of CA (BC001). |
| FE332 | Payer Specific Edit: Caremore Member, Please Bill Caremore |
| FE333 | Payer Specific Edit: Rendering Tax ID must match the Billing Tax ID. |
| FE334 | Auto Accident State (Invalid Type / Missing Value) |
| FE335 | Ambulance transport information is incomplete: Purpose Description Required When Transport Code is X (Round Trip) |
| FE336 | Clinical Resource Group: Insured ID must be all 8 digit numeric OR begin with G followed by 8 numeric and 01 suffix. |
| FE337 | CCIH: Insured ID must be 6 characters in length, starting with a letter and ending in 4 numbers. |
| FE338 | Missing/Invalid Other Insured Name (HCFA box 9, UB box 58) |
| FE339 | Missing/Invalid lineitem note segment |
| FE340 | Lakeside is no longer handling Medi-cal claims - For claims with DOS 8-1-2010 and forward, please send to Medpoint Management. |
| FE341 | Payer Specific Edit: Member ID must be all numeric, length 8 through 12 |
| FE342 | Payer Specific Edit: Member ID must be length 9, 12, 13, or 14. |
| FE343 | Payer Specific Edit: Member ID must be length 7 or 9. |
| FE344 | Payer Specific Edit: Rendering ID must be length 7. |
| FE345 | Invalid Payer Zip. |
| FE346 | POA Indicator Is Required When Bill Type Matches 011X |
| FE347 | Invalid Patient ID: Must be at least two characters |
| FE348 | Patient / Subscriber DOB Invalid - Future Dates Not Accepted |
| FE349 | Ambulance transport information is incomplete: Transport Reason Code Is Invalid |
| FE350 | The Amount Paid (2430/SVD-02) should not exceed the Amount Approved (2400/AMT-01=AAE). |
| FE351 | Attending Phys Taxid Invalid |
| FE352 | Operating Phys Taxid Invalid |
| FE353 | Principal HCPCS / Procedure code invalid |
| FE353 | Other HCPCS / Procedure code invalid |
| FE354 | Billing provider requires a Physical Address (PO,Lockbox,File,Dept Invalid) |
| FE355 | Payer edits require the Billing and PayTo provider to be the same entity, containing either the same NPI and/or TaxID |
| FE356 | Payer Specific Edit: Member ID must begin with letter M followed by 9 numeric. |
| FE357 | Subscriber Zip Invalid For State |
| FE358 | Patient Zip Invalid For State |
| FE359 | CCIH: Patient address invalid, address should be from Institutional Abbreviations list. |
| FE360 | CCIH: Patient Account Number must be 13 characters or less per CorrectCare. |
| FE361 | Patient / subscriber dob invalid |
| FE362 | Other Subscriber zip or State invalid |
| FE363 | Payer zip or State invalid |
| FE364 | Payer Requires PO Box In address |
| FE365 | Service Dates Spanning 01/01/2012 Must Be Sent On Separate Claims. |
| FE366 | Adjustment Amount (CAS03,06,09,12,15,18) - Cannot be zero dollars. |
| FE367 | Line Item Sequence Number Is Invalid - Must Begin With 1 and Increment By 1 For Each New LX |
| FE368 | Payer Specific Edit: Member ID (1A) must be 9 or 10 digit number. |
| FE369 | Payer Specific Edit: Rendering(837P) / Attending(837I) Provider Taxonomy Code Required. |
| FE370 | Ambulance Dropoff Invalid AMBD;Name;Addr1;Addr2;City;State;Zip |
| FE371 | Ambulance PickUp Location Invalid AMBP;Name;Addr1;Addr2;City;State;Zip |
| FE372 | Admission Type Code (2300 CL101) is Required for Inpatient Services. |
| FE373 | Drug Quantity Qualifier (ME) is only valid for ANSI 5010 Payers. Current Payer is not 5010. |
| FE374 | Invalid Drug Quantity Code Qualifier (CTP05-01), must be F2,GR,ME,ML or UN |
| FE375 | Claim Line Level Cas Group Code Invalid Type or Missing Value |
| FE376 | Billing provider requires a Physical Address starting with a number |
| FE377 | Subscriber City Missing/Invalid Length |
| FE378 | Payer Specific Edit: Ambulance Pick-up Location is required on ambulance claims. |
| FE379 | Payer Specific Edit: Ambulance Drop-off Location is required on ambulance claims. |
| FE380 | Invalid Revenue Code |
| FE381 | PayTo Address is Incomplete. When Street Address or City or State or Zip is Present then ALL are Required. |
| FE382 | Claim should not have both Admitting Diagnosis and Reason for Visit Diagnosis |
| FE383 | Claim can have only one Principle Diagnosis Code |
| FE384 | LineItem CAS Invalid |
| FE385 | Line Service Dates cannot be in the future |
| FE388 | Statement Dates cannot be in the Future |
| FE389 | Type of Bill, Facility code or Claim Frequency missing |
| FE390 | Mammography Certification Number is required for mammogram services. |
| FE391 | Occurrence codes (HI) date is missing |
| FE392 | Payer edit - repeated CPT code on the same day on different lines must be coded with a procedure modifer |
| FE393 | Claim Frequency missing or incorrect value |
| FE395 | Description required when submitting a non-specific procedure code. |
| FE396 | National Correct Coding Initiative, CPT cannot be rendered on the same day as similair CPT without a modifier |
| FE397 | Payer Specific Edit: Initial Treatment Date cannot be sent on the claim and line level. |
| FE398 | Coordination of Benefits: Remittance Date (Missing or Invalid). |
| FE400 | Payer Specific Edit: Statement dates spanning different years must be sent on separate claims. |
| FE401 | National Correct Coding Initiative, CPT cannot be rendered on the same day as similair CPT |
| FE402 | The Line Item Control Number must be unique within a claim. |
| FE403 | CPT 99213 thru 99215 and 99203 thru 99205 cannot be used with modifier 50 |
| FE404 | Attending provider must be a person, firstname is required |
| FE405 | Invalid Clia Number |
| FE406 | Payer Specific Edit: Payer does not accept claims for DOS before 7/1/2012 – Submit to previous payer. |
| FE407 | Payer Specific Edit: Member ID must be 9 or 11 digits |
| FE408 | Payer Specific Edit: LTC claims must have a type of bill = 21x,22x,25x,26x,27x, or 28x |
| FE409 | Payer Specific Edit: Payer cannot be Primary if other payers listed, must be payer of last resort |
| FE410 | Payer Specific Edit: Billing provider or Facility zipcode cannot be padded with 0000 |
| FE411 | Facility requires a Physical Address (PO,Lockbox,File,Dept Invalid) |
| FE412 | Other payer name missing |
| FE413 | Payer Specific Edit: Total claim amount must be greater than $0.00 |
| FE414 | Payer Specific Edit: If Medicare is the Primary Payer and paid $0.00, then bill a Primary claim with Medi-cal as the Primary and do not list Medicare on the claim. |
| FE415 | Payer Specific Edit: The EPSDT Indicator (Loop 2400, SV111) is only required when applicable for Medicaid claims, otherwise, do not send.. |
| FE416 | Box 44 should not contain both HCPCS and Rate, it should only contain one or the other |
| FE417 | Payer Specific Edit: Claim cannot contain different place of service codes. |
| FE418 | Payer Specific Edit: Medi-cal should not be billed first when patient has Medicare. Bill Medicare first. If Medicare paid $0, then bill a Primary claim with Medi-cal as Primary, do not list Medicare. |
| FE419 | Payer Specific Edit: Box 13, INSURED OR AUTHORIZED PERSON SIGNATURE (CLM08), cannot be N, W, or blank |
| FE420 | Adjustment Group Code Invalid (CAS01,04,07,10,13,16). Valid Values are: CO, CR, OA, PI, PR |
| FE421 | Payer specific edit: NTE segment must contain LLEEHHxxxxxPO where LL=Language (50-79), EE=Ethnicity (01-08),HH – Homeless code (NH,HS,HO,OT,HU,UN),xxxxx – PPPPP or HWLAP or SB474 or SBHWP |
| FE422 | Payer specific edit: Facilty Address cannot contain the word BOX or PO BOX |
| FE423 | Claim Level Cas Group Code Invalid Type or Missing |
| FE424 | Other payer state or zip is invalid |
| FE425 | Claim level PWK segment for supplemental infomation has the wrong codes (PWK01 and PWK02) or missing Control Number (PWK06) |
| FE426 | Line level PWK segment for supplemental infomation has the wrong codes (PWK01 and PWK02) or missing Control Number (PWK06) |
| FE427 | Invalid or Missing Facility NPI |
| FE428 | Payer Specific Edit: Value Code 23 is no longer accepted. Replace with FC (Expected Family Contribution) to support Share of Cost(SOC) |
| FE429 | Payer Specific Edit: Other Subscriber Secondary ID is not valid |
| FE430 | Payer Specific Edit: Facility Address Required when Place of Service not 11 or 12 |
| FE431 | Payer Specific Edit: Two or more SVD loops in a line is not accepted for the same payer |
| FE432 | Payer Specific Edit: Prior Authorization Number (HCFA box 23, ANSI REF*G1) |
| FE433 | Payer Specific Edit: 7 digit Referral ID required in notes (HCFA Form Box 19, ANSI NTE*ADD) |
| FE434 | Payer Specific Edit: Durable Medical Equipment Segment (SV5) is not valid without modifiers NU, RR, or UE. Please contact payer to verify which modifier to use, or whether to remove SV5 segment. |
| FE435 | Payer Specific Edit: Payer name can only include letters and numbers, no special characters |
| FE436 | Payer Specific Edit: When POS= 12, then Facility must have Patient home address and Facility NPI is not required. |
| FE437 | Payer Specific Edit: Place of Service 01 or 1 invalid. |
| FE438 | The payer paid amount (AMT*D) in Loop 2320 must equal the sum of the service line paid amounts (SVD02) |
| FE439 | Payer Specific Edit: CPT S9999 (sales tax) cannot occur more than once per claim. Combine into one line or split into multiple claims |
| FE440 | Payer Specific Edit: PayerID: 31059 Requires Property and Casualty Claim Number in Box 1a (2010BA NM109). Claim Number Format: Length 9, Characters 1-2,4-9 must be numeric, 3 can be alphanumeric. |
| FE441 | Payer Specific Edit:Member ID (Box 1A) must be 11 digits and begin with a 0 or 1 |
| FE442 | Rendering Taxonomy code Invalid |
| FE443 | Payer Specific Edit: Payer does not accept Procedure Modifier of 00 |
| FE444 | Facility Code invalid length. |
| FE445 | Ambulance pickup address state code invalid |
| FE446 | Ambulance dropoff address state code invalid |
| FE447 | Ambulance pickup address ZipCode - Invalid or not valid in state |
| FE448 | Ambulance dropoff address ZipCode - Invalid or not valid in state |
| FE449 | Payer Specific Edit: Member ID must be length of 11 |
| FE450 | Payer Specific Edit: Maximum number of line items exceeded (99 per claim) |
| FE451 | Other payer subscriber: if set to non-person cannot have a firstname or middlename |
| FE452 | Payer Specific Edit: Payer Name does not match required format. Acceptable Payer Names for this Payer ID are: DMBA/CHP, EMIA/CHP, MEDICAID/CHP, or UUHP/CHP. |
| FE453 | Payer Specific Edit: Insured Group Name required, and must be CC, CL, CO, CCC, CCL or CCO. (HCFA 11C, UB04 61, 837 2000B SBR04) |
| FE454 | Payer Specific Edit: ICD-10 diagnosis qualifiers and codes are not supported for this payer currently. |
| FE455 | Payer Specific Edit: ICD-10 External Cause of Injury qualifiers and codes are not supported for this payer currently. |
| FE457 | Payer Specific Edit: ICD-10-PCS Procedure qualifiers and codes are not supported for this payer currently. |
| FE458 | Payer Specific Edit: Payer no longer accepting claims for dates of service on or after 1/1/12. Please verify the patient’s ID card for correct payer ID or contact the member eligibility:(305)575-3680 |
| FE459 | Payer Specific Rejection: Payer no longer accepts CPT code 90791 electronically. Please contact the payer to verify which code to send or send the claim by paper. |
| FE460 | Payer Specific Rejection: Facility Information Required when place of service is not 41 or 42 |
| FE461 | Payer Specific Edit: Negative amounts in CAS segment are not allowed |
| FE462 | Payer Specific Edit: Line Item units must be less than or equal to 9999. |
| FE463 | Cannot Mix ICD-9 AND ICD-10 Diagnosis Codes |
| FE464 | Statement from date must be before statement to date |
| FE465 | Payer Specific Edit: Insured Group Number required, and must be IHN, SA01, PEBB, COHO, SCP (HCFA 11, 837 2000B SBR03) |
| FE466 | Secondary claim information does not balance - Line level adjustments should not be duplicated at the claim level |
| FE467 | Payer does not accept Ambulance Claims electronically at this time. Please mail in with Ambulance Run Sheet. Contact Payer for details. |
| FE468 | Secondary claim Adjudication Date cannot be in the future |
| FE469 | Encounter has matched to member with a network other than 2,4,9,11,13,15. Not set up for BSCA Encounters. |
| FE470 | Invalid Claim Adjustment Reason Code in CAS Segment with Group Code CO (Contractual Obligation) |
| FE471 | Invalid Claim Adjustment Reason Code in CAS Segment with Group Code CR (Corrections and Reversal) |
| FE472 | Invalid Claim Adjustment Reason Code in CAS Segment with Group Code OA (Other Adjustment) |
| FE473 | Invalid Claim Adjustment Reason Code in CAS Segment with Group Code PI (Payer Initiated Reductions) |
| FE474 | Invalid Claim Adjustment Reason Code in CAS Segment with Group Code PR (Patient Responsibility) |
| FE475 | Payer Specific Edit: Service Dates Spanning 11/01/2014 Must Be Sent On Separate Claims. |
| FE476 | Adjudication Adjustment Amount in CAS Segment must be numeric |
| FE477 | Service Dates Spanning 01/01/2014 Must Be Sent On Separate Claims. |
| FE478 | Line level Facility requires a physical address (PO,Lockbox,File,Dept Invalid) |
| FE479 | Labcorp Encounters to Primary Provider Management should no longer be sent through Office Ally. Contact PPM for more information: (951) 280-7752 |
| FE480 | Payer Specific: Payer responsibility (SBR01) can only be (P)Primary, (S)Secondary, or (T)Teritary. Other codes such as A,B,C,D,E,F,G,H are not accepted. |
| FE481 | Payer Responsibility Sequence Number Code (Loop 2320 SBR01) must be unique on a claim |
| FE482 | Only 1 Principal diagnosis code allowed per claim |
| FE483 | Diagnosis code qualifier is incorrect |
| FE484 | Other Payer address is incomplete |
| FE485 | Attending Physician - exceeded HIPAA max use count. |
| FE486 | Payer Specific Edit: Referral number (REF*9F) can only be sent in the claim level (2300) |
| FE487 | Payer Specific Edit: Member ID must begin with a letter followed by 12 numeric. |
| FE488 | Payer Specific Edit: Benefits Assignment Indicator (CLM08) is not Y |
| FE489 | Payer Specific Rejection: If CPT code S9999 is billed, claim must contain more than one line item. |
| FE49 | Billing Provider City, State, or ZIP missing/invalid |
| FE490 | Procedure dates must be on or between claim statement dates |
| FE491 | Payer Specific Rejection: Claim level note must contain CMCMC, Line level note must contain ALLOWED |
| FE492 | (P)rimary payer in Loop 2320 (other payers) must have payment or adjustment amounts |
| FE493 | When purchased service information (2400, PS1) is sent, purchased service provider NPI (2420B) is required. |
| FE494 | When purchased service provider NPI (2420B) is sent, purchased service information (2400, PS1) is required. |
| FE495 | Invalid Purchased Service Provider NPI Format |
| FE496 | Property and Casualty Claim Number (REF*Y4, Loop 2010CA ) is required. This can also be sent in as the Prior Authorization Number. |
| FE497 | Duplicate Claim Adjustment Reason Code in CAS Segment with Group Code CO (Contractual Obligation) |
| FE498 | Duplicate Claim Adjustment Reason Code in CAS Segment with Group Code CR (Corrections and Reversal) |
| FE499 | Duplicate Claim Adjustment Reason Code in CAS Segment with Group Code OA (Other Adjustment) |
| FE50 | Provider Last Name Missing |
| FE500 | Duplicate Claim Adjustment Reason Code in CAS Segment with Group Code PI (Payer Initiated Reductions) |
| FE501 | Duplicate Claim Adjustment Reason Code in CAS Segment with Group Code PR (Patient Responsibility) |
| FE502 | Invalid Claim Adjustment (CAS) format |
| FE503 | Adjudication Adjustment Quantity (CAS04, 07, 10, 13, 16, 19) must be numeric |
| FE504 | Payer Specific Edit: Facility NPI required when Place of Service is 21,22,23,31,32 |
| FE505 | Payer Specific Edit: BHT06=RP present. This payer requires Encounters be submitted to Payer ID: BS003 |
| FE506 | Effective October 1, 2013, CMS advises to use type of bill 32x instead of 33x. 33x is no longer valid |
| FE507 | Payer Specific Edit: Payer does not accept Type of Bill 24x or xx0 |
| FE508 | Payer Specific Rejection: Duplicate Other Payer ID Number. The Other Payer ID Number should be unique within a claim. |
| FE509 | Payer Specific Edit: When Patient Status Code (box 17, CL103) is one of the following: 20, 40, 41 or 42, date of death with occurrence code 55 must be sent (boxes 31-34, 2300 HI*BH) |
| FE51 | Provider First Name Missing |
| FE510 | Payer Specific Edit: Original Ref No (Box 22, REF*F8) not a Martins Point Claim Number. Must be 11 or 13 digits. |
| FE511 | Payer Specific Edit: The Claim Adjustment Reason Code 23 can only be present when the Claim Adjustment Group Code (CAS01) is OA |
| FE512 | Only 1 principle diagnosis with code list qualifier BK or ABK is allowed per claim in file. |
| FE513 | Claim Frequency Type Code does not agree with Patient Status 30, If 2300/CLM05-3 equals 1 or 4 then 2300/CL103 cannot equal 30 (Still Patient) |
| FE514 | Claim Frequency Type Code does not agree with Patient Status 30, If 2300/CLM05-3 equals 2 or 3 then 2300/CL103 must equal 30 (Still Patient). |
| FE515 | Payer Specific Edit: BHT06 Claim or Encounter Identifier - Invalid for Payer (RP) |
| FE516 | As of 7/1/2014 Bill Types 18x,21x,22x,23x,32x,33x, or 34x require rev code 0022,0023, or 0024 with a HIPPS code in Box 44 with qualifier HP |
| FE517 | DOS prior to 4/1/14 will need to be mailed to P.O. Box 4348 Burlingame, CA 94011-4348. |
| FE518 | Loop 2430/SVD0302 procedure code cannot be blank |
| FE519 | Payer Specific Edit: Payer currently cannot process claims with place of service 31,32 electronically. Please send by paper. |
| FE52 | Provider StateLicense Missing/Invalid |
| FE520 | Payer Specific Edit: Facility Name Required when Place of Service is 12,13,14,15,16,18,21,22,23,24,25,26,31,32,33,34,51,52,54,55,56,57,60,61,62,65 |
| FE521 | Payer Specific Edit: Authorization Numbers (Box 23, REF*G1) must be 20 numerical digits if present |
| FE522 | Payer Specific Rejection: Service Date (box 45) cannot be a range. |
| FE523 | Payer Specific Edit: BHT06=31 present. This Transaction Type Code cannot be accepted at this time. |
| FE524 | Payer Specific Edit: Billing Provider Tax ID Must be either 9 or 13 characters |
| FE525 | Payer Specific Edit: Facility Name, Address, and NPI required when Place of Service is 21,22,23,24,31,32,51,52,61,62,65 |
| FE526 | Payer Specific Edit: Facility Name, Address, and NPI required when Place of Service is 01,04,09,12,13,14,15,16,17,18,20,21,22,23,24,31,32,33,34,41,42,51,52,60,61,62,65 |
| FE527 | The payer paid amount (AMT*D) in Loop 2320 is required when claim has been adjudicated by payer |
| FE528 | FE528 Payer Specific Edit: Facility Name, Address, and NPI required when Place of Service is 20,21,22,23,24,31 |
| FE529 | Coordination of Benefits (COB) (loop 2320) Payers that have payment information must have unique Payerids |
| FE53 | Provider Tax ID Missing/Invalid |
| FE530 | Payer Specific Edit: Service Dates Spanning 2014-2015 Must Be Sent On Separate Claims. |
