status category identifier code status category code...
TRANSCRIPT
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Status
Code Status Code Description
Status
Category
Code Status Category Code Description
Entity
Identifier
Code CA Error Code Description
153
Entity's id number. Note: This
code requires use of an Entity
Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected. 82
PROVIDER ID NOT FOUND /
EMPTY
153
Entity's id number. Note: This
code requires use of an Entity
Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected. 77
REQUESTED FACILITY
PROVIDER NOT FOUND OR
EMPTY
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID P/H CODE IN TYPE
010 RECORD.
251 Total anesthesia minutes. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
TOTAL TIME CANNOT EXCEED
1440
153
Entity's id number. Note: This
code requires use of an Entity
Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
MEMBER ID NOT FOUND /
EMPTY
136
Entity's health industry id
number. Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
HPCODE NOT FOUND OR
EMPTY FOR THIS MEMBER
158
Entity's date of birth. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
MEMBER INFO (DOB) INVALID
(OR) EMPTY
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745
Identifier Qualifier Note: At
least one other status code is
required to identify the specific
identifier qualifier in error. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
QUAL CODE NOT FOUND FOR
PROVIDER ID.
153
Entity's id number. Note: This
code requires use of an Entity
Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected. 73
OTHER PROVIDER ID NOT
FOUND.
562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
REFERRING PROVIDER NPI ID /
OUTSIDE ID NOT FOUND FOR
REFERRING QUAL CODE NPI.
255 Diagnosis code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
DIAGNOSIS CODE NOT FOUND
OR EMPTY
93
Entity is not selected primary
care provider. Note: This code
requires use of an Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. 82
VENDOR IS NOT CONFIGURED
FOR THE PROVIDER
153
Entity's id number. Note: This
code requires use of an Entity
Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected. 85
VENDOR ID NOT FOUND /
EMPTY
538 Claim or Encounter Identifier A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID PCP ENCOUNTER
538 Claim or Encounter Identifier A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID # ENCOUNTERS (Y)
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538 Claim or Encounter Identifier A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID # ENCOUNTERS (N)
554 Date Claim Paid A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID DATE PAID
97
Patient eligibility not found with
entity. Note: This code requires
use of an Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID BENEFIT OPTION
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PAYEE( MUST BE
VENDOR, MEMBER OR
SUBSCRIBER )
249 Place of service. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
PLACE OF SERVICE CODE NOT
FOUND
742 Payer Responsibility Sequence Number CodeA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PAYER
RESPONSIBILITY.
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID FACILITY CODE.
249 Place of service. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
PLACE OF SERVICE CODE NOT
FOUND
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153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. DN
INVALID REFERRING
PROVIDER ID
659 Unit or Basis for Measurement CodeA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
AUTHORIZED # OF UNITS
CANNOT BE NEGATIVE -
USING 0
153
Entity's id number. Note: This
code requires use of an Entity
Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected. OUTCOME CODE NOT FOUND.
48 Referral/authorization. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
AUTHORIZATION NUMBER
NOT FOUND.
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
ADMITTING PROVIDER DOES
NOT EXIST
535 Claim Frequency Code A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID BILL TYPE
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID ATTENDING
PROVIDER
231 Hospital admission type. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID CLAIM ADMITTANCE
TYPE
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229 Hospital admission source. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID ADMITTANCE
SOURCE
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 1
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 2
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 3
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 4
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 5
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 6
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 7
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460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 8
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 9
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 10
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 11
460 NUBC Condition Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID CONDITION CODE 12
189 Facility admission date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID ADMISSION DATE
675
Facility admission through
discharge dates A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
ADMISSION AND DISCHARGE
DATE CONFLICT
230 Hospital admission hour. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID ADMISSION HOUR
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233 Hospital discharge hour. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID DISCHARGE HOUR
456 Covered Day(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID HOSPITAL DAYS –
COVERED
457 Non-Covered Day(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID HOSPITAL DAYS –
NON-COVERED
458 Coinsurance Day(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID HOSPITAL DAYS – CO-
INSURANCE
459 Lifetime Reserve Day(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID HOSPITAL DAYS –
LIFETIME RESERVE
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID CONSULTING
PROVIDER 1
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID CONSULTING
PROVIDER 2
