Status Category Identifier Code Status Category Code ...exchangeedi.com/wp-content/uploads/2015/08/277CA-Error-Codes... · Code Status Code Description Status Category Code Status

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



Code. A6





REQUESTED FACILITY

PROVIDER NOT FOUND OR

EMPTY

153



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





TOTAL TIME CANNOT EXCEED

1440

153



Code. A6





MEMBER ID NOT FOUND /

EMPTY

136

Entity's health industry id

number. Note: This code

requires use of an Entity Code. A6





HPCODE NOT FOUND OR

EMPTY FOR THIS MEMBER

158

Entity's date of birth. Note: This


Code. A7





MEMBER INFO (DOB) INVALID

(OR) EMPTY

745

Identifier Qualifier Note: At

least one other status code is

required to identify the specific

identifier qualifier in error. A6





QUAL CODE NOT FOUND FOR

PROVIDER ID.

153



Code. A6





OTHER PROVIDER ID NOT

FOUND.

562

Entity's National Provider

Identifier (NPI). Note: This code






REFERRING PROVIDER NPI ID /

OUTSIDE ID NOT FOUND FOR

REFERRING QUAL CODE NPI.

255 Diagnosis code. A6





DIAGNOSIS CODE NOT FOUND

OR EMPTY

93

Entity is not selected primary

care provider. Note: This code






VENDOR IS NOT CONFIGURED

FOR THE PROVIDER

153



Code. A6





VENDOR ID NOT FOUND /

EMPTY

538 Claim or Encounter Identifier A7




Status details and has been rejected. INVALID PCP ENCOUNTER





Status details and has been rejected. INVALID # ENCOUNTERS (Y)





Status details and has been rejected. INVALID # ENCOUNTERS (N)

554 Date Claim Paid A7




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




Status details and has been rejected. INVALID BENEFIT OPTION

153



Code. A7





INVALID PAYEE( MUST BE

VENDOR, MEMBER OR

SUBSCRIBER )

249 Place of service. A6





PLACE OF SERVICE CODE NOT

FOUND

742 Payer Responsibility Sequence Number CodeA7





INVALID PAYER

RESPONSIBILITY.

153



Code. A7




Status details and has been rejected. INVALID FACILITY CODE.

249 Place of service. A6





PLACE OF SERVICE CODE NOT

FOUND

153



Code. A7




Status details and has been rejected. DN

INVALID REFERRING

PROVIDER ID

659 Unit or Basis for Measurement CodeA7





AUTHORIZED # OF UNITS

CANNOT BE NEGATIVE -

USING 0

153



Code. A6




Status details and has been rejected. OUTCOME CODE NOT FOUND.

48 Referral/authorization. A6





AUTHORIZATION NUMBER

NOT FOUND.

