Status Category Identifier Code Status ... - Exchange EDI

1 Status Entity Status Category Identifier code Status code Description code Status Category code Description code CA Error code Description Acknowledgement/Rejected for Missing Entity's id number. Note: This Information - The claim/encounter is code requires use of an Entity missing the information specified in the PROVIDER ID NOT FOUND /. 153 code . A6 Status details and has been rejected. 82 EMPTY. Acknowledgement/Rejected for Missing Entity's id number. Note: This Information - The claim/encounter is REQUESTED FACILITY. code requires use of an Entity missing the information specified in the PROVIDER NOT FOUND OR. 153 code . A6 Status details and has been rejected. 77 EMPTY. Acknowledgement/Rejected for Invalid Entity's id number.

2 Note: This Information - The claim/encounter has code requires use of an Entity invalid information as specified in the INVALID P/H code IN TYPE. 153 code . A7 Status details and has been rejected. 010 RECORD. Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the TOTAL TIME CANNOT EXCEED. 251 Total anesthesia minutes. A7 Status details and has been rejected. 1440. Acknowledgement/Rejected for Missing Entity's id number. Note: This Information - The claim/encounter is code requires use of an Entity missing the information specified in the MEMBER ID NOT FOUND /. 153 code . A6 Status details and has been rejected. EMPTY. Acknowledgement/Rejected for Missing Entity's health industry id Information - The claim/encounter is number.

3 Note: This code missing the information specified in the HPCODE NOT FOUND OR. 136 requires use of an Entity code . A6 Status details and has been rejected. EMPTY FOR THIS MEMBER. Acknowledgement/Rejected for Invalid Entity's date of birth. Note: This Information - The claim/encounter has code requires use of an Entity invalid information as specified in the MEMBER INFO (DOB) INVALID. 158 code . A7 Status details and has been rejected. (OR) EMPTY. Identifier Qualifier Note: At Acknowledgement/Rejected for Missing least one other Status code is Information - The claim/encounter is required to identify the specific missing the information specified in the QUAL code NOT FOUND FOR. 745 Identifier qualifier in error.

4 A6 Status details and has been rejected. PROVIDER ID. Acknowledgement/Rejected for Missing Entity's id number. Note: This Information - The claim/encounter is code requires use of an Entity missing the information specified in the OTHER PROVIDER ID NOT. 153 code . A6 Status details and has been rejected. 73 FOUND. Acknowledgement/Rejected for Missing Entity's National Provider Information - The claim/encounter is REFERRING PROVIDER NPI ID /. Identifier (NPI). Note: This code missing the information specified in the OUTSIDE ID NOT FOUND FOR. 562 requires use of an Entity code . A6 Status details and has been rejected. REFERRING QUAL code NPI. Acknowledgement/Rejected for Missing Information - The claim/encounter is missing the information specified in the DIAGNOSIS code NOT FOUND.

5 255 Diagnosis code . A6 Status details and has been rejected. OR EMPTY. Acknowledgement/Rejected for Invalid Entity is not selected primary Information - The claim/encounter has care provider. Note: This code invalid information as specified in the VENDOR IS NOT CONFIGURED. 93 requires use of an Entity code . A7 Status details and has been rejected. 82 FOR THE PROVIDER. Acknowledgement/Rejected for Missing Entity's id number. Note: This Information - The claim/encounter is code requires use of an Entity missing the information specified in the VENDOR ID NOT FOUND /. 153 code . A6 Status details and has been rejected. 85 EMPTY. Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the 538 Claim or Encounter Identifier A7 Status details and has been rejected.

6 INVALID PCP ENCOUNTER. Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the 538 Claim or Encounter Identifier A7 Status details and has been rejected. INVALID # ENCOUNTERS (Y). Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the 538 Claim or Encounter Identifier A7 Status details and has been rejected. INVALID # ENCOUNTERS (N). Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the 554 Date Claim Paid A7 Status details and has been rejected. INVALID DATE PAID. Acknowledgement/Rejected for Invalid Patient eligibility not found with Information - The claim/encounter has entity.

7 Note: This code requires invalid information as specified in the 97 use of an Entity code . A7 Status details and has been rejected. INVALID BENEFIT OPTION. Acknowledgement/Rejected for Invalid Entity's id number. Note: This Information - The claim/encounter has INVALID PAYEE( MUST BE. code requires use of an Entity invalid information as specified in the VENDOR, MEMBER OR. 153 code . A7 Status details and has been rejected. SUBSCRIBER ). Acknowledgement/Rejected for Missing Information - The claim/encounter is missing the information specified in the PLACE OF SERVICE code NOT. 249 Place of service. A6 Status details and has been rejected. FOUND. Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the INVALID PAYER.

8 742 Payer Responsibility Sequence Number A7 CodeStatus details and has been rejected. RESPONSIBILITY. Acknowledgement/Rejected for Invalid Entity's id number. Note: This Information - The claim/encounter has code requires use of an Entity invalid information as specified in the 153 code . A7 Status details and has been rejected. INVALID FACILITY code . Acknowledgement/Rejected for Missing Information - The claim/encounter is missing the information specified in the PLACE OF SERVICE code NOT. 249 Place of service. A6 Status details and has been rejected. FOUND. Acknowledgement/Rejected for Invalid Entity's id number. Note: This Information - The claim/encounter has code requires use of an Entity invalid information as specified in the INVALID REFERRING.

9 153 code . A7 Status details and has been rejected. DN PROVIDER ID. Acknowledgement/Rejected for Invalid Information - The claim/encounter has AUTHORIZED # OF UNITS. invalid information as specified in the CANNOT BE NEGATIVE - 659 Unit or Basis for Measurement code A7 Status details and has been rejected. USING 0. Acknowledgement/Rejected for Missing Entity's id number. Note: This Information - The claim/encounter is code requires use of an Entity missing the information specified in the 153 code . A6 Status details and has been rejected. OUTCOME code NOT FOUND. Acknowledgement/Rejected for Missing Information - The claim/encounter is missing the information specified in the AUTHORIZATION NUMBER.

10 48 Referral/authorization. A6 Status details and has been rejected. NOT FOUND. Acknowledgement/Rejected for Invalid Entity's id number. Note: This Information - The claim/encounter has code requires use of an Entity invalid information as specified in the ADMITTING PROVIDER DOES. 153 code . A7 Status details and has been rejected. NOT EXIST. Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the 535 Claim Frequency code A7 Status details and has been rejected. INVALID BILL TYPE. Acknowledgement/Rejected for Invalid Entity's id number. Note: This Information - The claim/encounter has code requires use of an Entity invalid information as specified in the INVALID ATTENDING.