232 Admitting diagnosis. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID ADMISSION
DIAGNOSIS
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509 External Cause of Injury Code (E-code).A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID E-CODE
360
Benefits Assignment
Certification Indicator. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
ASSIGNMENT OF BENEFIT –
PRIMARY
360
Benefits Assignment
Certification Indicator. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID ASSIGNMENT OF
BENEFIT – SECONDARY
360
Benefits Assignment
Certification Indicator. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID ASSIGNMENT OF
BENEFIT – TERTIARY
183
Amount entity has paid. Note:
This code requires use of an
Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PRIOR PAYMENT –
PRIMARY
183
Amount entity has paid. Note:
This code requires use of an
Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PRIOR PAYMENT –
SECONDARY
183
Amount entity has paid. Note:
This code requires use of an
Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PRIOR PAYMENT –
TERTIARY
183
Amount entity has paid. Note:
This code requires use of an
Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PRIOR PAYMENT –
DUE FROM PATIENT
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565 Estimated Claim Due Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EST. AMOUNT DUE –
PRIMARY
565 Estimated Claim Due Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EST. AMOUNT DUE –
SECONDARY
565 Estimated Claim Due Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EST. AMOUNT DUE –
TERTIARY
565 Estimated Claim Due Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EST. AMOUNT DUE –
DUE FROM PATIENT
655 Total Medicare Paid Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. MEDICARE PAID AMOUNT
591 Medicare Paid at 100% Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
MEDICARE 100% PAID
AMOUNT
592 Medicare Paid at 80% Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
MEDICARE 80% PAID
AMOUNT
606
Paid From Part A Medicare
Trust Fund Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
MEDICARE A TRUST FUND
PAID AMOUNT
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607
Paid From Part B Medicare
Trust Fund Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
MEDICARE B TRUST FUND
PAID AMOUNT
596 Non-covered Charge Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
COB TOTAL NON-COVERED
AMOUNT
585 Denied Charge or Non-covered ChargeA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. COB TOTAL DENIED AMOUNT
285 Vouchers/explanation of benefits (EOB).A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. EOB INDICATOR
509 External Cause of Injury Code (E-code).A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EXTERNAL CAUSE OF
INJURY CODE -B .
509 External Cause of Injury Code (E-code).A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EXTERNAL CAUSE OF
INJURY CODE -C .
562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
ADMITTING PROVIDER NPI ID
/ OUTSIDE ID NOT FOUND
FOR ADMITTING PROVIDER
NPI QUAL CODE.
562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
CONSULTING ID 1 NPI ID /
OUTSIDE ID NOT FOUND FOR
CONSULTING ID 1 NPI QUAL
CODE.
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562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
CONSULTING ID 2 NPI ID /
OUTSIDE ID NOT FOUND FOR
CONSULTING ID 2 NPI QUAL
CODE.
562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
ATTENDING NPI ID / OUTSIDE
ID NOT FOUND FOR
ATTENDING NPI QUAL CODE.
490
Other Procedure Code for
Service(s) Rendered A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
OTHER PROCEDURE CODE
[%%] AND OTHER
PROCEDURES DATE [%%] ARE
REQUIRED
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID SERVICE FACILITY
LOCATION INFORMATION(32)-
A
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. 85
INVALID BILLING PROVIDER
INFORMATION
633
Related Causes Code (Accident,
auto accident, employment) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT CONDITION -
EMPLOYMENT
633
Related Causes Code (Accident,
auto accident, employment) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT CONDITION
– AUTO ACCIDENT
633
Related Causes Code (Accident,
auto accident, employment) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT CONDITION
– OTHER ACCIDENT
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126
Entity's address. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID PLACE
749 Date of Injury/Illness A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID DATE OF CURRENT
648 Similar Illness or Symptom Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID SAMESIMILAR
ILLNESS
195 Unable to work dates/Disability Dates.A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID UNABLE TO WORK
FROMDATE
195 Unable to work dates/Disability Dates.A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID UNABLE TO WORK
TODATE
394
Date(s) of most recent
hospitalization related to
service A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID HOSPITALIZED FROM
DATE
394
Date(s) of most recent
hospitalization related to
service A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID HOSPITALIZED TO
DATE
179 Outside lab charges. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID OUTSIDE LAB – YES
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589 Provider Accept Assignment CodeA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID ACCEPT
ASSIGNMENT – YES
428 Reason for transport by ambulanceA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID TRANSPORT REASON
CODE
752
Ambulance Drop-off State or
Province Code A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID AMBULANCE DROP-
OFF ADDRESS LINE1
752
Ambulance Drop-off State or
Province Code A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID AMBULANCE DROP-
OFF CITY NAME
751
Ambulance Pick-up State or
Province Code A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID AMBULANCE PICK-UP
ADDRESS LINE1
751
Ambulance Pick-up State or
Province Code A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID AMBULANCE PICK-UP
CITY NAME
188 Statement from-through dates. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
STATEMENT FROM DATE.