153



Code. A7





ADMITTING PROVIDER DOES

NOT EXIST

535 Claim Frequency Code A7




Status details and has been rejected. INVALID BILL TYPE

153



Code. A7





INVALID ATTENDING

PROVIDER

231 Hospital admission type. A7





INVALID CLAIM ADMITTANCE

TYPE

229 Hospital admission source. A7





INVALID ADMITTANCE

SOURCE

460 NUBC Condition Code(s) A7




Status details and has been rejected. INVALID CONDITION CODE 1
























































189 Facility admission date A7




Status details and has been rejected. INVALID ADMISSION DATE

675

Facility admission through

discharge dates A7





ADMISSION AND DISCHARGE

DATE CONFLICT

230 Hospital admission hour. A7




Status details and has been rejected. INVALID ADMISSION HOUR

233 Hospital discharge hour. A7




Status details and has been rejected. INVALID DISCHARGE HOUR

456 Covered Day(s) A7





INVALID HOSPITAL DAYS –

COVERED

457 Non-Covered Day(s) A7






NON-COVERED

458 Coinsurance Day(s) A7





INVALID HOSPITAL DAYS – CO-

INSURANCE

459 Lifetime Reserve Day(s) A7






LIFETIME RESERVE

153



Code. A7





INVALID CONSULTING

PROVIDER 1

153



Code. A7





INVALID CONSULTING

PROVIDER 2

232 Admitting diagnosis. A7





INVALID ADMISSION

DIAGNOSIS

509 External Cause of Injury Code (E-code).A7




Status details and has been rejected. INVALID E-CODE

360

Benefits Assignment

Certification Indicator. A7





INVALID OR MISSING

ASSIGNMENT OF BENEFIT –

PRIMARY

360

Benefits Assignment






INVALID ASSIGNMENT OF

BENEFIT – SECONDARY

360

Benefits Assignment






INVALID ASSIGNMENT OF

BENEFIT – TERTIARY

183

Amount entity has paid. Note:

This code requires use of an

Entity Code. A7





INVALID PRIOR PAYMENT –

PRIMARY

183



Entity Code. A7






SECONDARY

183



Entity Code. A7






TERTIARY

183



Entity Code. A7






DUE FROM PATIENT

565 Estimated Claim Due Amount A7





INVALID EST. AMOUNT DUE –

PRIMARY







SECONDARY







TERTIARY







DUE FROM PATIENT

655 Total Medicare Paid Amount A7




Status details and has been rejected. MEDICARE PAID AMOUNT

591 Medicare Paid at 100% Amount A7





MEDICARE 100% PAID

AMOUNT

592 Medicare Paid at 80% Amount A7





MEDICARE 80% PAID

AMOUNT

606

Paid From Part A Medicare

Trust Fund Amount A7





MEDICARE A TRUST FUND

PAID AMOUNT

607

Paid From Part B Medicare

Trust Fund Amount A7





MEDICARE B TRUST FUND

PAID AMOUNT

596 Non-covered Charge Amount A7





COB TOTAL NON-COVERED

AMOUNT

585 Denied Charge or Non-covered ChargeA7




Status details and has been rejected. COB TOTAL DENIED AMOUNT

285 Vouchers/explanation of benefits (EOB).A7




Status details and has been rejected. EOB INDICATOR






INVALID EXTERNAL CAUSE OF

INJURY CODE -B .







INJURY CODE -C .

562








ADMITTING PROVIDER NPI ID

/ OUTSIDE ID NOT FOUND

FOR ADMITTING PROVIDER

NPI QUAL CODE.

562








CONSULTING ID 1 NPI ID /


CONSULTING ID 1 NPI QUAL

CODE.

562








CONSULTING ID 2 NPI ID /


CONSULTING ID 2 NPI QUAL

CODE.

562








ATTENDING NPI ID / OUTSIDE

ID NOT FOUND FOR

ATTENDING NPI QUAL CODE.