| FE531 | Coordination of Benefits Information Missing or Invalid - Each Service line must balance for each COB Payer; Line Charge Amount = Line Sum Of Adjustment Amounts + Line Payer Paid Amount |
| FE532 | Coordination of Benefits Payment Information invalid - Each COB Payer must balance: (Total charge)- (Payer paid Amt)- (Claim level Adjustments) - (Sum of Line adjustments) should equal 0 |
| FE533 | The Orange County Health Care Agency – Medical Services Initiative is no longer an active program |
| FE534 | Payer Specific Edit: Payer does not accept claims for dates of service before 1/1/15 |
| FE535 | Payer Specific Edit: Rendering Taxonomy required if Rendering Provider present |
| FE536 | Loop 2430/SVD03-2 invalid procedure code |
| FE537 | Loop 2430/SVD03-1 invalid Service ID Qualifier. Valid qualifiers are ER,HC,HP,IV |
| FE538 | Loop 2430/SVD03-1 and SVD03-2 Service ID Qualifier and Service ID either both must be present or both blank. |
| FE539 | Payer only allows specific Place of Service Types. |
| FE54 | Line Item units must be greater than 0 |
| FE540 | Payer Specific Edit: For Health Network Solutions, line item units must be less than or equal to 10 |
| FE541 | Payer Specific Rejection: When billing provider NPI is not present, must send AHCCCS Provider ID in box 33b (Loop 2010BB). ID must be 10 characters in length starting with 00 |
| FE542 | Discharge hour must be in format HHMM |
| FE543 | Payer Specific Edit: Claims with DOS on or after 4/1/15 should be sent to Payer ID NMM01 |
| FE544 | Payer Specific Edit: Claims cannot span 4/1/2015. Claims to Family Practice Medical Group must be split to be completely before or completely on or after 4/1/2015. |
| FE545 | Payer Specific Edit: When Billing NPI (box 56) is not preset, Billing provider ID (box 57) must be sent. |
| FE546 | Payer Specific Edit: When patient state is California, if the Rendering Provider NPI is present the Rendering Provider Taxonomy is required. |
| FE547 | Payer Specific Edit: For Tax ID 953482617, all lines must contain a modifier |
| FE548 | Payer Specific Edit: Payers requires Billing Department of Labor (DOL) Provider ID |
| FE549 | User not approved to submit claims to this payer |
| FE55 | Billing or Pay-To Provider - Incomplete Address |
| FE550 | Payer Specific Edit: Claim Type (SBR01) U Invalid |
| FE551 | Disability From Date must be before disability To Date |
| FE552 | Payer Specific Edit: Other subscriber ID invalid |
| FE553 | Payer Specific Edit: Attachment Control Number Required when Attachment Report Type Code and Attachment Transmission Code are sent |
| FE554 | Payer Specific Edit: Patient status code (UB04 form: Box 17 ANSI: CL103) invalid, valid status codes are be between 01-99 |
| FE555 | Payer Specific Edit: Member Identification Number is required to have nine (9) numeric characters with last two numeric digits equal to [01-99] |
| FE556 | Payer Specific Edit: Date of Injury cannot be prior to earliest Date of Service |
| FE557 | Payer Specific Edit: Total claim amount cannot be over $999,999.99 |
| FE558 | Payer Specific Edit: The date of service must be greater than 12/31/2014 |
| FE559 | Payer Specific Edit: Admission Date required when Place of Service 31 |
| FE56 | Provider City Missing |
| FE560 | Payer Specific Edit: Anesthesia CPT Codes (00100-01999) require Modifier 1 must be (AA,AD,QK,QX,QY,QZ) or Modifier 2 must be QS |
| FE561 | As of 7/1/2014 Bill Types 18x, 21x, 32x require rev code 0022,0023, or 0024 with a HIPPS code in Box 44 with qualifier HP |
| FE562 | Date of Service FROM and TO dates cannot span 10/1/2015. Before 10/1 must be ICD9, on or after 10/1 must be ICD10 |
| FE563 | Payer Specific Edit: If CR301 (DME MONTHS) or CR303 (DME CERT TYPE CODE) sent, the other must be present. |
| FE564 | Payer requires Referring Provider or Ordering Provider. Referring Provider or Ordering Provider is either Missing/Invalid |
| FE565 | Rendering provider First and Last Name must be in separate fields and both are required when Entity Type Qualifier is 1 |
| FE566 | Payer requires 3 External Cause of Injury (ECI) codes (Box 72) to fully describe an injury using ICD-10 |
| FE567 | Sent to wrong payer. Must send to PPNZZ instead. |
| FE568 | Payer Specific Edit: Payer requires Accept Assignment (CLM07) be A |
| FE569 | Payer Specific Edit: Payer requires Assign Benefits (CLM08) be Y |
| FE57 | Provider State Missing |
| FE570 | Payer Specific Edit: Payer has not authorized subrogation payment requests (Loop 2010AC) |
| FE571 | Payer Specific Edit: Billing Provider Name cannot contain Numerals |
| FE572 | Payer Specific Edit: Attending Provider Name cannot contain Numerals |
| FE573 | Payer Specific Edit: Facility Provider Name cannot contain Numerals |
| FE574 | Payer Specific Edit: Rendering Provider Name cannot contain Numerals |
| FE575 | Payer Specific Edit: Referring Provider Name cannot contain Numerals |
| FE576 | Payer Specific Edit: Operating Provider Name cannot contain Numerals |
| FE577 | Payer Specific Edit: Pay To Provider Name cannot contain Numerals |
| FE578 | Payer Specific Edit: Pay To Plan Provider Name cannot contain Numerals |
| FE579 | Payer Specific Edit: Other Operating Provider Name cannot contain Numerals |
| FE58 | Provider ZIP Missing |
| FE580 | Payer Specific Edit: Gender must be Female when Last Menstrual Period Date is present |
| FE581 | Payer Specific Edit: Patient gender code must be F, M or U |
| FE582 | Payer Specific Edit: Attending provider ID or NPI must be present. |
| FE583 | Payer Specific Edit: Claim Cannot contain more than 35 line items. Need to split into more than one claim. |
| FE584 | Error converting a string to money or date |
| FE585 | Payer Specific Edit: Billing taxonomy must be valid when present |
| FE586 | Loop 2330B (DTP 573) Claim check or Remittance Date should not be used if Loop 2430 (DTP 573) Line Check or Remittance date is used |
| FE587 | Payer Specific Edit: Attending taxonomy must be valid when present |
| FE588 | Payer Specific Edit: Per CMS a valid anesthesia documentation/pricing modifier (AA/AD/AG/QK/QY/QX/QZ) is required in the first modifier field for the anesthesia CPT billed. Resubmit valid modifier. |
| FE589 | Loop 2330B (DTP 573) Claim check or Remittance Date Required when payer has previously adjudicated the claim |
| FE59 | Missing Insureds ID Number |
| FE590 | Loop 2330B - If Secondary (or Tertiary) claim, then Primary payer (and Secondary if Tertiary) requires adjudication information |
| FE591 | Payer Specific Edit: Modifier QS must be in Modifier 2 when sent |
| FE592 | Payer Specific Edit: Bill Type must be fully numeric |
| FE593 | Payer Specific Edit: Member ID must not exceed 7 numeric digits with no leading zeros |
| FE594 | Payer Specific Edit: Member ID must not exceed 10 numeric digits |
| FE595 | Payer Specific Edit: Member ID must not exceed 9 numeric digits |
| FE596 | Payer Specific Edit: Member ID must be exactly 8 numeric digits (including leading zeros) |
| FE597 | Ambulance Dropoff Required |
| FE598 | Incomplete claim - The word Secondary in the payer field indicates the user wants to add secondary information |
| FE599 | Payer Specific Edit: Payer does not accept claims for dates of service after 8/31/2015. Claims after that date must be mailed. |
| FE60 | Missing Primary Insureds Last Name |
| FE600 | PayTo Zip-State Invalid |
| FE601 | Payer Specific Edit: Line Item Charges cannot be negative |
| FE602 | Payer Specific Edit: Total Charges cannot be negative |
| FE603 | Payer Specific Edit: Payer requires the Group/Organizational NPI to be used for the Billing Provider, not the Individual |
| FE604 | Payer Specific Edit: Only one line item allowed per claim |
| FE605 | Facility Name Required when Place of Service is 20,21,22,23,24 |
| FE606 | Payer Specific Edit: Member ID (1A) cannot begin with a 9 and end with a letter, and cannot begin with IH |
| FE607 | Ambulance Dropoff and Pickup Required |
| FE608 | Payer Specific Edit: Total Charge cannot exceed $1,000,000.00 |
| FE609 | Payer Specific Edit: Corrected Claim number must contain numerals, cannot be fully alphabetical. |
| FE61 | Missing Primary Insureds First Name |
| FE610 | Payer Specific Edit: Anesthesia modifier (AA/AD/AG/QK/QY/QX/QZ) is required for the anesthesia CPT billed. Resubmit with valid modifier. |
| FE611 | Payer Specific Edit: Medicare ICN required in Loop 2330B REF*F8 Other Payer Claim Control Number if Loop 2320 (Other Subscriber Information, Claim Filing Indicator Code) SBR09 is MB. |
| FE612 | Payer Specific Edit: Amount Paid cannot exceed $99,999,999.99 |
| FE613 | Payer Specific Edit: Referring Provider cannot be the same as the Attending Provider |
| FE614 | Payer Specific Edit: Time of Service (HHMM) is required in the line level note (Loop 2400, NTE*ADD) for Urgent Care claims (POS 20) |
| FE615 | Payer Specific Edit: Time of Service (HHMM) is required in the claim level note (Loop 2300, NTE*ADD) for Urgent Care claims (POS 20). |
| FE616 | Payer Specific Edit: DSS Contract Number (12-digits [no spaces or dashes]) required in Loop 2300, NTE*ADD (Box 19). |
| FE617 | Payer Specific Edit: Payer no longer accepting claims for dates of service on or after 1/1/16. |
| FE618 | Payer Specific Edit: The Payer Claim Control Number must be a 12 digit numeric number(REF-F8/HCFA Box 22/UB Box 64) when the Claim Frequency Code (CLM05-3) is 7 (Replacement Claim) or 8 (Voided Claim) |
| FE619 | Payer Specific Edit: Original Ref No (Box 22, REF*F8) is not a valid Claim Number for this payer. Must be 20 digits and begin with 1 or 2. |
| FE62 | Invalid/Missing Subscriber Gender Code |
| FE620 | POA Indicator Is Required When Bill Type indicates general acute care hospitals or other facilities as required by law |
| FE621 | Payer Specific Edit: Facility NPI must be present and cannot match Billing NPI when Facility Address or Name is different from Billing Address or Name |
| FE622 | Payer Specific Edit: KPS no longer accepting electronic claims with DOS prior to 1/1/16. Claim should be mailed to KPS - P.O. Box 34803, Seattle, WA 98124 |
| FE623 | Payer no longer accepting claims electronically for DOS After 3/15/2016. Send claims with DOS after 3/15/2016 to the appropriate Payer/TPA/employer as listed on the members identification card. |
| FE624 | Payer Specific Edit: Billing Zip cannot contain 0000 |
| FE625 | Payer Specific Edit: Pay-To Zip cannot contain 0000 |
| FE626 | Payer Specific Edit: Subscriber Zip cannot contain 0000 |
| FE627 | Payer Specific Edit: Paitent Zip cannot contain 0000 |
| FE628 | Payer Specific Edit: Facility Zip cannot contain 0000 |
| FE629 | Payer Specific Edit: Other Subscriber Zip cannot contain 0000 |
| FE63 | Missing/Invalid Primary Insureds DOB |
| FE630 | Payer Specific Edit: Other Payer Zip cannot contain 0000 |
| FE631 | Line Item Referring NPI format invalid |
| FE632 | Payer Specific Edit: When Claim Frequency Code is 7 or 8, Original Ref No (Box 22, REF*F8) must be sent and must be 20 characters |
| FE633 | Payer Specific Edit: Rendering Provider NPI must be present |
| FE634 | Payer Specific Edit: Payer does not accept claims with Type Of Bill 24x |
| FE635 | Payer Specific Edit: Valid Facility Zip required if Facility City and State are present |
| FE636 | Payer Specific Edit: Facility Name, Address, NPI required when Place of Service is 1,2,21,22,23,24,31,32,33,51 |
| FE637 | Payer Specific Edit: Facility NPI is required when Facility information is present. |
| FE638 | SubmitterID required for payer, must be sent in ISA06 |
| FE639 | Payer Specific Edit: Tertiary Claims must have both (P)primary and (S)secondary adjudication information in loop 3220 |
| FE64 | Payer Specific Edit: Line Item charges must be greater than $0. |
| FE640 | Payer Specific Edit: Facility Name, Address, NPI required when Place of Service is 21,22,23 |
| FE641 | Payer Specific Edit: COB Claims sent to the 4th Insurance Company must have (P)primary and (S)secondary and (T)Tertiary adjudication information in loop 3220 |
| FE642 | Payer Specific Edit: Facility Address, City, State, Zip required when Facility Name is present |
| FE643 | Ordering Provider City, State, ZIP Code (2420E N4) was not found but was expected because the DMERC CMN (2400 PWK) is present |
| FE644 | Medicare Inpatient Adjudication Information was not expected because this Claim is for Outpatient services |
| FE645 | Other Procedure Information was not expected because the Principal Procedure Information is not present |
| FE646 | Occurance Code 55 requires a Patient Status Code of 20, 40, 41, 94, or 42 |
| FE647 | EPSDT Referral Information must be present when a screening service is billed |
| FE648 | Payer Specific: Claim Adjustment Reason Code 23 in CAS Segment can only be used with Group Code OA (Other Adjustment) |
| FE649 | Payer Specific: Facility Required, and Facility NPI cannot match Billing NPI, when Place of Service is 21,22,23,24,25,26,31,32,33,43 to 49,51 to 80 |
| FE65 | Patient Last Name required |
| FE650 | Payer Specific Edit: Property and Casualty Claim Number must be the format 3 numeric digits followed by a dash, then one alpha followed by 5 numeric characters |
| FE651 | Payer Specific Edit: Valid employer name, address and phone number Required |
| FE652 | Payer Specific Edit: Property and Casualty Claim Number must be 13 digits, cannot be all zeros |
| FE653 | Payer Specific Edit: Facility Name Required when Place of Service is 20,21,22,23,24,31,33,34,51-62,65,81 |
| FE654 | Payer Responsibility Seq Number (Loop 2000B SBR01) is out of order, (P)rimary payer is the first to pay, so no other payer (loop 2320) should have adjudication information |
| FE655 | Payer Responsibility Seq Number (Loop 2000B SBR01) is out of order, (S)econdary payer is the 2nd to pay, so 3rd, 4th, etc payer (loop 2320) should have no adjudication information. Only (P)rimary was |
| FE656 | Claims to Connecticare Medicare cannot span 2016 and 2017. Please resubmit seperately. |
| FE657 | Loop 2430/SVD04 Rev Code cannot be blank or more than 4 char |
| FE658 | Payer Specific Edit: Service Dates Spanning 03/01/2017 Must be sent on separate claims. |
| FE659 | Loop 2320 Payer Paid Amount must contain an amount if this payer identified in loop 2330B adjudicated the claim, even if $0.00 |
| FE66 | Patient First Name Required |
| FE660 | Payer Specific Edit: Ambulance claims not supported by this payer (Place of Service 41 & 42) |
| FE661 | Payer Specific Edit: Payer Paid Amount in loop 2320 cannot be negative |
| FE662 | Payer Specific Edit: Patient Paid Amount (Box 29) in loop 2300 cannot be negative |
| FE663 | Line Item CLIA invalid |
| FE664 | Attending Provider First and Last Name must exist if Attending NPI is present. |
| FE665 | Payer Specific Edit: Facility Name, Address, and NPI required when Place of Service is 21,22,23,24,32, or 33 |
| FE666 | Ambulance Pick Up Location Address 1 must be longer than 3 characters |
| FE667 | Ambulance Drop Off Location Address 1 must be longer than 3 characters |
| FE668 | Line Level Ordering Provider Address Missing or Invalid |
| FE669 | Payer Specific Edit: Facility Name, Address, and NPI required when Place of Service is 21, 22, 23, 31,32,51,52 |
| FE67 | Patient Date Of Birth Required |
| FE670 | Payer Specific Edit: Claims with DOS prior to 5/31/16 are no longer accepted electronically |
| FE671 | Tax ID not approved for electronic submissions to this payer |
| FE672 | Secondary Claim Information Missing or Invalid (Loop 2430) - Each line must balance; Line Charge Amount (SV302) = Line sum of Adjustment Amts (CAS) + Line Payer Paid Amt (SVD02) |
| FE673 | Facility required when Place of Service 21,31 |
| FE674 | Facility required when Place of Service 21,22,23,24,31,32 |
| FE675 | Member ID (1A) must begin with a YIF |
| FE676 | Social Security Number if used as a secondaryID for COB subscriber, must be 9 digits) |
| FE677 | Facility Code (Box 4 Type of Bill) not accepted by this payer |
| FE678 | Facility Information Required when Place of Service is 21,22,23,24,31,32,33 |
| FE679 | Complete facility provider information required |
| FE68 | Invalid/Missing Patient Gender Code |
| FE680 | Payer Specific Edit: Facility Name Required when Place of Service is 21, 22, 23, 24, 31, 32, 41, 42, 51, 52, 53, 62 |
| FE681 | Payer Specific Edit for PayerID AGL01, only claims with DOS on/after 11/1/17 are accepted |
| FE682 | Payer Specific Edit: Duplicate lines are not allowed |
| FE683 | Payer Specific Edit: When Claim Frequency Code is 7, Original Ref No (REF-F8/HCFA Box 22/UB Box 64) must be sent and must be 12 numeric characters |
| FE684 | Payer Specific Edit: WV Medicare Advantage Freedom Blue MemberID require prefix HSR. All others including Medicare Advantage from other states will be handled through Highmark West Virginia - 54828 |
| FE685 | Payer Specific Edit: Payer cannot handle a QTY in CAS04 |
| FE686 | Payer Specific Edit: Invalid Rendering Provider billed. Billing and Rendering cannot have the same NPI |
| FE687 | Payer Specific Edit: Only claims with DOS on/after 01/1/18 are accepted |
| FE688 | Payer Specific Edit: One Taxonomy Code (Billing or Rendering) is required. |
| FE689 | Payer Specific Edit: Service dates spanning different years must be sent on separate claims. |
| FE69 | Patient Street Address Required |
| FE690 | Payer Specific Edit: Full Facility with NPI required when Place of Service is 21,22,23,24,25 and DOS greater than 1/1/2018 |
| FE691 | Payer Specific Edit: Total claim amount cannot be over $99,999.99 |
| FE692 | Payer Specific Edit: CRG is not processing claims with Service Dates in 2018. Please contact South Country Health Alliance. |
| FE693 | Payer Specific Edit: Payer cannot accept claims with Tax ID 942944896. |
| FE694 | Payer Specific Edit: Payer does not accept Fee for Service Claims. BHT06 must be RP. Encounter Submissions only |
| FE695 | Payer Specific Edit: Workers Compensation claims must contain a SBR09 value of WC |
| FE696 | Payer Specific Edit: Auto claims must contain a SBR09 value of AM |
| FE697 | Payer Specific Edit: Line Item units must be less than or equal to 99999. |
| FE698 | Units must be numeric |
| FE699 | Payer Specific Edit: Certain Z diagnostic codes can only be used as the Primary Diagnostic Code |
| FE70 | Patient City Missing/Invalid Length |
| FE700 | Admission date cannot be after Discharge date |
| FE701 | Payer Specific Edit: Encounters are not accepted under this Payer ID. BHT06 must be CH. FFS submissions only |
| FE702 | Payer Specific Edit: payer requires a value code of 80 or 81 when rev code is in 0100-0219 or 1000-1005 and the TOB is 89x |
| FE703 | Ambulance Pick Up Location City must be longer than 1 character |
| FE704 | Ambulance Drop Off Location City must be longer than 1 character |
