Ship date cannot be prior to price authorization issue date
20
Ship date should not be before price authorization date (for rebills)
21
Price authorization is a rebill type
23
Price authorization has been deleted
24
Price authorization used on a sales order
25
Disposition pending vendor review.
26
Invalid Customer Number
27
Invalid Ship Date
28
Duplicate Invoice Number
29
Claim Submitted Past Excerise Period
30
Invalid Meet Competition Cost
31
Invalid Book Cost
32
Input Incomplete
33
Input Errors
34
No Coverage
35
Out of Network
36
Testing not Included
37
Request Forwarded To and Decision Response Forthcoming From an External Review Organization
41
Authorization/Access Restrictions
42
Unable to Respond at Current Time
43
Invalid/Missing Provider Identification
44
Invalid/Missing Provider Name
45
Invalid/Missing Provider Specialty
46
Invalid/Missing Provider Phone Number
47
Invalid/Missing Provider State
48
Invalid/Missing Referring Provider Identification Number
49
Provider is Not Primary Care Physician
50
Provider Ineligible for Inquiries
51
Provider Not on File
52
Service Dates Not Within Provider Plan Enrollment
53
Inquired Benefit Inconsistent with Provider Type
54
Inappropriate Product/Service ID Qualifier
55
Inappropriate Product/Service ID
56
Inappropriate Date
57
Invalid/Missing Date(s) of Service
58
Invalid/Missing Date-of-Birth
59
Invalid/Missing Date-of-Death
60
Date of Birth Follows Date(s) of Service
61
Date of Death Precedes Date(s) of Service
62
Date of Service Not Within Allowable Inquiry Period
63
Date of Service in Future
64
Invalid/Missing Patient ID
65
Invalid/Missing Patient Name
66
Invalid/Missing Patient Gender Code
67
Patient Not Found
68
Duplicate Patient ID Number
69
Inconsistent with Patient's Age
70
Inconsistent with Patient's Gender
71
Patient Birth Date Does Not Match That for the Patient on the Database
72
Invalid/Missing Subscriber/Insured ID
73
Invalid/Missing Subscriber/Insured Name
74
Invalid/Missing Subscriber/Insured Gender Code
75
Subscriber/Insured Not Found
76
Duplicate Subscriber/Insured ID Number
77
Subscriber Found, Patient Not Found
78
Subscriber/Insured Not in Group/Plan Identified
79
Invalid Participant Identification
80
No Response received - Transaction Terminated
81
Invalid or Missing Case Number
82
Not Medically Necessary
83
Level of Care Not Appropriate
84
Certification Not Required for this Service
85
Certification Responsibility of External Review Organization
86
Primary Care Service
87
Exceeds Plan Maximums
88
Non-covered Service
89
No Prior Approval
90
Requested Information Not Received
91
Duplicate Request
92
Service Inconsistent with Diagnosis
95
Patient Not Eligible
96
Pre-existing Condition
97
Invalid or Missing Provider Address
98
Experimental Service or Procedure
E1
Requested Record Will Not Be Sent; Cannot Identify the Record
We cannot identify the record from the information you provided; please provide additional information or have the student contact us directly to make the request
E2
Requested Record Will Not Be Sent; Need Student or Parent Permission
Institutional policy prohibits release without written permission of student or parent; have student or parent request record from us
E3
Requested Record Will Not Be Sent
Requested record will not be sent; have student contact us to resolve a problem
E4
Requested Record Will Not Be Sent; Never Enrolled
Requested record will not be sent; we have no record that the student ever enrolled
E5
Requested Record Will Not Be Sent; No Degree Awarded
Requested record will not be sent; degree or diploma has not been awarded
E6
Requested Record Will Not Be Sent; No Grades Posted
Requested record will not be sent; grades have not been posted for the current or most recent session
E7
Requested Record Cannot Be Sent Electronically; Record Resides in Paper Format only which Will Be Sent by Mail
E8
Requires Medical Review
T1
Cannot Identify Provider as TPO (Third Party Organization) Participant
T2
Cannot Identify Payer as TPO (Third Party Organization) Participant
T3
Cannot Identify Insured as TPO (Third Party Organization) Participant
T4
Payer Name or Identifier Missing
T5
Certification Information Missing
T6
Claim does not contain enough information for re-pricing