490

Other Procedure Code for

Service(s) Rendered A6





OTHER PROCEDURE CODE

[%%] AND OTHER

PROCEDURES DATE [%%] ARE

REQUIRED

153



Code. A7





INVALID SERVICE FACILITY

LOCATION INFORMATION(32)-

A

153



Code. A7





INVALID BILLING PROVIDER

INFORMATION

633

Related Causes Code (Accident,

auto accident, employment) A7





INVALID PATIENT CONDITION -

EMPLOYMENT

633







INVALID PATIENT CONDITION

– AUTO ACCIDENT

633







INVALID PATIENT CONDITION

– OTHER ACCIDENT

126

Entity's address. Note: This


Code. A7




Status details and has been rejected. INVALID PLACE

749 Date of Injury/Illness A7




Status details and has been rejected. INVALID DATE OF CURRENT

648 Similar Illness or Symptom Date A7





INVALID SAMESIMILAR

ILLNESS

195 Unable to work dates/Disability Dates.A7





INVALID UNABLE TO WORK

FROMDATE

195 Unable to work dates/Disability Dates.A7





INVALID UNABLE TO WORK

TODATE

394

Date(s) of most recent

hospitalization related to

service A7





INVALID HOSPITALIZED FROM

DATE

394

Date(s) of most recent

hospitalization related to

service A7





INVALID HOSPITALIZED TO

DATE

179 Outside lab charges. A7




Status details and has been rejected. INVALID OUTSIDE LAB – YES

589 Provider Accept Assignment CodeA7





INVALID ACCEPT

ASSIGNMENT – YES

428 Reason for transport by ambulanceA7





INVALID TRANSPORT REASON

CODE

752

Ambulance Drop-off State or

Province Code A7





INVALID AMBULANCE DROP-

OFF ADDRESS LINE1

752

Ambulance Drop-off State or

Province Code A7





INVALID AMBULANCE DROP-

OFF CITY NAME

751

Ambulance Pick-up State or

Province Code A7





INVALID AMBULANCE PICK-UP

ADDRESS LINE1

751

Ambulance Pick-up State or

Province Code A7





INVALID AMBULANCE PICK-UP

CITY NAME

188 Statement from-through dates. A7





INVALID OR MISSING

STATEMENT FROM DATE.






INVALID OR MISSING

STATEMENT TO DATE.

155

Entity's relationship to patient.

Note: This code requires use of

an Entity Code. A7





INVALID PATIENT’S

RELATIONSHIP TO INSURED –

PRIMARY.

155



an Entity Code. A7





INVALID PATIENT’S


SECONDARY.

155



an Entity Code. A7





INVALID PATIENT’S


TERTIARY.

161

Entity's employment status.


an Entity Code. A7





INVALID EMPLOYMENT

STATUS – PRIMARY.

161



an Entity Code. A7





INVALID EMPLOYMENT

STATUS – SECONDARY.

161



an Entity Code. A7





INVALID EMPLOYMENT

STATUS – TERTIARY.

153



Code. A7





INVALID OTHER PROVIDER ID

– PRIMARY – EZ-CAP ID

153



Code. A7






– SECONDARY – EZ-CAP ID

153



Code. A7






– TERTIARY – EZ-CAP ID

153



Code. A7





INVALID OPERATING ID – EZ-

CAP ID

153



Code. A7




Status details and has been rejected. INVALID OTHER ID – EZ-CAP ID

673 Patient Reason for Visit A7





INVALID PATIENT’S REASON

FOR VISIT – A -VALIDATE

AGAINST DIAG TABLE FOR

VALID CODE







FOR VISIT – B -VALIDATE


VALID CODE-







FOR VISIT – C -VALIDATE


VALID CODE

728 Accident state A7




Status details and has been rejected. INVALID ACCIDENT STATE

562








OPERATING PROVIDER NPI ID/


QUAL CODE.

562








OTHER PROVIDER ID /


OTHER PROVIDER QUAL

CODE.

562








OTHER PROVIDER2 NPI ID/


OTHER PROVIDER2 QUAL

CODE.

562








OTHER PROVIDER ID 2 /


OTHER PROVIDER QUAL

CODE.

535 Claim Frequency Code A7




Status details and has been rejected. INVALID FREQUENCY CODE

738

Home Infusion EDI Coalition

(HEIC) Product/Service Code A7




Status details and has been rejected. INVALID SERVICE CODE

453

Procedure Code Modifier(s) for





Status details and has been rejected. INVALID MODIFIER CODE 1

583 Line Item Charge Amount A7




Status details and has been rejected. NOT A VALID BILLED DECIMAL

476 Missing or invalid units of serviceA7




Status details and has been rejected. QUANTITY IS NOT VALID

521 Adjustment Reason Code A7




Status details and has been rejected. INVALID ADJUSTMENT CODE

521 Adjustment Reason Code A6




Status details and has been rejected. MISSING ADJUSTMENT CODE

564 EPSDT Indicator A7




Status details and has been rejected. INVALID # EPSDT (Y/N)