188 Statement from-through dates. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
STATEMENT TO DATE.
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155
Entity's relationship to patient.
Note: This code requires use of
an Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT’S
RELATIONSHIP TO INSURED –
PRIMARY.
155
Entity's relationship to patient.
Note: This code requires use of
an Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT’S
RELATIONSHIP TO INSURED –
SECONDARY.
155
Entity's relationship to patient.
Note: This code requires use of
an Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT’S
RELATIONSHIP TO INSURED –
TERTIARY.
161
Entity's employment status.
Note: This code requires use of
an Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EMPLOYMENT
STATUS – PRIMARY.
161
Entity's employment status.
Note: This code requires use of
an Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EMPLOYMENT
STATUS – SECONDARY.
161
Entity's employment status.
Note: This code requires use of
an Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EMPLOYMENT
STATUS – TERTIARY.
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OTHER PROVIDER ID
– PRIMARY – EZ-CAP ID
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OTHER PROVIDER ID
– SECONDARY – EZ-CAP ID
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153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OTHER PROVIDER ID
– TERTIARY – EZ-CAP ID
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OPERATING ID – EZ-
CAP ID
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID OTHER ID – EZ-CAP ID
673 Patient Reason for Visit A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT’S REASON
FOR VISIT – A -VALIDATE
AGAINST DIAG TABLE FOR
VALID CODE
673 Patient Reason for Visit A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT’S REASON
FOR VISIT – B -VALIDATE
AGAINST DIAG TABLE FOR
VALID CODE-
673 Patient Reason for Visit A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT’S REASON
FOR VISIT – C -VALIDATE
AGAINST DIAG TABLE FOR
VALID CODE
728 Accident state A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID ACCIDENT STATE
562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
OPERATING PROVIDER NPI ID/
OUTSIDE ID NOT FOUND FOR
QUAL CODE.
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562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
OTHER PROVIDER ID /
OUTSIDE ID NOT FOUND FOR
OTHER PROVIDER QUAL
CODE.
562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
OTHER PROVIDER2 NPI ID/
OUTSIDE ID NOT FOUND FOR
OTHER PROVIDER2 QUAL
CODE.
562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
OTHER PROVIDER ID 2 /
OUTSIDE ID NOT FOUND FOR
OTHER PROVIDER QUAL
CODE.
535 Claim Frequency Code A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID FREQUENCY CODE
738
Home Infusion EDI Coalition
(HEIC) Product/Service Code A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID SERVICE CODE
453
Procedure Code Modifier(s) for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID MODIFIER CODE 1
583 Line Item Charge Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. NOT A VALID BILLED DECIMAL
476 Missing or invalid units of serviceA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. QUANTITY IS NOT VALID
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521 Adjustment Reason Code A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID ADJUSTMENT CODE
521 Adjustment Reason Code A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected. MISSING ADJUSTMENT CODE
564 EPSDT Indicator A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID # EPSDT (Y/N)
216 Drug information. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID NDC UNIT PRICE
216 Drug information. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID NDC QUANTITY
216 Drug information. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID NDC CODE
98 Charges applied to deductible. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID DEDUCTIBLE
705 Repriced Allowed Amount A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID ALLOWED
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477 Diagnosis code pointer is missing or invalidA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID DIAGNOSIS CODE
POINTER 2
477 Diagnosis code pointer is missing or invalidA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID DIAGNOSIS CODE
POINTER 3
477 Diagnosis code pointer is missing or invalidA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID DIAGNOSIS CODE
POINTER 4
188 Statement from-through dates. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
TODATE/STOPTIME MUST BE
GREATER THAN OR EQUAL TO
FROMDATE/STARTTIME
145
Entity's specialty/taxonomy
code. Note: This code requires
use of an Entity Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID OR MISSING TAXONOMY CODE
153
Entity's id number. Note: This
code requires use of an Entity
Code. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID RENDERING
PROVIDER ID
562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
RENDERING PROVIDER ID /
OUTSIDE ID NOT FOUND FOR
RENDERING PROVIDER QUAL
CODE
477 Diagnosis code pointer is missing or invalidA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID DIAGNOSIS CODE
POINTER 1
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477 Diagnosis code pointer is missing or invalidA7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID DIAGNOSIS REFERENCE NUMBER
251 Total anesthesia minutes. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID ANESTHESIA START
TIME
251 Total anesthesia minutes. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID ANESTHESIA STOP
TIME
187 Date(s) of service. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID FROM DATE
187 Date(s) of service. A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID TO DATE
455 Revenue code for services rendered.A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID HOSPITAL SERVICE
CODE
453
Procedure Code Modifier(s) for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID MODIFIER CODE 2
453
Procedure Code Modifier(s) for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID MODIFIER CODE 3
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453
Procedure Code Modifier(s) for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID MODIFIER CODE 4
471 Were services related to an emergency?A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
NOT A VALID EMERGENCY
CODE
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 1.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 2.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 3.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 4.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 5.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 6.