| FE705 | If Remaining Patient Liability (AMT*EAF) or Remittance Date (DTP*573) is present on Secondary Payer, Payer Paid Amount plus adjustments should equal claim amount |
| FE706 | Duplicate Occurrence Code and date |
| FE707 | Occurrence date cannot be in the future |
| FE708 | Occurrence Span From_Date cannot be after the To_Date |
| FE71 | Patient/Subscriber State Code is Missing or Invalid |
| FE710 | Occurrence Information cannot be after the Statement Through Date |
| FE711 | Payer Specific Edit: Facility Name Required when Place of Service is 13, 20, 21, 22, 23, 24, 31, 32, 33, 34, 51, 52, 54, or 65 |
| FE712 | CLM20 Delay Reason can only contain 1 thru 15 |
| FE713 | Payer Specific Edit: If Loop 2400 SV111 EPSDT Indicator = Y, then an EP modifier is required for that line item |
| FE715 | Admission Date (DTP*435) must be less than or equal to the TO service date |
| FE716 | Discharge Date (DTP*435) must be greater than or equal to the TO service date |
| FE717 | Patient Death Date (PAT06) must be greater than or equal to the TO service date |
| FE718 | TO Service Date (DTP*472) must be less than or equal to the Adjudication Date (DTP*573) |
| FE719 | Contract Information CN101 valid codes are 01,02,03,04,05,06,09 |
| FE72 | Patient Zip code required |
| FE720 | Submitter not approved for claim submissions. Please contact the payer for further details. |
| FE721 | Payer Specific: Missing Prior Authorization Number, correct and resubmit |
| FE722 | Payer Specific: Line MEA segment requires drug information with LIN segment |
| FE723 | Institutional Line Units can only be defined as DA (Days) or UN (Unit) |
| FE724 | Payer Specific Edit: Facility Name, Address, NPI required when Place of Service is 23 |
| FE725 | Referring provider must be a person and the MN102 Entity must equal 1 in Referring loop 2310 or 2420F |
| FE726 | Payer Specific: Taxid indicates this claim came from the Payer. Payer does not want to receive their own claims as misdirected claims. |
| FE726 | Payer Specific: Taxid indicates this claim came from the Payer. Payer does not want to receive their own claims as misdirected claims. |
| FE727 | Payer specific: Plan not effective for Dates of service prior to 1/1/2019 |
| FE728 | Payer Specific: Facility Required and Facility NPI cannot match Billing NPI for this Place of Service. |
| FE729 | Payer Specific Edit: Anesthesia modifier (AA/AD/AG/QK/QY/QX/QZ/P1/P2/P3/P4/P5) is required for the anesthesia CPT billed. Resubmit with valid modifier. |
| FE73 | DIAGNOSIS Code 1 Required |
| FE730 | Payer Specific Edit: Payer ID: NMM03 no longer accepting claims with DOS after 1/31/2019. Contact Patients Health Plan for new claim destination. |
| FE731 | Payer Specific Edit: Encounters must have line (Loop 2400) CN1 segment with contract amount (CN102) greater than 0 and valid Loop 2430 paid date |
| FE732 | Payer Specific Edit: Encounters must have line (Loop 2400) HCP segment with contract amount (HCP02) greater than 0 and valid Loop 2430 paid date |
| FE733 | Attending First and Last Name Required |
| FE734 | Payer Specific Edit: Service Facility Required for this Place of Service Code |
| FE735 | Payer Specific Edit: Drug Quantity (Loop 2410, CTP04) must be greater than zero. |
| FE736 | Payer Specific Edit: Admission Date required for Place of Service Type. |
| FE737 | Payer Specific Edit: Related Causes required when Accident Date is present |
| FE738 | Payer Specific Edit: Claim must be submitted directly to Health Net |
| FE739 | DOS 5/1/2020 and after must be submitted to CAPMN. If dates span before and after this date, you must split the claim. |
| FE74 | Invalid Secondary Insured City Name - length must be greater than one character |
| FE740 | Payer Specific Edit: Payer no longer accepts claims for this Date of Service. Please contact payer for more information. |
| FE741 | Occurrence Code Invalid |
| FE742 | Prior Payments (box 54 UB) must be numeric |
| FE743 | Plan Code Invalid (Loop 2000B, SBR03, box 62). Must be either 378 or 363. |
| FE744 | Payer does not accept claims with dates of service after 12/31/2020. Please resubmit using payer ID LIFE1. |
| FE745 | Electronic Verification of Visit Format Invalid: EVV[Name;Addr1;Addr2;City;State;Zip] |
| FE746 | Payer Specific Edit: Only claims with DOS prior to 1/1/21 are accepted |
| FE747 | Payer is no longer accepting claims on or after Date of Service 4/1/2021 |
| FE748 | Payer Specific Edit: Service Dates Spanning 05/01/2021 Must be sent on separate claims. |
| FE75 | Accommodation rate must be included for all Accommodation revenue codes (100 - 219) |
| FE76 | Type of Bill required for institutional claims |
| FE77 | Minimum One line item must exist per claim |
| FE78 | Admission Source required when Type of Bill does not begin with 7 or 3 and second digit is 1,2, or 7 |
| FE79 | Invalid Line Item Charge |
| FE80 | Attending Physician Is Required |
| FE81 | Bill type indicates outpatient but inpatient accommodations were billed. |
| FE82 | Bill type indicates inpatient but no accommodations were billed |
| FE83 | There must be a discharge date for fill types ending in 1 or 4 |
| FE84 | The sum of the line item charges does not match the total charge billed |
| FE85 | A secondary procedure code exists but a primary procedure code does not |
| FE86 | Payer Specific Edit: Decimal Values for Units Field is Not Allowed. |
| FE87 | Incomplete insured information was provided for a patient who is not the insured |
| FE89 | Billing Provider Name is missing |
| FE90 | The TO date of service cannot be before the FROM date of service |
| FE91 | Maximum number of line items per claim exceeded |
| FE92 | INVALID Modifier |
| FE93 | Unable to Process Claim |
| FE94 | Claim DOS Beyond one year timely filing period |
| FE95 | Date(s) Of Service prior to Patients Birth Date |
| FE96 | GATEWAY-(NOW PROSPECT) No Longer Accepts Institutional Claims Electronically. |
| FE97 | Claim DOS Beyond two year timely filing period |
| FE98 | Provider City/State/Zip Missing |
| FE99 | CLAIM IS HEALTH NETWORKS RESPONSIBILITY |
| FP01 | Similar Illness/Symptom Onset date cannot be in the future |
| FP02 | Payer Specific Edit: DOS date span cannot be more than 31 days. |
| FP03 | Onset of Current Illness or Symptom cannot be in the future. |
| FP04 | Initial Treatment Date cannot be in the future. |
| FP05 | Accident Date cannot be in the future. |
| FP06 | Last XRay Date cannot be in the future. |
| FP07 | Hospitalization Date cannot be in the future. |
| FP08 | Date of Service cannot be in the future. |
| FP09 | Date of Acute Manifestation cannot be in the future. |
| FP10 | Date Last Seen cannot be in the future. |
| FP11 | Date of Last Menstrual Period cannot be in the future. |
| FV20 | Medicare NORTH Claim contains an invalid group number |
| FV21 | Medicare SOUTH Claim contains an invalid group number |
| FV22 | Medicare NORTH Claim contains an invalid Provider PIN |
| FV23 | Medicare SOUTH Claim contains an invalid Provider PIN |
| FV24 | Medicare SOUTH IDTF Claim contains an invalid Provider PIN |
| FV25 | Medicare Claim contains an invalid Patient ID |
| FV26 | Medicare Claim contains Missing/Invalid Referring Provider Information |
| FV27 | Invalid Modifier, modifiers must be 2 characters |
| FV28 | Payer Specific Edit: Referring Provider NPI (or UPIN if NPI unavailable) Missing / Invalid |
| FV29 | Payer Requirement: Submit separate submitters in separate files. |
| FV30 | Billing Provider ID Contains Invalid Characters |
| FV31 | Payer Specific Edit: Rendering Provider ID Contains Invalid Characters |
| FV32 | Payer Specific Edit: Referring Provider ID Contains Invalid Characters |
| FV33 | Payer Specific Edit: Ordering Provider ID Contains Invalid Characters |
| FV34 | Payer Specific Edit: Supervising Provider ID Contains Invalid Characters |
| FV35 | Hemoglobin or Hematocrit Test Results Formatted Incorrectly |
| FV36 | Insured ID Contains Invalid Characters |
| LC01 | HCPCS/RATES (accommodation rate) on line 01 is invalid. |
| LC02 | HCPCS/RATES (accommodation rate) on line 02 is invalid. |
| LC03 | HCPCS/RATES (accommodation rate) on line 03 is invalid. |
| LC04 | HCPCS/RATES (accommodation rate) on line 04 is invalid. |
| LC05 | HCPCS/RATES (accommodation rate) on line 05 is invalid. |
| LC06 | HCPCS/RATES (accommodation rate) on line 06 is invalid. |
| LC07 | HCPCS/RATES (accommodation rate) on line 07 is invalid. |
| LC08 | HCPCS/RATES (accommodation rate) on line 08 is invalid. |
| LC09 | HCPCS/RATES (accommodation rate) on line 09 is invalid. |
| LC10 | HCPCS/RATES (accommodation rate) on line 10 is invalid. |
| LC101 | Non-specific CPT / HCPCS Code code, on line 01 requires description. |
| LC102 | Non-specific CPT / HCPCS Code code, on line 02 requires description. |
| LC103 | Non-specific CPT / HCPCS Code code, on line 03 requires description. |
| LC104 | Non-specific CPT / HCPCS Code code, on line 04 requires description. |
| LC105 | Non-specific CPT / HCPCS Code code, on line 05 requires description. |
| LC106 | Non-specific CPT / HCPCS Code code, on line 06 requires description. |
| LC107 | Non-specific CPT / HCPCS Code code, on line 07 requires description. |
| LC108 | Non-specific CPT / HCPCS Code code, on line 08 requires description. |
| LC109 | Non-specific CPT / HCPCS Code code, on line 09 requires description. |
| LC11 | HCPCS/RATES (accommodation rate) on line 11 is invalid. |
| LC110 | Non-specific CPT / HCPCS Code code, on line 10 requires description. |
| LC111 | Non-specific CPT / HCPCS Code code, on line 11 requires description. |
| LC112 | Non-specific CPT / HCPCS Code code, on line 12 requires description. |
| LC1123 | Modifier 1, on line 01 is invalid. |
| LC1124 | Modifier 2, on line 01 is invalid. |
| LC1125 | Modifier 3, on line 01 is invalid. |
| LC1126 | Modifier 4, on line 01 is invalid. |
| LC1127 | Modifier 1, on line 02 is invalid. |
| LC1128 | Modifier 2, on line 02 is invalid. |
| LC1129 | Modifier 3, on line 02 is invalid. |
| LC113 | Non-specific CPT / HCPCS Code code, on line 13 requires description. |
| LC1130 | Modifier 4, on line 02 is invalid. |
| LC1131 | Modifier 1, on line 03 is invalid. |
| LC1132 | Modifier 2, on line 03 is invalid. |
| LC1133 | Modifier 3, on line 03 is invalid. |
| LC1134 | Modifier 4, on line 03 is invalid. |
| LC1135 | Modifier 1, on line 04 is invalid. |
| LC1136 | Modifier 2, on line 04 is invalid. |
| LC1137 | Modifier 3, on line 04 is invalid. |
| LC1138 | Modifier 4, on line 04 is invalid. |
| LC1139 | Modifier 1, on line 05 is invalid. |
| LC114 | Non-specific CPT / HCPCS Code code, on line 14 requires description. |
| LC1140 | Modifier 2, on line 05 is invalid. |
| LC1141 | Modifier 3, on line 05 is invalid. |
| LC1142 | Modifier 4, on line 05 is invalid. |
| LC1143 | Modifier 1, on line 06 is invalid. |
| LC1144 | Modifier 2, on line 06 is invalid. |
| LC1145 | Modifier 3, on line 06 is invalid. |
| LC1146 | Modifier 4, on line 06 is invalid. |
| LC1147 | Modifier 1, on line 07 is invalid. |
| LC1148 | Modifier 2, on line 07 is invalid. |
| LC1149 | Modifier 3, on line 07 is invalid. |
| LC115 | Non-specific CPT / HCPCS Code code, on line 15 requires description. |
| LC1150 | Modifier 4, on line 07 is invalid. |
| LC1151 | Modifier 1, on line 08 is invalid. |
| LC1152 | Modifier 2, on line 08 is invalid. |
| LC1153 | Modifier 3, on line 08 is invalid. |
| LC1154 | Modifier 4, on line 08 is invalid. |
| LC1155 | Modifier 1, on line 09 is invalid. |
| LC1156 | Modifier 2, on line 09 is invalid. |
| LC1157 | Modifier 3, on line 09 is invalid. |
| LC1158 | Modifier 4, on line 09 is invalid. |
| LC1159 | Modifier 1, on line 10 is invalid. |
| LC116 | Non-specific CPT / HCPCS Code code, on line 16 requires description. |
| LC1160 | Modifier 2, on line 10 is invalid. |
| LC1161 | Modifier 3, on line 10 is invalid. |
| LC1162 | Modifier 4, on line 10 is invalid. |
| LC1163 | Modifier 1, on line 11 is invalid. |
| LC1164 | Modifier 2, on line 11 is invalid. |
| LC1165 | Modifier 3, on line 11 is invalid. |
| LC1166 | Modifier 4, on line 11 is invalid. |
| LC1167 | Modifier 1, on line 12 is invalid. |
| LC1168 | Modifier 2, on line 12 is invalid. |
| LC1169 | Modifier 3, on line 12 is invalid. |
| LC117 | Non-specific CPT / HCPCS Code code, on line 17 requires description. |
| LC1170 | Modifier 4, on line 12 is invalid. |
| LC1171 | Modifier 1, on line 13 is invalid. |
| LC1172 | Modifier 2, on line 13 is invalid. |
| LC1173 | Modifier 3, on line 13 is invalid. |
| LC1174 | Modifier 4, on line 13 is invalid. |
| LC1175 | Modifier 1, on line 14 is invalid. |
| LC1176 | Modifier 2, on line 14 is invalid. |
| LC1177 | Modifier 3, on line 14 is invalid. |
| LC1178 | Modifier 4, on line 14 is invalid. |
| LC1179 | Modifier 1, on line 15 is invalid. |
| LC118 | Non-specific CPT / HCPCS Code code, on line 18 requires description. |
| LC1180 | Modifier 2, on line 15 is invalid. |
| LC1181 | Modifier 3, on line 15 is invalid. |
| LC1182 | Modifier 4, on line 15 is invalid. |
| LC1183 | Modifier 1, on line 16 is invalid. |
| LC1184 | Modifier 2, on line 16 is invalid. |
| LC1185 | Modifier 3, on line 16 is invalid. |
| LC1186 | Modifier 4, on line 16 is invalid. |
| LC1187 | Modifier 1, on line 17 is invalid. |
| LC1188 | Modifier 2, on line 17 is invalid. |
| LC1189 | Modifier 3, on line 17 is invalid. |
| LC119 | Non-specific CPT / HCPCS Code code, on line 19 requires description. |
| LC1190 | Modifier 4, on line 17 is invalid. |
| LC1191 | Modifier 1, on line 18 is invalid. |
| LC1192 | Modifier 2, on line 18 is invalid. |
| LC1193 | Modifier 3, on line 18 is invalid. |
| LC1194 | Modifier 4, on line 18 is invalid. |
| LC1195 | Modifier 1, on line 19 is invalid. |
| LC1196 | Modifier 2, on line 19 is invalid. |
| LC1197 | Modifier 3, on line 19 is invalid. |
| LC1198 | Modifier 4, on line 19 is invalid. |
| LC1199 | Modifier 1, on line 20 is invalid. |
| LC12 | HCPCS/RATES (accommodation rate) on line 12 is invalid. |
| LC120 | Non-specific CPT / HCPCS Code code, on line 20 requires description. |
| LC1200 | Modifier 2, on line 20 is invalid. |
| LC1201 | Modifier 3, on line 20 is invalid. |
| LC1202 | Modifier 4, on line 20 is invalid. |
| LC1203 | Modifier 1, on line 21 is invalid. |
| LC1204 | Modifier 2, on line 21 is invalid. |
| LC1205 | Modifier 3, on line 21 is invalid. |
| LC1206 | Modifier 4, on line 21 is invalid. |
| LC1207 | Modifier 1, on line 22 is invalid. |
| LC1208 | Modifier 2, on line 22 is invalid. |
| LC1209 | Modifier 3, on line 22 is invalid. |
| LC121 | Non-specific CPT / HCPCS Code code, on line 21 requires description. |
| LC1210 | Modifier 4, on line 22 is invalid. |
| LC1211 | Modifier 1, on line 23 is invalid. |
| LC1212 | Modifier 2, on line 23 is invalid. |
| LC1213 | Modifier 3, on line 23 is invalid. |
| LC1214 | Modifier 4, on line 23 is invalid. |
| LC1215 | Modifier 1, on line 24 is invalid. |
| LC1216 | Modifier 2, on line 24 is invalid. |
| LC1217 | Modifier 3, on line 24 is invalid. |
| LC1218 | Modifier 4, on line 24 is invalid. |
| LC1219 | A modifier on line 25 or greater is invalid. |
| LC122 | Non-specific CPT / HCPCS Code code, on line 22 requires description. |
| LC1220 | Place of service code, on line 01 is invalid. |
| LC1221 | Place of service code, on line 02 is invalid. |
| LC1222 | Place of service code, on line 03 is invalid. |
| LC1223 | Place of service code, on line 04 is invalid. |
| LC1224 | Place of service code, on line 05 is invalid. |
| LC1225 | Place of service code, on line 06 is invalid. |
| LC1226 | Place of service code, on line 07 is invalid. |
| LC1227 | Place of service code, on line 08 is invalid. |
| LC1228 | Place of service code, on line 09 is invalid. |
| LC1229 | Place of service code, on line 10 is invalid. |
| LC123 | Non-specific CPT / HCPCS Code code, on line 23 requires description. |
| LC1230 | Place of service code, on line 11 is invalid. |
| LC1231 | Place of service code, on line 12 is invalid. |
| LC1232 | Place of service code, on line 13 is invalid. |
| LC1233 | Place of service code, on line 14 is invalid. |
| LC1234 | Place of service code, on line 15 is invalid. |
| LC1235 | Place of service code, on line 16 is invalid. |
| LC1236 | Place of service code, on line 17 is invalid. |
| LC1237 | Place of service code, on line 18 is invalid. |
| LC1238 | Place of service code, on line 19 is invalid. |
| LC1239 | Place of service code, on line 20 is invalid. |
| LC124 | Non-specific CPT / HCPCS Code code, on line 24 requires description. |
| LC1240 | Place of service code, on line 21 is invalid. |
| LC1241 | Place of service code, on line 22 is invalid. |
| LC1242 | Place of service code, on line 23 is invalid. |
| LC1243 | Place of service code, on line 24 is invalid. |
| LC1244 | Place of service code, on line 25 or greater is invalid. |
| LC1245 | CPT / HCPCS Code code, on line 01 is invalid. |
| LC1246 | CPT / HCPCS Code code, on line 02 is invalid. |
| LC1247 | CPT / HCPCS Code code, on line 03 is invalid. |
| LC1248 | CPT / HCPCS Code code, on line 04 is invalid. |
| LC1249 | CPT / HCPCS Code code, on line 05 is invalid. |
| LC125 | Non-specific CPT / HCPCS Code code, on line 25 or greater requires description. |
| LC1250 | CPT / HCPCS Code code, on line 06 is invalid. |
| LC1251 | CPT / HCPCS Code code, on line 07 is invalid. |
| LC1252 | CPT / HCPCS Code code, on line 08 is invalid. |
| LC1253 | CPT / HCPCS Code code, on line 09 is invalid. |
| LC1254 | CPT / HCPCS Code code, on line 10 is invalid. |
| LC1255 | CPT / HCPCS Code code, on line 11 is invalid. |
| LC1256 | CPT / HCPCS Code code, on line 12 is invalid. |
| LC1257 | CPT / HCPCS Code code, on line 13 is invalid. |
| LC1258 | CPT / HCPCS Code code, on line 14 is invalid. |
| LC1259 | CPT / HCPCS Code code, on line 15 is invalid. |
| LC126 | CPT / HCPCS Code on line 01 requires valid NDC code |
| LC1260 | CPT / HCPCS Code code, on line 16 is invalid. |
| LC1261 | CPT / HCPCS Code code, on line 17 is invalid. |
| LC1262 | CPT / HCPCS Code code, on line 18 is invalid. |
| LC1263 | CPT / HCPCS Code code, on line 19 is invalid. |
| LC1264 | CPT / HCPCS Code code, on line 20 is invalid. |
| LC1265 | CPT / HCPCS Code code, on line 21 is invalid. |
| LC1266 | CPT / HCPCS Code code, on line 22 is invalid. |
| LC1267 | CPT / HCPCS Code code, on line 23 is invalid. |
| LC1268 | CPT / HCPCS Code code, on line 24 is invalid. |
| LC1269 | CPT / HCPCS Code code, on line 25 or greater is invalid. |
| LC127 | CPT / HCPCS Code on line 02 requires valid NDC code |
| LC1270 | Diagnosis code 1 is invalid. |
| LC1271 | Diagnosis code 2 is invalid. |
| LC1272 | Diagnosis code 3 is invalid. |
| LC1273 | Diagnosis code 4 is invalid. |
| LC1274 | Diagnosis code reference, on line 01 is invalid. |
| LC1275 | Diagnosis code reference, on line 02 is invalid. |
| LC1276 | Diagnosis code reference, on line 03 is invalid. |
| LC1277 | Diagnosis code reference, on line 04 is invalid. |
| LC1278 | Diagnosis code reference, on line 05 is invalid. |