216 Drug information. A7




Status details and has been rejected. INVALID NDC UNIT PRICE





Status details and has been rejected. INVALID NDC QUANTITY





Status details and has been rejected. INVALID NDC CODE

98 Charges applied to deductible. A7




Status details and has been rejected. INVALID DEDUCTIBLE

705 Repriced Allowed Amount A7




Status details and has been rejected. INVALID ALLOWED

477 Diagnosis code pointer is missing or invalidA7





INVALID DIAGNOSIS CODE

POINTER 2







POINTER 3







POINTER 4






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




Status details and has been rejected. INVALID OR MISSING TAXONOMY CODE

153



Code. A7





INVALID RENDERING

PROVIDER ID

562








RENDERING PROVIDER ID /


RENDERING PROVIDER QUAL

CODE







POINTER 1





Status details and has been rejected. INVALID DIAGNOSIS REFERENCE NUMBER






INVALID ANESTHESIA START

TIME






INVALID ANESTHESIA STOP

TIME

187 Date(s) of service. A7




Status details and has been rejected. INVALID FROM DATE

187 Date(s) of service. A7




Status details and has been rejected. INVALID TO DATE

455 Revenue code for services rendered.A7





INVALID HOSPITAL SERVICE

CODE

453







453







453







471 Were services related to an emergency?A7





NOT A VALID EMERGENCY

CODE

490







INVALID OR MISSING

PROCEDURE CODE 1.

490







INVALID OR MISSING

PROCEDURE CODE 2.

490







INVALID OR MISSING

PROCEDURE CODE 3.

490







INVALID OR MISSING

PROCEDURE CODE 4.

490







INVALID OR MISSING

PROCEDURE CODE 5.

490







INVALID OR MISSING

PROCEDURE CODE 6.

490







INVALID OR MISSING

PROCEDURE CODE 7.

490







INVALID OR MISSING

PROCEDURE CODE 8.

490







INVALID OR MISSING

PROCEDURE CODE 9.

490







INVALID OR MISSING

PROCEDURE CODE 10.

490







INVALID OR MISSING

PROCEDURE CODE 11.

490







INVALID OR MISSING

PROCEDURE CODE 12.

490







INVALID OR MISSING

PROCEDURE CODE 13.

492 Other Procedure Date A7





INVALID OR MISSING

PROCEDURE DATE 1.






INVALID OR MISSING

PROCEDURE DATE 2.






INVALID OR MISSING

PROCEDURE DATE 3.






INVALID OR MISSING

PROCEDURE DATE 4.






INVALID OR MISSING

PROCEDURE DATE 5.






INVALID OR MISSING

PROCEDURE DATE 6.






INVALID OR MISSING

PROCEDURE DATE 7.






INVALID OR MISSING

PROCEDURE DATE 8.






INVALID OR MISSING

PROCEDURE DATE 9.






INVALID OR MISSING

PROCEDURE DATE 10.






INVALID OR MISSING

PROCEDURE DATE 11.






INVALID OR MISSING

PROCEDURE DATE 12.






INVALID OR MISSING

PROCEDURE DATE 13.

719 NUBC Occurrence Code(s) A7





INVALID OR MISSING

OCCURRENCE CODE 1.






INVALID OR MISSING

OCCURRENCE CODE 2.






INVALID OR MISSING

OCCURRENCE CODE 3.






INVALID OR MISSING

OCCURRENCE CODE 4.






INVALID OR MISSING

OCCURRENCE CODE 5.






INVALID OR MISSING

OCCURRENCE CODE 6.






INVALID OR MISSING

OCCURRENCE CODE 7.






INVALID OR MISSING

OCCURRENCE CODE 8.






INVALID OR MISSING

OCCURRENCE CODE 9.






INVALID OR MISSING

OCCURRENCE CODE 10.






INVALID OR MISSING

OCCURRENCE CODE 11.






INVALID OR MISSING

OCCURRENCE CODE 12.

720 NUBC Occurrence Code Date(s) A7





INVALID OR MISSING

OCCURRENCE DATE 1.