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490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 7.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 8.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 9.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 10.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 11.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 12.
490
Other Procedure Code for
Service(s) Rendered A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE CODE 13.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 1.
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492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 2.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 3.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 4.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 5.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 6.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 7.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 8.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 9.
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492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 10.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 11.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 12.
492 Other Procedure Date A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
PROCEDURE DATE 13.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 1.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 2.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 3.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 4.
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719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 5.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 6.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 7.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 8.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 9.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 10.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 11.
719 NUBC Occurrence Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE CODE 12.
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720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 1.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 2.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 3.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 4.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 5.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 6.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 7.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 8.
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720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 9.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 10.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 11.
720 NUBC Occurrence Code Date(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE DATE 12.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 1.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 2.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 3.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 4.
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721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 5.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 6.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 7.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 8.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 9.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 10.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 11.
721 NUBC Occurrence Span Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN CODE 12.
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722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 1.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 2.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 3.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 4.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 5.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 6.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 7.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 8.
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722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 9.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 10.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 11.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE
FROM 12.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
1.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
2.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
3.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
4.
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722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
5.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
6.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
7.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
8.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
9.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
10.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
11.
722 NUBC Occurrence Span Code Date(s)A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING
OCCURRENCE SPAN DATE TO
12.
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725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 1.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 2.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 3.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 4.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 5.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 6.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 7.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 8.
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725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 9.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 10.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 11.
725 NUBC Value Code(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
CODE 12.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 1.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 2.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 3.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 4.
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726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 5.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 6.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 7.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 8.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 9.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 10.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 11.
726 NUBC Value Code Amount(s) A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID OR MISSING VALUE
AMOUNT 12.
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688
Present on Admission Indicator
for reported diagnosis code(s). A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
DIAGNOSIS POA CODE NOT
FOUND OR EMPTY
688
Present on Admission Indicator
for reported diagnosis code(s). A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID ADMISSION
DIAGNOSIS POA
688
Present on Admission Indicator
for reported diagnosis code(s). A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected. INVALID E-CODE POA
688
Present on Admission Indicator
for reported diagnosis code(s). A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EXTERNAL CAUSE OF
INJURY CODE - B POA
688
Present on Admission Indicator
for reported diagnosis code(s). A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID EXTERNAL CAUSE OF
INJURY CODE - C POA
688
Present on Admission Indicator
for reported diagnosis code(s). A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT’S REASON
FOR VISIT – A POA - VALIDATE
AGAINST COMMON CODES
TABLE FOR VALID CODE
688
Present on Admission Indicator
for reported diagnosis code(s). A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT’S REASON
FOR VISIT – B POA - VALIDATE
AGAINST COMMON CODES
TABLE FOR VALID CODE
688
Present on Admission Indicator
for reported diagnosis code(s). A7
Acknowledgement/Rejected for Invalid
Information - The claim/encounter has
invalid information as specified in the
Status details and has been rejected.
INVALID PATIENT’S REASON
FOR VISIT – C POA - VALIDATE
AGAINST COMMON CODES
TABLE FOR VALID CODE
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562
Entity's National Provider
Identifier (NPI). Note: This code
requires use of an Entity Code. A6
Acknowledgement/Rejected for Missing
Information - The claim/encounter is
missing the information specified in the
Status details and has been rejected.
THE RENDERING PROVIDER
NPI IS NOT CONFIGURED FOR
THE RENDERING PROVIDER
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INVALID OR MISSING TAXONOMY CODE
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INVALID DIAGNOSIS REFERENCE NUMBER