| LC1279 | Diagnosis code reference, on line 06 is invalid. |
| LC128 | CPT / HCPCS Code on line 03 requires valid NDC code |
| LC1280 | Diagnosis code reference, on line 07 is invalid. |
| LC1281 | Diagnosis code reference, on line 08 is invalid. |
| LC1282 | Diagnosis code reference, on line 09 is invalid. |
| LC1283 | Diagnosis code reference, on line 10 is invalid. |
| LC1284 | Diagnosis code reference, on line 11 is invalid. |
| LC1285 | Diagnosis code reference, on line 12 is invalid. |
| LC1286 | Diagnosis code reference, on line 13 is invalid. |
| LC1287 | Diagnosis code reference, on line 14 is invalid. |
| LC1288 | Diagnosis code reference, on line 15 is invalid. |
| LC1289 | Diagnosis code reference, on line 16 is invalid. |
| LC129 | CPT / HCPCS Code on line 04 requires valid NDC code |
| LC1290 | Diagnosis code reference, on line 17 is invalid. |
| LC1291 | Diagnosis code reference, on line 18 is invalid. |
| LC1292 | Diagnosis code reference, on line 19 is invalid. |
| LC1293 | Diagnosis code reference, on line 20 is invalid. |
| LC1294 | Diagnosis code reference, on line 21 is invalid. |
| LC1295 | Diagnosis code reference, on line 22 is invalid. |
| LC1296 | Diagnosis code reference, on line 23 is invalid. |
| LC1297 | Diagnosis code reference, on line 24 is invalid. |
| LC1298 | Diagnosis code reference, on line 25 or greater is invalid. |
| LC13 | HCPCS/RATES (accommodation rate) on line 13 is invalid. |
| LC130 | CPT / HCPCS Code on line 05 requires valid NDC code |
| LC1300 | Rev code, on line 01 is invalid. |
| LC1301 | Rev code, on line 02 is invalid. |
| LC1302 | Rev code, on line 03 is invalid. |
| LC1303 | Rev code, on line 04 is invalid. |
| LC1304 | Rev code, on line 05 is invalid. |
| LC1305 | Rev code, on line 06 is invalid. |
| LC1306 | Rev code, on line 07 is invalid. |
| LC1307 | Rev code, on line 08 is invalid. |
| LC1308 | Rev code, on line 09 is invalid. |
| LC1309 | Rev code, on line 10 is invalid. |
| LC131 | CPT / HCPCS Code on line 06 requires valid NDC code |
| LC1310 | Rev code, on line 11 is invalid. |
| LC1311 | Rev code, on line 12 is invalid. |
| LC1312 | Rev code, on line 13 is invalid. |
| LC1313 | Rev code, on line 14 is invalid. |
| LC1314 | Rev code, on line 15 is invalid. |
| LC1315 | Rev code, on line 16 is invalid. |
| LC1316 | Rev code, on line 17 is invalid. |
| LC1317 | Rev code, on line 18 is invalid. |
| LC1318 | Rev code, on line 19 is invalid. |
| LC1319 | Rev code, on line 20 is invalid. |
| LC132 | CPT / HCPCS Code on line 07 requires valid NDC code |
| LC1320 | Rev code, on line 21 is invalid. |
| LC1321 | Rev code, on line 22 is invalid. |
| LC1322 | Rev code, on line 23 is invalid. |
| LC1323 | Rev code, on line 24 is invalid. |
| LC1324 | Rev code, on line 25 is invalid. |
| LC1325 | Rev code, on line 26 is invalid. |
| LC1326 | Rev code, on line 27 is invalid. |
| LC1327 | Rev code, on line 28 is invalid. |
| LC1328 | Rev code, on line 29 is invalid. |
| LC1329 | Rev code, on line 30 is invalid. |
| LC133 | CPT / HCPCS Code on line 08 requires valid NDC code |
| LC1330 | Rev code, on line 31 is invalid. |
| LC1331 | Rev code, on line 32 is invalid. |
| LC1332 | Rev code, on line 33 is invalid. |
| LC1333 | Rev code, on line 34 is invalid. |
| LC1334 | Rev code, on line 35 is invalid. |
| LC1335 | Rev code, on line 36 is invalid. |
| LC1336 | Rev code, on line 37 is invalid. |
| LC1337 | Rev code, on line 38 is invalid. |
| LC1338 | Rev code, on line 39 is invalid. |
| LC1339 | Rev code, on line 40 is invalid. |
| LC134 | CPT / HCPCS Code on line 09 requires valid NDC code |
| LC1340 | Rev code, on line 41 is invalid. |
| LC1341 | Rev code, on line 42 is invalid. |
| LC1342 | Rev code, on line 43 is invalid. |
| LC1343 | Rev code, on line 44 is invalid. |
| LC1344 | Rev code, on line 45 is invalid. |
| LC1345 | Rev code, on line 46 is invalid. |
| LC1346 | Rev code, on line 47 is invalid. |
| LC1347 | Rev code, on line 48 is invalid. |
| LC1348 | Rev code, on line 49 is invalid. |
| LC1349 | Rev code, on line 50 is invalid. |
| LC135 | CPT / HCPCS Code on line 10 requires valid NDC code |
| LC1350 | Rev code, on line 51 is invalid. |
| LC1351 | Rev code, on line 52 is invalid. |
| LC1352 | Rev code, on line 53 is invalid. |
| LC1353 | Rev code, on line 54 is invalid. |
| LC1354 | Rev code, on line 55 is invalid. |
| LC1355 | Rev code, on line 56 is invalid. |
| LC1356 | Rev code, on line 57 is invalid. |
| LC1357 | Rev code, on line 58 is invalid. |
| LC1358 | Rev code, on line 59 is invalid. |
| LC1359 | Rev code, on line 60 is invalid. |
| LC136 | CPT / HCPCS Code on line 11 requires valid NDC code |
| LC1360 | Rev code, on line 61 is invalid. |
| LC1361 | Rev code, on line 62 is invalid. |
| LC1362 | Rev code, on line 63 is invalid. |
| LC1363 | Rev code, on line 64 is invalid. |
| LC1364 | Rev code, on line 65 is invalid. |
| LC1365 | Rev code, on line 66 is invalid. |
| LC1366 | Rev code, on line 67 is invalid. |
| LC1367 | Rev code, on line 68 is invalid. |
| LC1368 | Rev code, on line 69 is invalid. |
| LC1369 | Rev code, on line 70 is invalid. |
| LC137 | CPT / HCPCS Code on line 12 requires valid NDC code |
| LC1370 | Rev code, on line 71 is invalid. |
| LC1371 | Rev code, on line 72 is invalid. |
| LC1372 | Rev code, on line 73 is invalid. |
| LC1373 | Rev code, on line 74 is invalid. |
| LC1374 | Rev code, on line 75 is invalid. |
| LC1375 | Rev code, on line 76 is invalid. |
| LC1376 | Rev code, on line 77 is invalid. |
| LC1377 | Rev code, on line 78 is invalid. |
| LC1378 | Rev code, on line 79 is invalid. |
| LC1379 | Rev code, on line 80 is invalid. |
| LC138 | CPT / HCPCS Code on line 13 requires valid NDC code |
| LC1380 | Rev code, on line 81 is invalid. |
| LC1381 | Rev code, on line 82 is invalid. |
| LC1382 | Rev code, on line 83 is invalid. |
| LC1383 | Rev code, on line 84 is invalid. |
| LC1384 | Rev code, on line 85 is invalid. |
| LC1385 | Rev code, on line 86 is invalid. |
| LC1386 | Rev code, on line 87 is invalid. |
| LC1387 | Rev code, on line 88 is invalid. |
| LC1388 | Rev code, on line 89 is invalid. |
| LC1389 | Rev code, on line 90 is invalid. |
| LC139 | CPT / HCPCS Code on line 14 requires valid NDC code |
| LC1390 | Rev code, on line 91 is invalid. |
| LC1391 | Rev code, on line 92 is invalid. |
| LC1392 | Rev code, on line 93 is invalid. |
| LC1393 | Rev code, on line 94 is invalid. |
| LC1394 | Rev code, on line 95 is invalid. |
| LC1395 | Rev code, on line 96 is invalid. |
| LC1396 | Rev code, on line 97 is invalid. |
| LC1397 | Rev code, on line 98 is invalid. |
| LC1398 | Rev code, on line 99 is invalid. |
| LC14 | HCPCS/RATES (accommodation rate) on line 14 is invalid. |
| LC140 | CPT / HCPCS Code on line 15 requires valid NDC code |
| LC141 | CPT / HCPCS Code on line 16 requires valid NDC code |
| LC142 | CPT / HCPCS Code on line 17 requires valid NDC code |
| LC143 | CPT / HCPCS Code on line 18 requires valid NDC code |
| LC144 | CPT / HCPCS Code on line 19 requires valid NDC code |
| LC145 | CPT / HCPCS Code on line 20 requires valid NDC code |
| LC146 | CPT / HCPCS Code on line 21 requires valid NDC code |
| LC147 | CPT / HCPCS Code on line 22 requires valid NDC code |
| LC148 | CPT / HCPCS Code on line 23 requires valid NDC code |
| LC149 | CPT / HCPCS Code on line 24 requires valid NDC code |
| LC1498 | Serv. Units, on line 01 is invalid. |
| LC1499 | Serv. Units, on line 02 is invalid. |
| LC15 | HCPCS/RATES (accommodation rate) on line 15 is invalid. |
| LC150 | CPT / HCPCS Code on line 25 or greater requires valid NDC code |
| LC1500 | Serv. Units, on line 03 is invalid. |
| LC1501 | Serv. Units, on line 04 is invalid. |
| LC1502 | Serv. Units, on line 05 is invalid. |
| LC1503 | Serv. Units, on line 06 is invalid. |
| LC1504 | Serv. Units, on line 07 is invalid. |
| LC1505 | Serv. Units, on line 08 is invalid. |
| LC1506 | Serv. Units, on line 09 is invalid. |
| LC1507 | Serv. Units, on line 10 is invalid. |
| LC1508 | Serv. Units, on line 11 is invalid. |
| LC1509 | Serv. Units, on line 12 is invalid. |
| LC1510 | Serv. Units, on line 13 is invalid. |
| LC1511 | Serv. Units, on line 14 is invalid. |
| LC1512 | Serv. Units, on line 15 is invalid. |
| LC1513 | Serv. Units, on line 16 is invalid. |
| LC1514 | Serv. Units, on line 17 is invalid. |
| LC1515 | Serv. Units, on line 18 is invalid. |
| LC1516 | Serv. Units, on line 19 is invalid. |
| LC1517 | Serv. Units, on line 20 is invalid. |
| LC1518 | Serv. Units, on line 21 is invalid. |
| LC1519 | Serv. Units, on line 22 is invalid. |
| LC1520 | Serv. Units, on line 23 is invalid. |
| LC1521 | Serv. Units, on line 24 is invalid. |
| LC1522 | Serv. Units, on line 25 is invalid. |
| LC1523 | Serv. Units, on line 26 is invalid. |
| LC1524 | Serv. Units, on line 27 is invalid. |
| LC1525 | Serv. Units, on line 28 is invalid. |
| LC1526 | Serv. Units, on line 29 is invalid. |
| LC1527 | Serv. Units, on line 30 is invalid. |
| LC1528 | Serv. Units, on line 31 is invalid. |
| LC1529 | Serv. Units, on line 32 is invalid. |
| LC1530 | Serv. Units, on line 33 is invalid. |
| LC1531 | Serv. Units, on line 34 is invalid. |
| LC1532 | Serv. Units, on line 35 is invalid. |
| LC1533 | Serv. Units, on line 36 is invalid. |
| LC1534 | Serv. Units, on line 37 is invalid. |
| LC1535 | Serv. Units, on line 38 is invalid. |
| LC1536 | Serv. Units, on line 39 is invalid. |
| LC1537 | Serv. Units, on line 40 is invalid. |
| LC1538 | Serv. Units, on line 41 is invalid. |
| LC1539 | Serv. Units, on line 42 is invalid. |
| LC1540 | Serv. Units, on line 43 is invalid. |
| LC1541 | Serv. Units, on line 44 is invalid. |
| LC1542 | Serv. Units, on line 45 is invalid. |
| LC1543 | Serv. Units, on line 46 is invalid. |
| LC1544 | Serv. Units, on line 47 is invalid. |
| LC1545 | Serv. Units, on line 48 is invalid. |
| LC1546 | Serv. Units, on line 49 is invalid. |
| LC1547 | Serv. Units, on line 50 is invalid. |
| LC1548 | Serv. Units, on line 51 is invalid. |
| LC1549 | Serv. Units, on line 52 is invalid. |
| LC1550 | Serv. Units, on line 53 is invalid. |
| LC1551 | Serv. Units, on line 54 is invalid. |
| LC1552 | Serv. Units, on line 55 is invalid. |
| LC1553 | Serv. Units, on line 56 is invalid. |
| LC1554 | Serv. Units, on line 57 is invalid. |
| LC1555 | Serv. Units, on line 58 is invalid. |
| LC1556 | Serv. Units, on line 59 is invalid. |
| LC1557 | Serv. Units, on line 60 is invalid. |
| LC1558 | Serv. Units, on line 61 is invalid. |
| LC1559 | Serv. Units, on line 62 is invalid. |
| LC1560 | Serv. Units, on line 63 is invalid. |
| LC1561 | Serv. Units, on line 64 is invalid. |
| LC1562 | Serv. Units, on line 65 is invalid. |
| LC1563 | Serv. Units, on line 66 is invalid. |
| LC1564 | Serv. Units, on line 67 is invalid. |
| LC1565 | Serv. Units, on line 68 is invalid. |
| LC1566 | Serv. Units, on line 69 is invalid. |
| LC1567 | Serv. Units, on line 70 is invalid. |
| LC1568 | Serv. Units, on line 71 is invalid. |
| LC1569 | Serv. Units, on line 72 is invalid. |
| LC1570 | Serv. Units, on line 73 is invalid. |
| LC1571 | Serv. Units, on line 74 is invalid. |
| LC1572 | Serv. Units, on line 75 is invalid. |
| LC1573 | Serv. Units, on line 76 is invalid. |
| LC1574 | Serv. Units, on line 77 is invalid. |
| LC1575 | Serv. Units, on line 78 is invalid. |
| LC1576 | Serv. Units, on line 79 is invalid. |
| LC1577 | Serv. Units, on line 80 is invalid. |
| LC1578 | Serv. Units, on line 81 is invalid. |
| LC1579 | Serv. Units, on line 82 is invalid. |
| LC1580 | Serv. Units, on line 83 is invalid. |
| LC1581 | Serv. Units, on line 84 is invalid. |
| LC1582 | Serv. Units, on line 85 is invalid. |
| LC1583 | Serv. Units, on line 86 is invalid. |
| LC1584 | Serv. Units, on line 87 is invalid. |
| LC1585 | Serv. Units, on line 88 is invalid. |
| LC1586 | Serv. Units, on line 89 is invalid. |
| LC1587 | Serv. Units, on line 90 is invalid. |
| LC1588 | Serv. Units, on line 91 is invalid. |
| LC1589 | Serv. Units, on line 92 is invalid. |
| LC1590 | Serv. Units, on line 93 is invalid. |
| LC1591 | Serv. Units, on line 94 is invalid. |
| LC1592 | Serv. Units, on line 95 is invalid. |
| LC1593 | Serv. Units, on line 96 is invalid. |
| LC1594 | Serv. Units, on line 97 is invalid. |
| LC1595 | Serv. Units, on line 98 is invalid. |
| LC1596 | Serv. Units, on line 99 is invalid. |
| LC1597 | Total Charges, on line 01 is invalid. |
| LC1598 | Total Charges, on line 02 is invalid. |
| LC1599 | Total Charges, on line 03 is invalid. |
| LC16 | HCPCS/RATES (accommodation rate) on line 16 is invalid. |
| LC1600 | Total Charges, on line 04 is invalid. |
| LC1601 | Total Charges, on line 05 is invalid. |
| LC1602 | Total Charges, on line 06 is invalid. |
| LC1603 | Total Charges, on line 07 is invalid. |
| LC1604 | Total Charges, on line 08 is invalid. |
| LC1605 | Total Charges, on line 09 is invalid. |
| LC1606 | Total Charges, on line 10 is invalid. |
| LC1607 | Total Charges, on line 11 is invalid. |
| LC1608 | Total Charges, on line 12 is invalid. |
| LC1609 | Total Charges, on line 13 is invalid. |
| LC1610 | Total Charges, on line 14 is invalid. |
| LC1611 | Total Charges, on line 15 is invalid. |
| LC1612 | Total Charges, on line 16 is invalid. |
| LC1613 | Total Charges, on line 17 is invalid. |
| LC1614 | Total Charges, on line 18 is invalid. |
| LC1615 | Total Charges, on line 19 is invalid. |
| LC1616 | Total Charges, on line 20 is invalid. |
| LC1617 | Total Charges, on line 21 is invalid. |
| LC1618 | Total Charges, on line 22 is invalid. |
| LC1619 | Total Charges, on line 23 is invalid. |
| LC1620 | Total Charges, on line 24 is invalid. |
| LC1621 | Total Charges, on line 25 is invalid. |
| LC1622 | Total Charges, on line 26 is invalid. |
| LC1623 | Total Charges, on line 27 is invalid. |
| LC1624 | Total Charges, on line 28 is invalid. |
| LC1625 | Total Charges, on line 29 is invalid. |
| LC1626 | Total Charges, on line 30 is invalid. |
| LC1627 | Total Charges, on line 31 is invalid. |
| LC1628 | Total Charges, on line 32 is invalid. |
| LC1629 | Total Charges, on line 33 is invalid. |
| LC1630 | Total Charges, on line 34 is invalid. |
| LC1631 | Total Charges, on line 35 is invalid. |
| LC1632 | Total Charges, on line 36 is invalid. |
| LC1633 | Total Charges, on line 37 is invalid. |
| LC1634 | Total Charges, on line 38 is invalid. |
| LC1635 | Total Charges, on line 39 is invalid. |
| LC1636 | Total Charges, on line 40 is invalid. |
| LC1637 | Total Charges, on line 41 is invalid. |
| LC1638 | Total Charges, on line 42 is invalid. |
| LC1639 | Total Charges, on line 43 is invalid. |
| LC1640 | Total Charges, on line 44 is invalid. |
| LC1641 | Total Charges, on line 45 is invalid. |
| LC1642 | Total Charges, on line 46 is invalid. |
| LC1643 | Total Charges, on line 47 is invalid. |
| LC1644 | Total Charges, on line 48 is invalid. |
| LC1645 | Total Charges, on line 49 is invalid. |
| LC1646 | Total Charges, on line 50 is invalid. |
| LC1647 | Total Charges, on line 51 is invalid. |
| LC1648 | Total Charges, on line 52 is invalid. |
| LC1649 | Total Charges, on line 53 is invalid. |
| LC1650 | Total Charges, on line 54 is invalid. |
| LC1651 | Total Charges, on line 55 is invalid. |
| LC1652 | Total Charges, on line 56 is invalid. |
| LC1653 | Total Charges, on line 57 is invalid. |
| LC1654 | Total Charges, on line 58 is invalid. |
| LC1655 | Total Charges, on line 59 is invalid. |
| LC1656 | Total Charges, on line 60 is invalid. |
| LC1657 | Total Charges, on line 61 is invalid. |
| LC1658 | Total Charges, on line 62 is invalid. |
| LC1659 | Total Charges, on line 63 is invalid. |
| LC1660 | Total Charges, on line 64 is invalid. |
| LC1661 | Total Charges, on line 65 is invalid. |
| LC1662 | Total Charges, on line 66 is invalid. |
| LC1663 | Total Charges, on line 67 is invalid. |
| LC1664 | Total Charges, on line 68 is invalid. |
| LC1665 | Total Charges, on line 69 is invalid. |
| LC1666 | Total Charges, on line 70 is invalid. |
| LC1667 | Total Charges, on line 71 is invalid. |
| LC1668 | Total Charges, on line 72 is invalid. |
| LC1669 | Total Charges, on line 73 is invalid. |
| LC1670 | Total Charges, on line 74 is invalid. |
| LC1671 | Total Charges, on line 75 is invalid. |
| LC1672 | Total Charges, on line 76 is invalid. |
| LC1673 | Total Charges, on line 77 is invalid. |
| LC1674 | Total Charges, on line 78 is invalid. |
| LC1675 | Total Charges, on line 79 is invalid. |
| LC1676 | Total Charges, on line 80 is invalid. |
| LC1677 | Total Charges, on line 81 is invalid. |
| LC1678 | Total Charges, on line 82 is invalid. |
| LC1679 | Total Charges, on line 83 is invalid. |
| LC1680 | Total Charges, on line 84 is invalid. |
| LC1681 | Total Charges, on line 85 is invalid. |
| LC1682 | Total Charges, on line 86 is invalid. |
| LC1683 | Total Charges, on line 87 is invalid. |
| LC1684 | Total Charges, on line 88 is invalid. |
| LC1685 | Total Charges, on line 89 is invalid. |
| LC1686 | Total Charges, on line 90 is invalid. |
| LC1687 | Total Charges, on line 91 is invalid. |
| LC1688 | Total Charges, on line 92 is invalid. |
| LC1689 | Total Charges, on line 93 is invalid. |
| LC1690 | Total Charges, on line 94 is invalid. |
| LC1691 | Total Charges, on line 95 is invalid. |
| LC1692 | Total Charges, on line 96 is invalid. |
| LC1693 | Total Charges, on line 97 is invalid. |
| LC1694 | Total Charges, on line 98 is invalid. |
| LC1695 | Total Charges, on line 99 is invalid. |
| LC1696 | Diagnosis code 1(A) is not billable (further specification required) |
| LC1697 | Diagnosis code 2(B) is not billable (further specification required) |
| LC1698 | Diagnosis code 3(C) is not billable (further specification required) |
| LC1699 | Diagnosis code 4(D) is not billable (further specification required) |
| LC17 | HCPCS/RATES (accommodation rate) on line 17 is invalid. |
| LC1700 | Principle Diagnosis Code is Invalid |
| LC1701 | Diagnosis Code 1(A) is Invalid |
| LC1702 | Diagnosis Code 2(B) is Invalid |
| LC1703 | Diagnosis Code 3(C) is Invalid |
| LC1704 | Diagnosis Code 4(D) is Invalid |
| LC1705 | Diagnosis Code 5(E) is Invalid |
| LC1706 | Diagnosis Code 6(F) is Invalid |
| LC1707 | Diagnosis Code 7(G) is Invalid |
| LC1708 | Admitting Diagnosis Code is Invalid |
| LC1709 | Principle Procedure Code is invalid |
| LC171 | Diagnosis Codes must not contain gaps |
| LC1710 | Missing/Invalid Patient Status Code (Box 17, ANSI CL03) |
| LC1711 | Diagnosis code 1(A) not effective for this DOS |
| LC1712 | Diagnosis code 2(B) not effective for this DOS |
| LC1713 | Diagnosis code 3(C) not effective for this DOS |
| LC1714 | Diagnosis code 4(D) not effective for this DOS |
| LC1715 | Some Diagnosis Codes exist on this Claim with no Line Item Pointers |
| LC1716 | Diagnosis Code 8(H) is Invalid |
| LC1717 | Duplicate Procedure Modifier |
| LC1718 | Duplicate Diagnosis Code. |
| LC1719 | Diagnosis code 1(A) not valid for patient gender |