INVALID OR MISSING

OCCURRENCE DATE 2.






INVALID OR MISSING

OCCURRENCE DATE 3.






INVALID OR MISSING

OCCURRENCE DATE 4.






INVALID OR MISSING

OCCURRENCE DATE 5.






INVALID OR MISSING

OCCURRENCE DATE 6.






INVALID OR MISSING

OCCURRENCE DATE 7.






INVALID OR MISSING

OCCURRENCE DATE 8.






INVALID OR MISSING

OCCURRENCE DATE 9.






INVALID OR MISSING

OCCURRENCE DATE 10.






INVALID OR MISSING

OCCURRENCE DATE 11.






INVALID OR MISSING

OCCURRENCE DATE 12.

721 NUBC Occurrence Span Code(s) A7





INVALID OR MISSING

OCCURRENCE SPAN CODE 1.






INVALID OR MISSING







INVALID OR MISSING







INVALID OR MISSING







INVALID OR MISSING







INVALID OR MISSING







INVALID OR MISSING







INVALID OR MISSING







INVALID OR MISSING







INVALID OR MISSING







INVALID OR MISSING







INVALID OR MISSING


722 NUBC Occurrence Span Code Date(s)A7





INVALID OR MISSING

OCCURRENCE SPAN DATE

FROM 1.






INVALID OR MISSING


FROM 2.






INVALID OR MISSING


FROM 3.






INVALID OR MISSING


FROM 4.






INVALID OR MISSING


FROM 5.






INVALID OR MISSING


FROM 6.






INVALID OR MISSING


FROM 7.






INVALID OR MISSING


FROM 8.






INVALID OR MISSING


FROM 9.






INVALID OR MISSING


FROM 10.






INVALID OR MISSING


FROM 11.






INVALID OR MISSING


FROM 12.






INVALID OR MISSING

OCCURRENCE SPAN DATE TO

1.






INVALID OR MISSING


2.






INVALID OR MISSING


3.






INVALID OR MISSING


4.






INVALID OR MISSING


5.






INVALID OR MISSING


6.






INVALID OR MISSING


7.






INVALID OR MISSING


8.






INVALID OR MISSING


9.






INVALID OR MISSING


10.






INVALID OR MISSING


11.






INVALID OR MISSING


12.

725 NUBC Value Code(s) A7





INVALID OR MISSING VALUE

CODE 1.







CODE 2.







CODE 3.







CODE 4.







CODE 5.







CODE 6.







CODE 7.







CODE 8.







CODE 9.







CODE 10.







CODE 11.







CODE 12.

726 NUBC Value Code Amount(s) A7






AMOUNT 1.







AMOUNT 2.







AMOUNT 3.







AMOUNT 4.







AMOUNT 5.







AMOUNT 6.







AMOUNT 7.







AMOUNT 8.







AMOUNT 9.







AMOUNT 10.







AMOUNT 11.







AMOUNT 12.

688

Present on Admission Indicator

for reported diagnosis code(s). A6





DIAGNOSIS POA CODE NOT

FOUND OR EMPTY

688







INVALID ADMISSION

DIAGNOSIS POA

688






Status details and has been rejected. INVALID E-CODE POA

688








INJURY CODE - B POA

688








INJURY CODE - C POA

688








FOR VISIT – A POA - VALIDATE

AGAINST COMMON CODES

TABLE FOR VALID CODE

688








FOR VISIT – B POA - VALIDATE



688








FOR VISIT – C POA - VALIDATE



562








THE RENDERING PROVIDER

NPI IS NOT CONFIGURED FOR

THE RENDERING PROVIDER

INVALID OR MISSING TAXONOMY CODE

INVALID DIAGNOSIS REFERENCE NUMBER

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Status Category Identifier Code Status Category Code ...exchangeedi.com/wp-content/uploads/2015/08/277CA-Error-Codes... · Code Status Code Description Status Category Code Status