| LC1720 | Diagnosis code 2(B) not valid for patient gender |
| LC1721 | Diagnosis code 3(C) not valid for patient gender |
| LC1722 | Diagnosis code 4(D) not valid for patient gender |
| LC1723 | Diagnosis code 5(E) not valid for patient gender |
| LC1724 | Diagnosis code 6(F) not valid for patient gender |
| LC1725 | Diagnosis code 7(G) not valid for patient gender |
| LC1726 | Diagnosis code 8(H) not valid for patient gender |
| LC1727 | Diagnosis code 1(A) not valid for patient age |
| LC1728 | Diagnosis code 2(B) not valid for patient age |
| LC1729 | Diagnosis code 3(C) not valid for patient age |
| LC1730 | Diagnosis code 4(D) not valid for patient age |
| LC1731 | Diagnosis code 5(E) not valid for patient age |
| LC1732 | Diagnosis code 6(F) not valid for patient age |
| LC1733 | Diagnosis code 7(G) not valid for patient age |
| LC1734 | Diagnosis code 8(H) not valid for patient age |
| LC1735 | Payer Specific Edit: Diagnosis codes which start with 303, 304 or 305 are not accepted. Resubmit on paper. |
| LC1736 | Place of service code, on claim level is invalid. |
| LC1737 | Payer requires line HCPCS/CPT code for outpatient claims |
| LC1738 | Claim not submitted to Payer Claim Amt .01 |
| LC1739 | Diagnosis code 9(I) is not billable (further specification required) |
| LC1740 | Diagnosis code 10(J) is not billable (further specification required) |
| LC1741 | Diagnosis code 11(K) is not billable (further specification required) |
| LC1742 | Diagnosis code 12(L) is not billable (further specification required) |
| LC1743 | Diagnosis Code 9(I) is Invalid |
| LC1744 | Diagnosis Code 10(J) is Invalid |
| LC1745 | Diagnosis Code 11(K) is Invalid |
| LC1746 | Diagnosis Code 12(L) is Invalid |
| LC1747 | Diagnosis code 9(I) not effective for this DOS |
| LC1748 | Diagnosis code 10(J) not effective for this DOS |
| LC1749 | Diagnosis code 11(K) not effective for this DOS |
| LC1750 | Diagnosis code 12(L) not effective for this DOS |
| LC1751 | Diagnosis code 9(I) not valid for patient age |
| LC1752 | Diagnosis code 10(J) not valid for patient age |
| LC1753 | Diagnosis code 11(K) not valid for patient age |
| LC1754 | Diagnosis code 12(L) not valid for patient age |
| LC1755 | Diagnosis code 9(I) not valid for patient gender |
| LC1756 | Diagnosis code 10(J) not valid for patient gender |
| LC1757 | Diagnosis code 11(K) not valid for patient gender |
| LC1758 | Diagnosis code 12(L) not valid for patient gender |
| LC1759 | Diagnosis Code ICD-9 AND ICD-10 On Same Claim not Supported |
| LC1760 | Payer does not Accept ICD-10 Diagnosis Codes for this DOS |
| LC1761 | Payer does not Accept ICD-9 Diagnosis Codes for this DOS |
| LC1762 | Claim Missing Diagnosis Codes |
| LC1763 | Diagnosis Code 13(M) is Invalid |
| LC1764 | Diagnosis Code 14(N) is Invalid |
| LC1765 | Diagnosis Code 15(O) is Invalid |
| LC1766 | Diagnosis Code 16(P) is Invalid |
| LC1767 | Diagnosis Code 17(Q) is Invalid |
| LC1768 | Diagnosis Code 18 is Invalid |
| LC1769 | Diagnosis Code 19 is Invalid |
| LC1770 | Diagnosis Code 20 is Invalid |
| LC1771 | Diagnosis Code 21 is Invalid |
| LC1772 | Diagnosis Code 22 is Invalid |
| LC1773 | Diagnosis Code 23 is Invalid |
| LC1774 | Diagnosis Code 24 is Invalid |
| LC1775 | Primary Diagnosis Code is Invalid |
| LC1776 | Admitting Diagnosis Code is Invalid |
| LC1777 | Reason for Visit 1(a) Diagnosis Code is Invalid |
| LC1778 | Reason for Visit 2(b) Diagnosis Code is Invalid |
| LC1779 | Reason for Visit 3(c) Diagnosis Code is Invalid |
| LC1780 | External Cause of Injury 1(a) Diagnosis Code is Invalid |
| LC1781 | External Cause of Injury 2(b) Diagnosis Code is Invalid |
| LC1782 | External Cause of Injury 3(c) Diagnosis Code is Invalid |
| LC1783 | External Cause of Injury 4 Diagnosis Code is Invalid |
| LC1784 | External Cause of Injury 5 Diagnosis Code is Invalid |
| LC1785 | External Cause of Injury 6 Diagnosis Code is Invalid |
| LC1786 | External Cause of Injury 7 Diagnosis Code is Invalid |
| LC1787 | External Cause of Injury 8 Diagnosis Code is Invalid |
| LC1788 | External Cause of Injury 9 Diagnosis Code is Invalid |
| LC1789 | External Cause of Injury 10 Diagnosis Code is Invalid |
| LC1790 | External Cause of Injury 11 Diagnosis Code is Invalid |
| LC1791 | External Cause of Injury 12 Diagnosis Code is Invalid |
| LC1792 | Diagnosis code 13(M) is not billable (further specification required) |
| LC1793 | Diagnosis code 14(N) is not billable (further specification required) |
| LC1794 | Diagnosis code 15(O) is not billable (further specification required) |
| LC1795 | Diagnosis code 16(P) is not billable (further specification required) |
| LC1796 | Diagnosis code 17(Q) is not billable (further specification required) |
| LC1797 | Diagnosis code 18 is not billable (further specification required) |
| LC1798 | Diagnosis code 19 is not billable (further specification required) |
| LC1799 | Diagnosis code 20 is not billable (further specification required) |
| LC18 | HCPCS/RATES (accommodation rate) on line 18 is invalid. |
| LC1800 | Diagnosis code 21 is not billable (further specification required) |
| LC1801 | Diagnosis code 22 is not billable (further specification required) |
| LC1802 | Diagnosis code 23 is not billable (further specification required) |
| LC1803 | Diagnosis code 24 is not billable (further specification required) |
| LC1804 | Primary Diagnosis Code is not billable (further specification required) |
| LC1805 | Admitting Diagnosis Code is not billable (further specification required) |
| LC1806 | Reason for Visit 1(a) Diagnosis Code is not billable (further specification required) |
| LC1807 | Reason for Visit 2(b) Diagnosis Code is not billable (further specification required) |
| LC1808 | Reason for Visit 3(c) Diagnosis Code is not billable (further specification required) |
| LC1809 | External Cause of Injury 1(a) Diagnosis Code is not billable (further specification required) |
| LC1810 | External Cause of Injury 2(b) Diagnosis Code is not billable (further specification required) |
| LC1811 | External Cause of Injury 3(c) Diagnosis Code is not billable (further specification required) |
| LC1812 | External Cause of Injury 4 Diagnosis Code is not billable (further specification required) |
| LC1813 | External Cause of Injury 5 Diagnosis Code is not billable (further specification required) |
| LC1814 | External Cause of Injury 6 Diagnosis Code is not billable (further specification required) |
| LC1815 | External Cause of Injury 7 Diagnosis Code is not billable (further specification required) |
| LC1816 | External Cause of Injury 8 Diagnosis Code is not billable (further specification required) |
| LC1817 | External Cause of Injury 9 Diagnosis Code is not billable (further specification required) |
| LC1818 | External Cause of Injury 10 Diagnosis Code is not billable (further specification required) |
| LC1819 | External Cause of Injury 11 Diagnosis Code is not billable (further specification required) |
| LC1820 | External Cause of Injury 12 Diagnosis Code is not billable (further specification required) |
| LC1821 | Diagnosis code 13(M) not effective for this DOS |
| LC1822 | Diagnosis code 14(N) not effective for this DOS |
| LC1823 | Diagnosis code 15(O) not effective for this DOS |
| LC1824 | Diagnosis code 16(P) not effective for this DOS |
| LC1825 | Diagnosis code 17(Q) not effective for this DOS |
| LC1826 | Diagnosis code 18 not effective for this DOS |
| LC1827 | Diagnosis code 19 not effective for this DOS |
| LC1828 | Diagnosis code 20 not effective for this DOS |
| LC1829 | Diagnosis code 21 not effective for this DOS |
| LC1830 | Diagnosis code 22 not effective for this DOS |
| LC1831 | Diagnosis code 23 not effective for this DOS |
| LC1832 | Diagnosis code 24 not effective for this DOS |
| LC1833 | Primary Diagnosis Code not effective for this DOS |
| LC1834 | Admitting Diagnosis Code not effective for this DOS |
| LC1835 | Reason for Visit 1(a) Diagnosis Code not effective for this DOS |
| LC1836 | Reason for Visit 2(b) Diagnosis Code not effective for this DOS |
| LC1837 | Reason for Visit 3(c) Diagnosis Code not effective for this DOS |
| LC1838 | External Cause of Injury 1(a) Diagnosis Code not effective for this DOS |
| LC1839 | External Cause of Injury 2(b) Diagnosis Code not effective for this DOS |
| LC1840 | External Cause of Injury 3(c) Diagnosis Code not effective for this DOS |
| LC1841 | External Cause of Injury 4 Diagnosis Code not effective for this DOS |
| LC1842 | External Cause of Injury 5 Diagnosis Code not effective for this DOS |
| LC1843 | External Cause of Injury 6 Diagnosis Code not effective for this DOS |
| LC1844 | External Cause of Injury 7 Diagnosis Code not effective for this DOS |
| LC1845 | External Cause of Injury 8 Diagnosis Code not effective for this DOS |
| LC1846 | External Cause of Injury 9 Diagnosis Code not effective for this DOS |
| LC1847 | External Cause of Injury 10 Diagnosis Code not effective for this DOS |
| LC1848 | External Cause of Injury 11 Diagnosis Code not effective for this DOS |
| LC1849 | External Cause of Injury 12 Diagnosis Code not effective for this DOS |
| LC1850 | Diagnosis code 13(M) not valid for patient age |
| LC1851 | Diagnosis code 14(N) not valid for patient age |
| LC1852 | Diagnosis code 15(O) not valid for patient age |
| LC1853 | Diagnosis code 16(P) not valid for patient age |
| LC1854 | Diagnosis code 17(Q) not valid for patient age |
| LC1855 | Diagnosis code 18 not valid for patient age |
| LC1856 | Diagnosis code 19 not valid for patient age |
| LC1857 | Diagnosis code 20 not valid for patient age |
| LC1858 | Diagnosis code 21 not valid for patient age |
| LC1859 | Diagnosis code 22 not valid for patient age |
| LC1860 | Diagnosis code 23 not valid for patient age |
| LC1861 | Diagnosis code 24 not valid for patient age |
| LC1862 | Primary Diagnosis Code not valid for patient age |
| LC1863 | Admitting Diagnosis Code not valid for patient age |
| LC1864 | Reason for Visit 1(a) Diagnosis Code not valid for patient age |
| LC1865 | Reason for Visit 2(b) Diagnosis Code not valid for patient age |
| LC1866 | Reason for Visit 3(c) Diagnosis Code not valid for patient age |
| LC1867 | External Cause of Injury 1(a) Diagnosis Code not valid for patient age |
| LC1868 | External Cause of Injury 2(b) Diagnosis Code not valid for patient age |
| LC1869 | External Cause of Injury 3(c) Diagnosis Code not valid for patient age |
| LC1870 | External Cause of Injury 4 Diagnosis Code not valid for patient age |
| LC1871 | External Cause of Injury 5 Diagnosis Code not valid for patient age |
| LC1872 | External Cause of Injury 6 Diagnosis Code not valid for patient age |
| LC1873 | External Cause of Injury 7 Diagnosis Code not valid for patient age |
| LC1874 | External Cause of Injury 8 Diagnosis Code not valid for patient age |
| LC1875 | External Cause of Injury 9 Diagnosis Code not valid for patient age |
| LC1876 | External Cause of Injury 10 Diagnosis Code not valid for patient age |
| LC1877 | External Cause of Injury 11 Diagnosis Code not valid for patient age |
| LC1878 | External Cause of Injury 12 Diagnosis Code not valid for patient age |
| LC1879 | Diagnosis code 13(M) not valid for patient gender |
| LC1880 | Diagnosis code 14(N) not valid for patient gender |
| LC1881 | Diagnosis code 15(O) not valid for patient gender |
| LC1882 | Diagnosis code 16(P) not valid for patient gender |
| LC1883 | Diagnosis code 17(Q) not valid for patient gender |
| LC1884 | Diagnosis code 18 not valid for patient gender |
| LC1885 | Diagnosis code 19 not valid for patient gender |
| LC1886 | Diagnosis code 20 not valid for patient gender |
| LC1887 | Diagnosis code 21 not valid for patient gender |
| LC1888 | Diagnosis code 22 not valid for patient gender |
| LC1889 | Diagnosis code 23 not valid for patient gender |
| LC1890 | Diagnosis code 24 not valid for patient gender |
| LC1891 | Primary Diagnosis Code not valid for patient gender |
| LC1892 | Admitting Diagnosis Code not valid for patient gender |
| LC1893 | Reason for Visit 1(a) Diagnosis Code not valid for patient gender |
| LC1894 | Reason for Visit 2(b) Diagnosis Code not valid for patient gender |
| LC1895 | Reason for Visit 3(c) Diagnosis Code not valid for patient gender |
| LC1896 | External Cause of Injury 1(a) Diagnosis Code not valid for patient gender |
| LC1897 | External Cause of Injury 2(b) Diagnosis Code not valid for patient gender |
| LC1898 | External Cause of Injury 3(c) Diagnosis Code not valid for patient gender |
| LC1899 | External Cause of Injury 4 Diagnosis Code not valid for patient gender |
| LC19 | HCPCS/RATES (accommodation rate) on line 19 is invalid. |
| LC1900 | External Cause of Injury 5 Diagnosis Code not valid for patient gender |
| LC1901 | External Cause of Injury 6 Diagnosis Code not valid for patient gender |
| LC1902 | External Cause of Injury 7 Diagnosis Code not valid for patient gender |
| LC1903 | External Cause of Injury 8 Diagnosis Code not valid for patient gender |
| LC1904 | External Cause of Injury 9 Diagnosis Code not valid for patient gender |
| LC1905 | External Cause of Injury 10 Diagnosis Code not valid for patient gender |
| LC1906 | External Cause of Injury 11 Diagnosis Code not valid for patient gender |
| LC1907 | External Cause of Injury 12 Diagnosis Code not valid for patient gender |
| LC1908 | Claim has additional Diagnosis code errors. Please check the ICD9/10 indicator and all formatting is correct |
| LC1909 | Duplicate reason for visit diagnosis codes |
| LC1910 | Duplicate external cause of injury diagnosis codes |
| LC1911 | Other Procedure Code is invalid |
| LC1912 | Other Procedure Code 1(a) is invalid |
| LC1913 | Other Procedure Code 2(b) is invalid |
| LC1914 | Other Procedure Code 3(c) is invalid |
| LC1915 | Other Procedure Code 4(d) is invalid |
| LC1916 | Other Procedure Code 5(e) is invalid |
| LC1917 | Other Procedure Code #6 is invalid |
| LC1918 | Other Procedure Code #7 is invalid |
| LC1919 | Other Procedure Code #8 is invalid |
| LC1920 | Other Procedure Code #9 is invalid |
| LC1921 | Other Procedure Code #10 is invalid |
| LC1922 | Other Procedure Code #11 is invalid |
| LC1923 | Other Procedure Code #12 is invalid |
| LC1924 | Other Procedure Code #13 is invalid |
| LC1925 | Other Procedure Code #14 is invalid |
| LC1926 | Other Procedure Code #15 is invalid |
| LC1927 | Other Procedure Code #16 is invalid |
| LC1928 | Other Procedure Code #17 is invalid |
| LC1929 | Other Procedure Code #18 is invalid |
| LC1930 | Other Procedure Code #19 is invalid |
| LC1931 | Other Procedure Code #20 is invalid |
| LC1932 | Other Procedure Code #21 is invalid |
| LC1933 | Other Procedure Code #22 is invalid |
| LC1934 | Other Procedure Code #23 is invalid |
| LC1935 | Other Procedure Code #24 is invalid |
| LC1936 | Principle Procedure Code is not billable (further specification required) |
| LC1937 | Other Procedure Code 1(a) is not billable (further specification required) |
| LC1938 | Other Procedure Code 2(b) is not billable (further specification required) |
| LC1939 | Other Procedure Code 3(c) is not billable (further specification required) |
| LC1940 | Other Procedure Code 4(d) is not billable (further specification required) |
| LC1941 | Other Procedure Code 5(e) is not billable (further specification required) |
| LC1942 | Other Procedure Code #6 is not billable (further specification required) |
| LC1943 | Other Procedure Code #7 is not billable (further specification required) |
| LC1944 | Other Procedure Code #8 is not billable (further specification required) |
| LC1945 | Other Procedure Code #9 is not billable (further specification required) |
| LC1946 | Other Procedure Code #10 is not billable (further specification required) |
| LC1947 | Other Procedure Code #11 is not billable (further specification required) |
| LC1948 | Other Procedure Code #12 is not billable (further specification required) |
| LC1949 | Other Procedure Code #13 is not billable (further specification required) |
| LC1950 | Other Procedure Code #14 is not billable (further specification required) |
| LC1951 | Other Procedure Code #15 is not billable (further specification required) |
| LC1952 | Other Procedure Code #16 is not billable (further specification required) |
| LC1953 | Other Procedure Code #17 is not billable (further specification required) |
| LC1954 | Other Procedure Code #18 is not billable (further specification required) |
| LC1955 | Other Procedure Code #19 is not billable (further specification required) |
| LC1956 | Other Procedure Code #20 is not billable (further specification required) |
| LC1957 | Other Procedure Code #21 is not billable (further specification required) |
| LC1958 | Other Procedure Code #22 is not billable (further specification required) |
| LC1959 | Other Procedure Code #23 is not billable (further specification required) |
| LC1960 | Other Procedure Code #24 is not billable (further specification required) |
| LC1961 | Principle Procedure Code not effective for this DOS |
| LC1962 | Other Procedure Code 1(a) not effective for this DOS |
| LC1963 | Other Procedure Code 2(b) not effective for this DOS |
| LC1964 | Other Procedure Code 3(c) not effective for this DOS |
| LC1965 | Other Procedure Code 4(d) not effective for this DOS |
| LC1966 | Other Procedure Code 5(e) not effective for this DOS |
| LC1967 | Other Procedure Code #6 not effective for this DOS |
| LC1968 | Other Procedure Code #7 not effective for this DOS |
| LC1969 | Other Procedure Code #8 not effective for this DOS |
| LC1970 | Other Procedure Code #9 not effective for this DOS |
| LC1971 | Other Procedure Code #10 not effective for this DOS |
| LC1972 | Other Procedure Code #11 not effective for this DOS |
| LC1973 | Other Procedure Code #12 not effective for this DOS |
| LC1974 | Other Procedure Code #13 not effective for this DOS |
| LC1975 | Other Procedure Code #14 not effective for this DOS |
| LC1976 | Other Procedure Code #15 not effective for this DOS |
| LC1977 | Other Procedure Code #16 not effective for this DOS |
| LC1978 | Other Procedure Code #17 not effective for this DOS |
| LC1979 | Other Procedure Code #18 not effective for this DOS |
| LC1980 | Other Procedure Code #19 not effective for this DOS |
| LC1981 | Other Procedure Code #20 not effective for this DOS |
| LC1982 | Other Procedure Code #21 not effective for this DOS |
| LC1983 | Other Procedure Code #22 not effective for this DOS |
| LC1984 | Other Procedure Code #23 not effective for this DOS |
| LC1985 | Other Procedure Code #24 not effective for this DOS |
| LC1986 | Principle Procedure Code not valid for patient age |
| LC1987 | Other Procedure Code 1(a) not valid for patient age |
| LC1988 | Other Procedure Code 2(b) not valid for patient age |
| LC1989 | Other Procedure Code 3(c) not valid for patient age |
| LC1990 | Other Procedure Code 4(d) not valid for patient age |
| LC1991 | Other Procedure Code 5(e) not valid for patient age |
| LC1992 | Other Procedure Code #6 not valid for patient age |
| LC1993 | Other Procedure Code #7 not valid for patient age |
| LC1994 | Other Procedure Code #8 not valid for patient age |
| LC1995 | Other Procedure Code #9 not valid for patient age |
| LC1996 | Other Procedure Code #10 not valid for patient age |
| LC1997 | Other Procedure Code #11 not valid for patient age |
| LC1998 | Other Procedure Code #12 not valid for patient age |
| LC1999 | Other Procedure Code #13 not valid for patient age |
| LC20 | HCPCS/RATES (accommodation rate) on line 20 is invalid. |
| LC2000 | Other Procedure Code #14 not valid for patient age |
| LC2001 | Other Procedure Code #15 not valid for patient age |
| LC2002 | Other Procedure Code #16 not valid for patient age |
| LC2003 | Other Procedure Code #17 not valid for patient age |
| LC2004 | Other Procedure Code #18 not valid for patient age |
| LC2005 | Other Procedure Code #19 not valid for patient age |
| LC2006 | Other Procedure Code #20 not valid for patient age |
| LC2007 | Other Procedure Code #21 not valid for patient age |
| LC2008 | Other Procedure Code #22 not valid for patient age |
| LC2009 | Other Procedure Code #23 not valid for patient age |
| LC201 | CPT / HCPCS Code code on line 01 not in Payers allowed code list |
| LC2010 | Other Procedure Code #24 not valid for patient age |
| LC2011 | Principle Procedure Code not valid for patient gender |
| LC2012 | Other Procedure Code 1(a) not valid for patient gender |
| LC2013 | Other Procedure Code 2(b) not valid for patient gender |
| LC2014 | Other Procedure Code 3(c) not valid for patient gender |
| LC2015 | Other Procedure Code 4(d) not valid for patient gender |
| LC2016 | Other Procedure Code 5(e) not valid for patient gender |
| LC2017 | Other Procedure Code #6 not valid for patient gender |
| LC2018 | Other Procedure Code #7 not valid for patient gender |
| LC2019 | Other Procedure Code #8 not valid for patient gender |
| LC202 | CPT / HCPCS Code code on line 02 not in Payers allowed code list |
| LC2020 | Other Procedure Code #9 not valid for patient gender |
| LC2021 | Other Procedure Code #10 not valid for patient gender |
| LC2022 | Other Procedure Code #11 not valid for patient gender |
| LC2023 | Other Procedure Code #12 not valid for patient gender |
| LC2024 | Other Procedure Code #13 not valid for patient gender |
| LC2025 | Other Procedure Code #14 not valid for patient gender |
| LC2026 | Other Procedure Code #15 not valid for patient gender |
| LC2027 | Other Procedure Code #16 not valid for patient gender |
| LC2028 | Other Procedure Code #17 not valid for patient gender |
| LC2029 | Other Procedure Code #18 not valid for patient gender |
| LC203 | CPT / HCPCS Code code on line 03 not in Payers allowed code list |
| LC2030 | Other Procedure Code #19 not valid for patient gender |
| LC2031 | Other Procedure Code #20 not valid for patient gender |
| LC2032 | Other Procedure Code #21 not valid for patient gender |
| LC2033 | Other Procedure Code #22 not valid for patient gender |
| LC2034 | Other Procedure Code #23 not valid for patient gender |
| LC2035 | Other Procedure Code #24 not valid for patient gender |
| LC2036 | Duplicate Claim level (HI segment) Procedure Codes |
| LC2037 | Claim has additional Primary and/or Other Procedure Code errors. Please check the ICD9/10 indicator and all formatting is correct |
| LC2038 | Primary and Other Procedure codes must be from (ICD-9-CM) Principal Procedure Code list (Qualifiers BR and BQ) |
| LC2039 | Primary and Other Procedure codes must be from (ICD-10-PCS) Principal Procedure Code list (Qualifiers BBR and BBQ) |
| LC204 | CPT / HCPCS Code code on line 04 not in Payers allowed code list |
| LC2040 | Modifier (SV202-3) cannot be sent without procedure code (SV202-2) |
| LC2041 | NDC Code on line 01 is invalid |
| LC2042 | NDC Code on line 02 is invalid |
| LC2043 | NDC Code on line 03 is invalid |
| LC2044 | NDC Code on line 04 is invalid |
| LC2045 | NDC Code on line 05 is invalid |
| LC2046 | NDC Code on line 06 is invalid |
| LC2047 | NDC Code on line 07 is invalid |
| LC2048 | NDC Code on line 08 is invalid |
| LC2049 | NDC Code on line 09 is invalid |
| LC205 | CPT / HCPCS Code code on line 05 not in Payers allowed code list |
| LC2050 | NDC Code on line 10 is invalid |
| LC2051 | NDC Code on line 11 is invalid |
| LC2052 | NDC Code on line 12 is invalid |
| LC2053 | NDC Code on line 13 is invalid |
| LC2054 | NDC Code on line 14 is invalid |
| LC2055 | NDC Code on line 15 is invalid |
| LC2056 | NDC Code on line 16 is invalid |
| LC2057 | NDC Code on line 17 is invalid |
| LC2058 | NDC Code on line 18 is invalid |
| LC2059 | NDC Code on line 19 is invalid |
| LC206 | CPT / HCPCS Code code on line 06 not in Payers allowed code list |
| LC2060 | NDC Code on line 20 is invalid |
| LC2061 | NDC Code on line 21 is invalid |
| LC2062 | NDC Code on line 22 is invalid |
| LC2063 | NDC Code on line 23 is invalid |
| LC2064 | NDC Code on line 24 is invalid |
| LC2065 | NDC Code on line 25 or greater is invalid |
| LC207 | CPT / HCPCS Code code on line 07 not in Payers allowed code list |
| LC208 | CPT / HCPCS Code code on line 08 not in Payers allowed code list |
| LC209 | CPT / HCPCS Code code on line 09 not in Payers allowed code list |
| LC21 | HCPCS/RATES (accommodation rate) on line 21 is invalid. |
| LC210 | CPT / HCPCS Code code on line 10 not in Payers allowed code list |
| LC211 | CPT / HCPCS Code code on line 11 not in Payers allowed code list |
| LC212 | CPT / HCPCS Code code on line 12 not in Payers allowed code list |
| LC213 | CPT / HCPCS Code code on line 13 not in Payers allowed code list |
| LC214 | CPT / HCPCS Code code on line 14 not in Payers allowed code list |
| LC215 | CPT / HCPCS Code code on line 15 not in Payers allowed code list |
| LC216 | CPT / HCPCS Code code on line 16 not in Payers allowed code list |
| LC217 | CPT / HCPCS Code code on line 17 not in Payers allowed code list |
| LC218 | CPT / HCPCS Code code on line 18 not in Payers allowed code list |
| LC219 | CPT / HCPCS Code code on line 19 not in Payers allowed code list |
| LC22 | HCPCS/RATES (accommodation rate) on line 22 is invalid. |
| LC220 | CPT / HCPCS Code code on line 20 not in Payers allowed code list |
| LC221 | CPT / HCPCS Code code on line 21 not in Payers allowed code list |
| LC222 | CPT / HCPCS Code code on line 22 not in Payers allowed code list |
| LC223 | CPT / HCPCS Code code on line 23 not in Payers allowed code list |
| LC224 | CPT / HCPCS Code code on line 24 not in Payers allowed code list |
| LC225 | CPT / HCPCS Code code on line 25 or greater not in Payers allowed code list |
| LC23 | HCPCS/RATES (accommodation rate) on line 23 is invalid. |
| LC24 | HCPCS/RATES (accommodation rate) on line 24 is invalid. |
| LC25 | HCPCS/RATES (accommodation rate) on line 25 is invalid. |
| LC26 | HCPCS/RATES (accommodation rate) on line 26 is invalid. |
| LC27 | HCPCS/RATES (accommodation rate) on line 27 is invalid. |
| LC28 | HCPCS/RATES (accommodation rate) on line 28 is invalid. |
| LC29 | HCPCS/RATES (accommodation rate) on line 29 is invalid. |
| LC30 | HCPCS/RATES (accommodation rate) on line 30 is invalid. |
| LC301 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 01 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC302 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 02 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC303 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 03 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC304 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 04 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC305 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 05 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC306 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 06 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC307 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 07 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC308 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 08 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC309 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 09 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC31 | HCPCS/RATES (accommodation rate) on line 31 is invalid. |
| LC310 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 10 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC311 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 11 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC312 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 12 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC313 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 13 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC314 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 14 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC315 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 15 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC316 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 16 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC317 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 17 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC318 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 18 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC319 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 19 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC32 | HCPCS/RATES (accommodation rate) on line 32 is invalid. |
| LC320 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 20 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC321 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 21 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC322 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 22 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC323 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 23 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC324 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 24 invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC325 | Payer Specific Edit: Diagnosis code pointer (Box 24e) on line 25 or greater invalid. Payer only allows diagnosis code pointers 1-8 to be sent. |
| LC33 | HCPCS/RATES (accommodation rate) on line 33 is invalid. |
| LC34 | HCPCS/RATES (accommodation rate) on line 34 is invalid. |
| LC35 | HCPCS/RATES (accommodation rate) on line 35 is invalid. |
| LC36 | HCPCS/RATES (accommodation rate) on line 36 is invalid. |
| LC37 | HCPCS/RATES (accommodation rate) on line 37 is invalid. |
| LC38 | HCPCS/RATES (accommodation rate) on line 38 is invalid. |
| LC39 | HCPCS/RATES (accommodation rate) on line 39 is invalid. |
| LC40 | HCPCS/RATES (accommodation rate) on line 40 is invalid. |
| LC400 | HIPPS Code on line 01 is invalid |
| LC401 | HIPPS Code on line 02 is invalid |
| LC402 | HIPPS Code on line 03 is invalid |
| LC403 | HIPPS Code on line 04 is invalid |
| LC404 | HIPPS Code on line 05 is invalid |
| LC405 | HIPPS Code on line 06 is invalid |
| LC406 | HIPPS Code on line 07 is invalid |
| LC407 | HIPPS Code on line 08 is invalid |
| LC408 | HIPPS Code on line 09 is invalid |
| LC409 | HIPPS Code on line 10 is invalid |
| LC41 | HCPCS/RATES (accommodation rate) on line 41 is invalid. |
| LC410 | HIPPS Code on line 11 is invalid |
| LC411 | HIPPS Code on line 12 is invalid |
| LC412 | HIPPS Code on line 13 is invalid |
| LC413 | HIPPS Code on line 14 is invalid |
| LC414 | HIPPS Code on line 15 is invalid |
| LC415 | HIPPS Code on line 16 is invalid |
| LC416 | HIPPS Code on line 17 is invalid |
| LC417 | HIPPS Code on line 18 is invalid |
| LC418 | HIPPS Code on line 19 is invalid |
| LC419 | HIPPS Code on line 20 is invalid |
| LC42 | HCPCS/RATES (accommodation rate) on line 42 is invalid. |
| LC420 | HIPPS Code on line 21 is invalid |
| LC421 | HIPPS Code on line 22 is invalid |
| LC422 | HIPPS Code on line 23 is invalid |
| LC423 | HIPPS Code on line 24 is invalid |
| LC424 | HIPPS Code on line 25 or greater is invalid |
| LC425 | Non-specific HIPPS Code on line 01 requires description |
| LC426 | Non-specific HIPPS Code on line 02 requires description |
| LC427 | Non-specific HIPPS Code on line 03 requires description |
| LC428 | Non-specific HIPPS Code on line 04 requires description |
| LC429 | Non-specific HIPPS Code on line 05 requires description |
| LC43 | HCPCS/RATES (accommodation rate) on line 43 is invalid. |
| LC430 | Non-specific HIPPS Code on line 06 requires description |
| LC431 | Non-specific HIPPS Code on line 07 requires description |
| LC432 | Non-specific HIPPS Code on line 08 requires description |
| LC433 | Non-specific HIPPS Code on line 09 requires description |
| LC434 | Non-specific HIPPS Code on line 10 requires description |
| LC435 | Non-specific HIPPS Code on line 11 requires description |
| LC436 | Non-specific HIPPS Code on line 12 requires description |
| LC437 | Non-specific HIPPS Code on line 13 requires description |
| LC438 | Non-specific HIPPS Code on line 14 requires description |
| LC439 | Non-specific HIPPS Code on line 15 requires description |
| LC44 | HCPCS/RATES (accommodation rate) on line 44 is invalid. |
| LC440 | Non-specific HIPPS Code on line 16 requires description |
| LC441 | Non-specific HIPPS Code on line 17 requires description |
| LC442 | Non-specific HIPPS Code on line 18 requires description |
| LC443 | Non-specific HIPPS Code on line 19 requires description |
| LC444 | Non-specific HIPPS Code on line 20 requires description |
| LC445 | Non-specific HIPPS Code on line 21 requires description |
| LC446 | Non-specific HIPPS Code on line 22 requires description |
| LC447 | Non-specific HIPPS Code on line 23 requires description |
| LC448 | Non-specific HIPPS Code on line 24 requires description |
| LC449 | Non-specific HIPPS Code on line 25 or greater requires description |
| LC45 | HCPCS/RATES (accommodation rate) on line 45 is invalid. |
| LC450 | HIPPS Code on line 01 is NOT in Payers allowed code list |
| LC451 | HIPPS Code on line 02 is NOT in Payers allowed code list |
| LC452 | HIPPS Code on line 03 is NOT in Payers allowed code list |
| LC453 | HIPPS Code on line 04 is NOT in Payers allowed code list |
| LC454 | HIPPS Code on line 05 is NOT in Payers allowed code list |
| LC455 | HIPPS Code on line 06 is NOT in Payers allowed code list |
| LC456 | HIPPS Code on line 07 is NOT in Payers allowed code list |
| LC457 | HIPPS Code on line 08 is NOT in Payers allowed code list |
| LC458 | HIPPS Code on line 09 is NOT in Payers allowed code list |
| LC459 | HIPPS Code on line 10 is NOT in Payers allowed code list |
| LC46 | HCPCS/RATES (accommodation rate) on line 46 is invalid. |
| LC460 | HIPPS Code on line 11 is NOT in Payers allowed code list |
| LC461 | HIPPS Code on line 12 is NOT in Payers allowed code list |
| LC462 | HIPPS Code on line 13 is NOT in Payers allowed code list |
| LC463 | HIPPS Code on line 14 is NOT in Payers allowed code list |
| LC464 | HIPPS Code on line 15 is NOT in Payers allowed code list |
| LC465 | HIPPS Code on line 16 is NOT in Payers allowed code list |
| LC466 | HIPPS Code on line 17 is NOT in Payers allowed code list |
| LC467 | HIPPS Code on line 18 is NOT in Payers allowed code list |
| LC468 | HIPPS Code on line 19 is NOT in Payers allowed code list |
| LC469 | HIPPS Code on line 20 is NOT in Payers allowed code list |
| LC47 | HCPCS/RATES (accommodation rate) on line 47 is invalid. |
| LC470 | HIPPS Code on line 21 is NOT in Payers allowed code list |
| LC471 | HIPPS Code on line 22 is NOT in Payers allowed code list |
| LC472 | HIPPS Code on line 23 is NOT in Payers allowed code list |
| LC473 | HIPPS Code on line 24 is NOT in Payers allowed code list |
| LC474 | HIPPS Code on line 25 or greater is NOT in Payers allowed code list |
| LC475 | HIPPS Code on line 01 requires valid NDC Code |
| LC476 | HIPPS Code on line 02 requires valid NDC Code |
| LC477 | HIPPS Code on line 03 requires valid NDC Code |
| LC478 | HIPPS Code on line 04 requires valid NDC Code |
| LC479 | HIPPS Code on line 05 requires valid NDC Code |
| LC48 | HCPCS/RATES (accommodation rate) on line 48 is invalid. |
| LC480 | HIPPS Code on line 06 requires valid NDC Code |
| LC481 | HIPPS Code on line 07 requires valid NDC Code |
| LC482 | HIPPS Code on line 08 requires valid NDC Code |
| LC483 | HIPPS Code on line 09 requires valid NDC Code |
| LC484 | HIPPS Code on line 10 requires valid NDC Code |
| LC485 | HIPPS Code on line 11 requires valid NDC Code |
| LC486 | HIPPS Code on line 12 requires valid NDC Code |
| LC487 | HIPPS Code on line 13 requires valid NDC Code |
| LC488 | HIPPS Code on line 14 requires valid NDC Code |
| LC489 | HIPPS Code on line 15 requires valid NDC Code |
| LC49 | HCPCS/RATES (accommodation rate) on line 49 is invalid. |
| LC490 | HIPPS Code on line 16 requires valid NDC Code |
| LC491 | HIPPS Code on line 17 requires valid NDC Code |
| LC492 | HIPPS Code on line 18 requires valid NDC Code |
| LC493 | HIPPS Code on line 19 requires valid NDC Code |
| LC494 | HIPPS Code on line 20 requires valid NDC Code |
| LC495 | HIPPS Code on line 21 requires valid NDC Code |
| LC496 | HIPPS Code on line 22 requires valid NDC Code |
| LC497 | HIPPS Code on line 23 requires valid NDC Code |
| LC498 | HIPPS Code on line 24 requires valid NDC Code |
| LC499 | HIPPS Code on line 25 or greater requires valid NDC Code |
| LC50 | HCPCS/RATES (accommodation rate) on line 50 is invalid. |
| LC51 | HCPCS/RATES (accommodation rate) on line 51 is invalid. |
| LC52 | HCPCS/RATES (accommodation rate) on line 52 is invalid. |
| LC53 | HCPCS/RATES (accommodation rate) on line 53 is invalid. |
| LC54 | HCPCS/RATES (accommodation rate) on line 54 is invalid. |
| LC55 | HCPCS/RATES (accommodation rate) on line 55 is invalid. |
| LC56 | HCPCS/RATES (accommodation rate) on line 56 is invalid. |
| LC57 | HCPCS/RATES (accommodation rate) on line 57 is invalid. |
| LC58 | HCPCS/RATES (accommodation rate) on line 58 is invalid. |
| LC59 | HCPCS/RATES (accommodation rate) on line 59 is invalid. |
| LC60 | HCPCS/RATES (accommodation rate) on line 60 is invalid. |
| LC61 | HCPCS/RATES (accommodation rate) on line 61 is invalid. |
| LC62 | HCPCS/RATES (accommodation rate) on line 62 is invalid. |
| LC63 | HCPCS/RATES (accommodation rate) on line 63 is invalid. |
| LC64 | HCPCS/RATES (accommodation rate) on line 64 is invalid. |
| LC65 | HCPCS/RATES (accommodation rate) on line 65 is invalid. |
| LC66 | HCPCS/RATES (accommodation rate) on line 66 is invalid. |
| LC67 | HCPCS/RATES (accommodation rate) on line 67 is invalid. |
| LC68 | HCPCS/RATES (accommodation rate) on line 68 is invalid. |
| LC69 | HCPCS/RATES (accommodation rate) on line 69 is invalid. |
| LC70 | HCPCS/RATES (accommodation rate) on line 70 is invalid. |
| LC71 | HCPCS/RATES (accommodation rate) on line 71 is invalid. |
| LC72 | HCPCS/RATES (accommodation rate) on line 72 is invalid. |
| LC73 | HCPCS/RATES (accommodation rate) on line 73 is invalid. |
| LC74 | HCPCS/RATES (accommodation rate) on line 74 is invalid. |
| LC75 | HCPCS/RATES (accommodation rate) on line 75 is invalid. |
| LC76 | HCPCS/RATES (accommodation rate) on line 76 is invalid. |
| LC77 | HCPCS/RATES (accommodation rate) on line 77 is invalid. |
| LC78 | HCPCS/RATES (accommodation rate) on line 78 is invalid. |
| LC79 | HCPCS/RATES (accommodation rate) on line 79 is invalid. |
| LC80 | HCPCS/RATES (accommodation rate) on line 80 is invalid. |
| LC81 | HCPCS/RATES (accommodation rate) on line 81 is invalid. |
| LC82 | HCPCS/RATES (accommodation rate) on line 82 is invalid. |
| LC83 | HCPCS/RATES (accommodation rate) on line 83 is invalid. |
| LC84 | HCPCS/RATES (accommodation rate) on line 84 is invalid. |
| LC85 | HCPCS/RATES (accommodation rate) on line 85 is invalid. |
| LC86 | HCPCS/RATES (accommodation rate) on line 86 is invalid. |
| LC87 | HCPCS/RATES (accommodation rate) on line 87 is invalid. |
| LC88 | HCPCS/RATES (accommodation rate) on line 88 is invalid. |
| LC89 | HCPCS/RATES (accommodation rate) on line 89 is invalid. |
| LC90 | HCPCS/RATES (accommodation rate) on line 90 is invalid. |
| LC91 | HCPCS/RATES (accommodation rate) on line 91 is invalid. |
| LC92 | HCPCS/RATES (accommodation rate) on line 92 is invalid. |
| LC93 | HCPCS/RATES (accommodation rate) on line 93 is invalid. |
| LC94 | HCPCS/RATES (accommodation rate) on line 94 is invalid. |
| LC95 | HCPCS/RATES (accommodation rate) on line 95 is invalid. |
| LC96 | HCPCS/RATES (accommodation rate) on line 96 is invalid. |
| LC97 | HCPCS/RATES (accommodation rate) on line 97 is invalid. |
| LC98 | HCPCS/RATES (accommodation rate) on line 98 is invalid. |
| LC99 | HCPCS/RATES (accommodation rate) on line 99 is invalid. |
| LI2182 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 1 |
| LI2183 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 2 |
| LI2184 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 3 |
| LI2185 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 4 |
| LI2186 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 5 |
| LI2187 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 6 |
| LI2188 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 7 |
| LI2189 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 8 |
| LI2190 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 9 |
| LI2191 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 10 |
| LI2192 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 11 |
| LI2193 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 12 |
| LI2194 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 13 |
| LI2195 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 14 |
| LI2196 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 15 |
| LI2197 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 16 |
| LI2198 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 17 |
| LI2199 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 18 |
| LI2200 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 19 |
| LI2201 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 20 |
| LI2202 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 21 |
| LI2203 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 22 |
| LI2204 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 23 |
| LI2205 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 24 |
| LI2206 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 25 |
| LI2207 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 26 |
| LI2208 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 27 |
| LI2209 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 28 |
| LI2210 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 29 |
| LI2211 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 30 |
| LI2212 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 31 |
| LI2213 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 32 |
| LI2214 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 33 |
| LI2215 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 34 |
| LI2216 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 35 |
| LI2217 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 36 |
| LI2218 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 37 |
| LI2219 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 38 |
| LI2220 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 39 |
| LI2221 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 40 |
| LI2222 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 41 |
| LI2223 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 42 |
| LI2224 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 43 |
| LI2225 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 44 |
| LI2226 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 45 |
| LI2227 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 46 |
| LI2228 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 47 |
| LI2229 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 48 |
| LI2230 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 49 |
| LI2231 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 50 |
| LI2232 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 51 |
| LI2233 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 52 |
| LI2234 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 53 |
| LI2235 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 54 |
| LI2236 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 55 |
| LI2237 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 56 |
| LI2238 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 57 |
| LI2239 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 58 |
| LI2240 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 59 |
| LI2241 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 60 |
| LI2242 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 61 |
| LI2243 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 62 |
| LI2244 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 63 |
| LI2245 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 64 |
| LI2246 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 65 |
| LI2247 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 66 |
| LI2248 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 67 |
| LI2249 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 68 |
| LI2250 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 69 |
| LI2251 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 70 |
| LI2252 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 71 |
| LI2253 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 72 |
| LI2254 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 73 |
| LI2255 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 74 |
| LI2256 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 75 |
| LI2257 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 76 |
| LI2258 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 77 |
| LI2259 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 78 |
| LI2260 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 79 |
| LI2261 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 80 |
| LI2262 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 81 |
| LI2263 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 82 |
| LI2264 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 83 |
| LI2265 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 84 |
| LI2266 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 85 |
| LI2267 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 86 |
| LI2268 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 87 |
| LI2269 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 88 |
| LI2270 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 89 |
| LI2271 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 90 |
| LI2272 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 91 |
| LI2273 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 92 |
| LI2274 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 93 |
| LI2275 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 94 |
| LI2276 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 95 |
| LI2277 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 96 |
| LI2278 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 97 |
| LI2279 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 98 |
| LI2280 | Coordination of Benefits: Remittance date (missing or invalid) in 2430 loop on line 99 |
| LI2281 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 1 |
| LI2282 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 2 |
| LI2283 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 3 |
| LI2284 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 4 |
| LI2285 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 5 |
| LI2286 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 6 |
| LI2287 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 7 |
| LI2288 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 8 |
| LI2289 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 9 |
| LI2290 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 10 |
| LI2291 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 11 |
| LI2292 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 12 |
| LI2293 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 13 |
| LI2294 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 14 |
| LI2295 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 15 |
| LI2296 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 16 |
| LI2297 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 17 |
| LI2298 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 18 |
| LI2299 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 19 |
| LI2300 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 20 |
| LI2301 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 21 |
| LI2302 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 22 |
| LI2303 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 23 |
| LI2304 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 24 |
| LI2305 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 25 |
| LI2306 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 26 |
| LI2307 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 27 |
| LI2308 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 28 |
| LI2309 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 29 |
| LI2310 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 30 |
| LI2311 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 31 |
| LI2312 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 32 |
| LI2313 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 33 |
| LI2314 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 34 |
| LI2315 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 35 |
| LI2316 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 36 |
| LI2317 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 37 |
| LI2318 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 38 |
| LI2319 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 39 |
| LI2320 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 40 |
| LI2321 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 41 |
| LI2322 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 42 |
| LI2323 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 43 |
| LI2324 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 44 |
| LI2325 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 45 |
| LI2326 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 46 |
| LI2327 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 47 |
| LI2328 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 48 |
| LI2329 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 49 |
| LI2330 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 50 |
| LI2331 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 51 |
| LI2332 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 52 |
| LI2333 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 53 |
| LI2334 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 54 |
| LI2335 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 55 |
| LI2336 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 56 |
| LI2337 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 57 |
| LI2338 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 58 |
| LI2339 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 59 |
| LI2340 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 60 |
| LI2341 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 61 |
| LI2342 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 62 |
| LI2343 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 63 |
| LI2344 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 64 |
| LI2345 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 65 |
| LI2346 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 66 |
| LI2347 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 67 |
| LI2348 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 68 |
| LI2349 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 69 |
| LI2350 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 70 |
| LI2351 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 71 |
| LI2352 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 72 |
| LI2353 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 73 |
| LI2354 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 74 |
| LI2355 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 75 |
| LI2356 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 76 |
| LI2357 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 77 |
| LI2358 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 78 |
| LI2359 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 79 |
| LI2360 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 80 |
| LI2361 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 81 |
| LI2362 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 82 |
| LI2363 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 83 |
| LI2364 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 84 |
| LI2365 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 85 |
| LI2366 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 86 |
| LI2367 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 87 |
| LI2368 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 88 |
| LI2369 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 89 |
| LI2370 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 90 |
| LI2371 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 91 |
| LI2372 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 92 |
| LI2373 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 93 |
| LI2374 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 94 |
| LI2375 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 95 |
| LI2376 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 96 |
| LI2377 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 97 |
| LI2378 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 98 |
| LI2379 | Coordination of Benefits: Invalid CAS segment in 2430 loop on line 99 |
| LI2415 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 1 |
| LI2416 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 2 |
| LI2417 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 3 |
| LI2418 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 4 |
| LI2419 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 5 |
| LI2420 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 6 |
| LI2421 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 7 |
| LI2422 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 8 |
| LI2423 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 9 |
| LI2424 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 10 |
| LI2425 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 11 |
| LI2426 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 12 |
| LI2427 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 13 |
| LI2428 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 14 |
| LI2429 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 15 |
| LI2430 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 16 |
| LI2431 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 17 |
| LI2432 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 18 |
| LI2433 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 19 |
| LI2434 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 20 |
| LI2435 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 21 |
| LI2436 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 22 |
| LI2437 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 23 |
| LI2438 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 24 |
| LI2439 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 25 |
| LI2440 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 26 |
| LI2441 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 27 |
| LI2442 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 28 |
| LI2443 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 29 |
| LI2444 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 30 |
| LI2445 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 31 |
| LI2446 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 32 |
| LI2447 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 33 |
| LI2448 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 34 |
| LI2449 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 35 |
| LI2450 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 36 |
| LI2451 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 37 |
| LI2452 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 38 |
| LI2453 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 39 |
| LI2454 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 40 |
| LI2455 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 41 |
| LI2456 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 42 |
| LI2457 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 43 |
| LI2458 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 44 |
| LI2459 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 45 |
| LI2460 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 46 |
| LI2461 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 47 |
| LI2462 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 48 |
| LI2463 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 49 |
| LI2464 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 50 |
| LI2465 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 51 |
| LI2466 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 52 |
| LI2467 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 53 |
| LI2468 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 54 |
| LI2469 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 55 |
| LI2470 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 56 |
| LI2471 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 57 |
| LI2472 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 58 |
| LI2473 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 59 |
| LI2474 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 60 |
| LI2475 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 61 |
| LI2476 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 62 |
| LI2477 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 63 |
| LI2478 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 64 |
| LI2479 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 65 |
| LI2480 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 66 |
| LI2481 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 67 |
| LI2482 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 68 |
| LI2483 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 69 |
| LI2484 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 70 |
| LI2485 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 71 |
| LI2486 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 72 |
| LI2487 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 73 |
| LI2488 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 74 |
| LI2489 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 75 |
| LI2490 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 76 |
| LI2491 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 77 |
| LI2492 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 78 |
| LI2493 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 79 |
| LI2494 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 80 |
| LI2495 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 81 |
| LI2496 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 82 |
| LI2497 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 83 |
| LI2498 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 84 |
| LI2499 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 85 |
| LI2500 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 86 |
| LI2501 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 87 |
| LI2502 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 88 |
| LI2503 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 89 |
| LI2504 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 90 |
| LI2505 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 91 |
| LI2506 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 92 |
| LI2507 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 93 |
| LI2508 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 94 |
| LI2509 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 95 |
| LI2510 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 96 |
| LI2511 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 97 |
| LI2512 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 98 |
| LI2513 | Payer Specific Edit: RevCode must contain valid Medi-Cal Accomodation Code on line 99 |
| PP01 | Billing ProviderID and/or NPI submitted, missing or invalid |
| PRRJK | Claim rejected at payer (Additional info not available at this level) |
| RC00 | Configuration Error |
| RC01 | Provider Not Found |
| RC02 | Patient Not Found |
| RC03 | Patient Not Covered (at time of service) |
| RC04 | Mixed Region (provider and patient in different regions - St.Joseph only) |
| RC05 | ICD-9 Invalid Code |
| RC06 | CPT Invalid Code |
| RC07 | Duplicate claim (within 90 days) |
| RC08 | Missing required information |
| RC09 | Provider Not Found in Patient Network |
| RC10 | Zero Total Charge |
| RC101 | Incomplete billing address |
| RC102 | DMERC Rendering ID Must Be Length 10 |
| RC103 | Invalid Date of Current (Box 14) |
| RC104 | CMS-MSO is no longer accepting claims - Please resubmit with IPA name specified |
| RC105 | Invalid Provider Accept Assignment Code |
| RC106 | Rendering Physician NPI (Box 24J) Is Required |
| RC107 | Billing Provider NPI (Box 33A) Is Required |
| RC108 | Payer Specific Edit: Billing Taxonomy Code Is Missing or Invalid |
| RC109 | Noridian Medicare Requires a Legacy ID in Box 33B whenever a Legacy ID is present in Box 24J Pin. Please either remove the Legacy ID in Box 24J Pin or add the provider Legacy |
| RC11 | Patient Not Found (Copy of RC02) |
| RC110 | Service Date Required When HCPCS Code is Sent |
| RC111 | Medi-cal Error 77 - UNABLE TO PROCESS VOIDS AND ADJUSTMENTS AT THIS TIME |
| RC112 | Payer requires that the billing provider group ID be submitted in Box 33B. |
| RC113 | Invalid Referring Name Format (HCFA Box 17, ANSI 2310A NM1) |
| RC114 | Payer does not accept more than one unique Rendering Provider NPI per claim |
| RC115 | Duplicate claim (REJECTED AT PAYER) |
| RC116 | Attending NPI (Invalid Format / Missing Value) |
| RC117 | Service Facility Information Required. |
| RC118 | Per Pittman, they no longer accept Baptist Memorial Hospital claims with DOS after 12/31/2007 |
| RC119 | SCAN Health Plan Requires a Legacy ID (6 NUMERIC) When Billing Provider NPI is not present. |
| RC12 | Anesthesia Start/Stop Time required for CPT code |
| RC120 | Per Payer - Patient Relationship To Insured Must Be Self, Patient should be listed as both Patient and Insured. |
| RC121 | Pay-To Provider NPI (Invalid format / Missing Value) |
| RC122 | Provider out of Contract Date Range |
| RC123 | Payer no longer accepts paper claims from clearinghouses. Please print and mail claim directly to payer. |
| RC124 | Missing Plan Name: AMM03 Requires EMSF, CMS, CAR, TPB, or CTU indicator in Box 11c (SBR04) |
| RC125 | Invalid Drug Qualifier (LIN02) |
| RC126 | Payer Specific Edit: Rendering NPI required when legacy Rendering ID does not exist |
| RC127 | Prior Authorization (Payer Claim Control Number/Case Number) or Referral Number is required. |
| RC128 | Payer Requirement: Submit separate claims when services rendered in more than one location. |
| RC129 | Invalid Insured ID. Must be 11 digits, starting with 10 or 11 -OR- 10 characters starting with 2 alpha, ending in 00 -OR- 9 characters starting with R, ending in 2 numbers.) |
| RC130 | Payer Specific Edit: Invalid Insured ID format. Must be 11 characters. 9 numeric followed WA. |
| RC131 | Referring fields required when Original Ref No (Box 22) is Present |
| RC132 | Payer Specific Edit: Invalid Insured Name: SAME |
| RC133 | Billing NPI required when legacy Billing ID does not exist. |
| RC134 | Office Ally does not yet support fractional Miles for this payer, please call Customer Service if you need to submit fractional Miles to this payer. |
| RC135 | The Payer Claim Control Number (REF-F8/HCFA Box 22/UB Box 64) is required when the Claim Frequency Code (CLM05-3) is 7 (Replacement Claim) or 8 (Voided Claim) |
| RC136 | Facility NPI (HCFA: Box 32A; UB: Additional Fields Section) Is Required |
| RC137 | Payer Specific Edit: Invalid Claim Frequency Code 7 - Receiver Does Not Accept Replacements. |
| RC138 | Operating NPI (Invalid Format / Missing Value) |
| RC139 | Drug Quantity Required |
| RC140 | Drug Measure Required |
| RC141 | Payer Specific Edit: SCCIPA ACO claims must have date of service on or after Dec 1 2011. |
| RC142 | Complete Payer Address Information Required |
| RC143 | Lineitem Service Id Qualifier ER Not Supported |
| RC144 | Lineitem Service Id Qualifier IV Not Supported |
| RC145 | Lineitem Service Id Qualifier WK Not Supported |
| RC146 | Lineitem Service Id Qualifier Unknown |
| RC147 | Lineitem Service Id ZZ Not Supported |
| RC148 | Invalid Insurance Type Code in Other Subscriber Loop. |
| RC149 | Claim contains more than 8 diagnosis codes - Payer is not yet accepting over 8 diagnosis codes. |
| RC150 | Invalid Secondary Insured Address: SAME |
| RC151 | Invalid Secondary Insured City: SAME |
| RC152 | Invalid Secondary Insured Zip: SAME |
| RC153 | 2420B NM108 Purchase Service ID Qualifier must be XX |
| RC154 | Payer Specific Edit: Referring Provider with NPI required when Referral Number present. |
| RC155 | Missing Archive Legacy Provider ID 2010BB REF01 should be G2 and REF02 should be the 9-digit Provider Number Assigned by DOL. |
| RC156 | Undefined Other PayerID. This pointer must point to an existing Other PayerID Number in Loop 2330B. |
| RC157 | Payer Paid Amount (AMT*D) or any CAS segments are not allowed when the COB Total Non-Covered Amount (AMT*A8) is submitted. |
| RC158 | Referring prov first and last name must be in separate fields and both are required |
| RC159 | Payer Specific Edit: Invalid Claim Frequency Code 6 (CLM05-3, HCFA box 22, UB Type of Bill digit 3) |
| RC160 | Payer Specific Edit: Onset Date of Current Illness/Symptom is Invalid. Must not occur after Date of Service |
| RC161 | 2420E N402 Ordering Provider State Code must be 2 bytes |
| RC162 | Payer Specific Edit: Primary diagnosis code cannot be an E code. |
| RC163 | Payer Specific Edit: Facility Name Required when Place of Service is 13,20,21,22,23,24,25,31,32,33,34,65,51,52,53,54,55,56,57,61,62 |
| RC164 | OSNA Specific Edit: New Patient Filter. |
| RC165 | Subscriber Not Found |
| RC166 | Subscriber Not Covered (at time of service) |
| RC167 | Subscriber out-of-network |
| RC168 | Payer Specific Edit: Insured First Name Required when Patient Relationship to Insured is not Self |
| RC169 | Payer Specific Edit: Insured Last Name Required when Patient Relationship to Insured is not Self |
| RC170 | Payer Specific Edit: Insured Date of Birth Required when Patient Relationship to Insured is not Self |
| RC171 | Payer Specific Edit: Insured Gender Required when Patient Relationship to Insured is not Self |
| RC172 | Payer Specific Edit: Anesthesia CPT must have MJ measurement code or Start/Stop times in line comments |
| RC173 | Payer ID in element SVD01 is invalid. It must match corresponding Other Payer ID in 2330B NM109. |
| RC174 | Payer Specific Edit: Payer Amount Due cannot be less than zero. |
| RC175 | Payer Specific Edit: Payer will not accept claims with service date prior to July 1 2011. |
| RC176 | Invalid Place of Service code at claim level, contradicts Place of Service codes at line level. |
| RC177 | Payer Specific Edit: Payer will not accept institutional claims without a service date |
| RC178 | Payer Specific Edit: Facility Name Required when Place of Service is 21,22,23, or 24 |
| RC179 | Payer Specific Edit: Claim contains more than 4 diagnosis codes - Payer is not yet accepting over 4 diagnosis codes. |
| RC180 | Payer Specific Edit: Principal Diagnosis Code cannot be External Cause of Injury Code (E-Code) |
| RC181 | Original Ref No (REF-F8, HCFA box 22, UB box 64) was not found but was expected because the Claim Submission Reason Code (CLM05-3, HCFA box 22, UB Type of Bill digit 3) indicates resubmission. |
| RC182 | Payer Specific Edit: Payer Requires Referring Provider Name and NPI for the Billing Provider Taxonomy Code Used |
| RC183 | Acute Manifestation Date Required when CR2-08 (HCFA Box 10d) is A or M |
| RC184 | Error in Processing – Please Resubmit (MNFD). |
| RC185 | Payer Specific Edit: Recipient Does Not Accept Out of State Claims, Patient Must be Located in CA. |
| RC186 | Supervising prov first and last name must be in separate fields and both are required. |
| RC187 | Payer Specific Edit: Invalid Claim Frequency Code 8 - Receiver Does Not Accept Voids. |
| RC188 | Payer Specific Rejection: CPT/HCPCS code used requires Referring physician (HCFA Box 17, UB Box 78). |
| RC189 | Ordering provider must have a complete address |
| RC190 | Payer Specific Edit: Billing Provider Taxonomy Code Required. |
| RC191 | Payer Specific Edit: Payer Claim Control Number (REF-F8) is missing/invalid. Required when Claim Frequency Code (CLM05-3) indicates a Resubmission. |
| RC192 | Other Payer Primary Identifier (Payer ID) within Loop 2430 (SVD01) does not match the Payer ID within Loop 2330B (NM109) |
| RC193 | Primary payer payment out of balance: (Total charge)- (Payer paid Amt)- (Claim level Adjustments) - (Line adjustments) should equal 0 |
| RC194 | Payer Specific Edit: Payer does not accept DME claims. |
| RC195 | Payer Specific Edit: Services are out of coverage area, Labs out of area are OK if CPT codes are on Payer’s list |
| RC196 | Payer Specific Edit: One of the Modifiers is invalid for Citizens Choice Health Plan Encounters (CCHP2) |
| RC197 | This payer is no longer the Third Party Administrator for claims incurred after December 31, 2013. Please contact the member for an updated ID card. |
| RC198 | Payer Specific Edit: Payer no longer accepting claims for dates of service on or after 1/1/14. |
| RC199 | Error in Processing – Please Resubmit |
| RC20 | INSURED I.D. Number (Invalid Type / Missing Value) |
| RC200 | Missing or invalid Benefits Assignment (clm08) |
| RC201 | OSNA Specific Edit: Taxonomy Code required for Rendering Provider |
| RC202 | Payer Specific Edit: Primary diagnosis code cannot be an external cause code (V00 – Y99). |
| RC203 | When COB Total Non-Covered Amount (AMT*A8) is submitted, it must equal the claim charge amount reported in CLM02 indicating this claim has not been adjudicated by this payer. |
| RC204 | REF - PAYER CLAIM CONTROL NUMBER segment must be present with PCN claim number when claim frequency code is equal to 7 or 8. PCN claim number can be found on Remittance Advice |
| RC205 | REF02 Reference Identification must equal the PCN claim number when claim frequency code is equal to 7 or 8. PCN (must be 20 characters) claim number can be found on Remittance Advice |
| RC206 | UHIN Pass-Through Fee option must be activated on your account to submit to this Payer |
| RC207 | SWH MLTC claims with DOS prior to 4/1/2021 must be submitted to Payer ID 83035 |
| RC208 | Billing Provider is Out of Scope of Service for New Century Health Claims Processing. Please redirect to appropriate delegate. |
| RC21 | 3. PATIENT BIRTH DATE (Invalid Type / Missing Value) |
| RC22 | 21.(1.) DIAGNOSIS OR NATURE OF ILLNESS OR INJURY CODE (Invalid Type / Missing Value) |
| RC23 | 24.(A) DATE(S) OF SERVICE From (Invalid Type / Missing Value) |
| RC24 | 24.(B)(1) Place of Service (Invalid Type / Missing Value) |
| RC25 | 24.(D)(1) CPT/HCPCS (Invalid Type / Missing Value) |
| RC26 | 24.(E)(1) DIAGNOSIS CODE REFERENCE (Invalid Type / Missing Value) |
| RC27 | 24.(F)(1) $ CHARGES (Invalid Type / Missing Value) |
| RC28 | 24.(G)(1) DAYS OR UNITS (Invalid Type / Missing Value) |
| RC29 | HCFA Box 25 / UB Box 5: TaxID is Missing or Invalid |
| RC30 | 24J - Rendering ID (Invalid Type / Missing Value) |
| RC31 | 24.(A)(1) DATE(S) OF SERVICE To (Invalid / Missing Value) |
| RC3164 | REF02 Reference Identification must equal the PCN claim number when claim frequency code is equal to 7 or 8. PCN claim number can be found on Remittance Advice |
| RC40 | Field 6. STATEMENT COVERS PERIOD(FROM - Invalid or Missing Value) |
| RC41 | Field 6. STATEMENT COVERS PERIOD(TO - Invalid or Missing Value) |
| RC42 | Field 14. BIRTHDATE (Invalid or Missing Value) |
| RC43 | Field 4. TYPE OF BILL (Invalid or Missing Value) |
| RC44 | Field 17. NAME OF REFFERRING PHYSICIAN OR OTHER SOURCE (Value Required By SynerMed) |
| RC45 | Field 17. ADMISSION DATE (Invalid / Missing Value) |
| RC46 | Field 32. OCCURRENCE DATE (Invalid / Missing Value) |
| RC47 | Payer Specific Edit: Facility Name Required when Place of Service is 1,2,21,22,23,24,31 |
| RC48 | HCFA_TAX_ID Suffix (Invalid Type / Missing Value) |
| RC49 | Field 44. Service Date (Invalid Type) |
| RC50 | Newborn - patient not found |
| RC51 | Unknown/Invalid Payer |
| RC52 | PIN#(PRACTICE_ID) is Missing on Claim |
| RC53 | No Provider with PIN#(PRACTICE_ID) on File |
| RC54 | No Relationship Found Between Provider and User |
| RC55 | Payer Requires Pre-Enrollment for Electronic Claims Submission. Provider is not yet approved to submit claims electronically to this payer. |
| RC56 | The submitted Group/Practice ID does not match Payor Contract ID on file |
| RC57 | Unable to match single provider based on TaxID and State license ID |
| RC58 | At least one of the following codes are required. Field 76. Admitting Diagnosis Code or Field 67. Principal Diagnosis Code. |
| RC59 | HCFA Box 25 / UB Box 5: TaxID does not match to any providers on file |
| RC60 | INTERNAL ERROR: Submitter Number on Contract does Not Match Provider Profile (BlueShield) |
| RC62 | Printing Services Not Requested by User |
| RC63 | FEDERAL TAX ID # has Invalid Length on Claim |
| RC64 | Claim contains invalid UNIT value(s) |
| RC65 | Other Insured Info (Field 9,a-d) is Missing on Claim |
| RC66 | Claim Contains Invalid Diagnosis Code References in Line Items |
| RC67 | Secondary Payor - Print and Attach EOB |
| RC68 | Printing Services Not requested, to enable contact (360)-975-7000 option 1 RC68 |
| RC69 | INTERNAL ERROR: Submitter Number on Contract does Not Match Provider Profile (BlueCross) |
| RC70 | INTERNAL ERROR: Submitter Number on Contract does Not Match Provider Profile (Medi-cal) |
| RC71 | INTERNAL ERROR: Submitter Number on Contract does Not Match Provider Profile (N-A-M-M) |
| RC72 | INTERNAL ERROR: Submitter Number on Contract does Not Match Provider Profile (Monarch) |
| RC73 | LINE ITEM CHARGES DO NOT MATCH TOTAL CHARGE |
| RC74 | No line items are billed for this claim |
| RC75 | Payer Specific Edit: Payer Address is Required |
| RC76 | Provider No. Missing / Invalid (Box 57) |
| RC77 | Payer No Longer Accepting Paper Claims - Pre-Enrollment Needed |
| RC80 | Invalid Referring Physician NPI Format (Box 17B) - Fails Validation |
| RC81 | Invalid Facility NPI Format (Box 32A) |
| RC82 | Invalid Billing Provider NPI Format (Box 33A) |
| RC83 | Invalid Supervising Physician NPI Format |
| RC84 | Invalid Ordering Physician NPI Format |
| RC85 | Missing/Invalid Claim Level Rendering Physician NPI Format |
| RC86 | Invalid Rendering Physician NPI Format (Box 24J) |
| RC87 | Billing NPI (Invalid format / Missing Value) |
| RC88 | Referring Physician NPI (Invalid Format / Missing Value), required when Referring Physician Name present |
| RC89 | Rendering Physician NPI (Invalid Format / Missing Value), required when Legacy Number present |
| RC90 | Facility NPI (Invalid Format / Missing Value), required by payer when place of service in (1,2,21,22,23) |
| RC91 | Rendering NPI (Invalid Format / Missing Value), required when rendering physician name present |
| RC92 | Supervising NPI (Invalid Format / Missing Value), required when supervising physician name present |
| RC98 | Possible Invalid File, too many parsing errors occurred |
| RC99 | Invalid File (unable to detect content format ) |
| TEST | This is a test account. NO claim(s) will be forwarded on to your payors. |
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