Segment
X12 EDI Release 00304
To specify the validity of the request and to indicate follow-up action authorized.
Elements
Code identifying the agency assigning the code values.
Codes (80)- 94Code Assigned by the Organization that is the Ultimate Destination of the Transaction Set
- AAAluminum Association
- ABAssigned by Buyer
- ACAmerican Conference of Government Industrial Hygienists (ACGIH)
- ADAgency Company Organization for Research and Development (ACORD)
- AEAdvertising Industry
- AHAmerican Industrial Hygiene Association (AIHA)
- AI
- APAmerican Petroleum Institute
- ASAssigned by Seller
- ATAmerican Society for Testing and Materials (ASTM)
- AWAmerican Welding Society (AWS)
- AXANSI Accredited Standards Committee, X12
- BETelcordia Technologies
- BFNational Business Forms Association
- BIBook Industry Systems Advisory Committee
- CAChemical Abstract Services (CAS)
- CBCopper and Brass Fabricators Council, Inc.
- CCNational Cotton Council of America
- CIChemical Industry Data Exchange (CIDX)
- CMCarbide Manufacturers
- CRCommander - Rome Air Development Center
- CXNational Association of Corrosion Engineers (NACE)
- DAFood and Drug Administration (FDA)
- DDDepartment of Defense (Military Specifications)
- DEDrug Enforcement Administration
- DIDeutsches Institut fur Normung (DIN)
- DOUnited States Department of Transportation (DOT)
- DRHealthcare Distribution Management Association
- EIElectronic Industries Association
- EPUnited States Environmental Protection Agency (EPA)
- ESEnvironment and Safety Data Exchange (ESDX)
- EUElectric Utilities
- EXElectronics Industry Data Exchange (EIDX)
- FAFabric and Supplier Linkage Council (FASLINC)
- FDGS1 US, Inc.
- FIAmerican Furniture Manufacturers Association
- GCGraphics Communications Association
- GSGeneral Services Administration (GSA)
- GUNatural Gas Utilities
- HCCenters for Medicare and Medicaid Services
- HIHealth Insurance Association of America
- IAInternational Agency for Research on Cancer (IARC)
- IMIron and Steel Standards Committee ISM
- ISInternational Standards Organization
- JAJapanese Standards Association
- LILeasing Industry
- MBOffice of Management and Budget
- MCManufacturing Company
- MEAmerican Society of Mechanical Engineers (ASME)
- MIABCD - The Microcomputer Industry Association
- MPMaterial Safety Data Sheet (MSDS) Provider
- MSMilitary Standard
- NANational Insurance Crime Bureau (NICB)
- NENational Electric Manufacturers Association (NEMA)
- NFNational Fire Protection Agency (NFPA)
- NINational Institute of Occupational Safety and Health (NIOSH)
- NRNational Retail Merchants Association
- NTNational Toxicology Program (NTP)
- NWNewspaper Association of America
- OPOffice Products
- OSUnited States Occupational Safety and Health Administration (OSHA)
- PAAmerican Paper Institute
- SASociety of Automotive Engineers, Inc. (SAE)
- SESerials Industry Systems Advisory Committee (SISAC)
- SLStudent Loan Guarantor
- SPAmerican Society for Automation in Pharmacy
- STAmerican Iron & Steel Institute
- TAAir Transport Association of America
- TBTextile Distributors Association, Inc.
- TCTextile Apparel Linkage Council (TALC)
- TDTransportation Data Coordinating Committee: Electronic Data Interchange Association (TDCC:EDIA)
- TITelecommunications Industry
- TMAmerican Textile Manufacturers Institute
- TRAmerican Trucking Associations
- TXAmerican Apparel Manufacturers Association
- UNUnited Nations (UN)
- VIVoluntary Inter-Industry Commerce Standard (VICS) EDI
- WHCanadian Workplace Hazardous Materials Information System (WHMIS)
- ZZMutually Defined
Code assigned by issuer to identify reason for rejection.
Codes (81)- 10Administrative Cancellation
- 11Invalid Debit Number
- 12Duplicate Sequence Number
- 13Not Valid for Price Protection
- 14Invalid part number
- 15Required application data missing
- 16Unit resale higher than authorized
- 17Negotiated price was not less than book price
- 18Ship date must not be after current date
- 19Ship date cannot be prior to price authorization issue date
- 20Ship date should not be before price authorization date (for rebills)
- 21Price authorization is a rebill type
- 23Price authorization has been deleted
- 24Price authorization used on a sales order
- 25Disposition pending vendor review.
- 26Invalid Customer Number
- 27Invalid Ship Date
- 28Duplicate Invoice Number
- 29Claim Submitted Past Exercise Period
- 30Invalid Meet Competition Cost
- 31Invalid Book Cost
- 41Authorization/Access Restrictions
- 42Unable to Respond at Current Time
- 43Invalid/Missing Provider Identification
- 44Invalid/Missing Provider Name
- 45Invalid/Missing Provider Specialty
- 46Invalid/Missing Provider Phone Number
- 47Invalid/Missing Provider State
- 48Invalid/Missing Referring Provider Identification Number
- 49Provider is Not Primary Care Physician
- 50Provider Ineligible for Inquiries
- 51Provider Not on File
- 52Service Dates Not Within Provider Plan Enrollment
- 53Inquired Benefit Inconsistent with Provider Type
- 54Inappropriate Product/Service ID Qualifier
- 55Inappropriate Product/Service ID
- 56Inappropriate Date
- 57Invalid/Missing Date(s) of Service
- 58Invalid/Missing Date-of-Birth
- 59Invalid/Missing Date-of-Death
- 60Date of Birth Follows Date(s) of Service
- 61Date of Death Precedes Date(s) of Service
- 62Date of Service Not Within Allowable Inquiry Period
- 63Date of Service in Future
- 64Invalid/Missing Patient ID
- 65Invalid/Missing Patient Name
- 66Invalid/Missing Patient Gender Code
- 67Patient Not Found
- 68Duplicate Patient ID Number
- 69Inconsistent with Patient's Age
- 70Inconsistent with Patient's Gender
- 71Patient Birth Date Does Not Match That for the Patient on the Database
- 72Invalid/Missing Subscriber/Insured ID
- 73Invalid/Missing Subscriber/Insured Name
- 74Invalid/Missing Subscriber/Insured Gender Code
- 75Subscriber/Insured Not Found
- 76Duplicate Subscriber/Insured ID Number
- 77Subscriber Found, Patient Not Found
- 78Subscriber/Insured Not in Group/Plan Identified
- 01Price Authorization Invalid
- 02Price Authorization Expired
- 03Product not on the price authorization
- 04Authorized Quantity Exceeded
- 05Zero Balance
- 06Special Cost Incorrect
- 07Catalog Cost Incorrect
- 08Invalid Ship Location
- 09No Credit Allowed
- E1Requested Record Will Not Be Sent; Cannot Identify the Record
- E2Requested Record Will Not Be Sent; Need Student or Parent Permission
- E3Requested Record Will Not Be Sent
- E4Requested Record Will Not Be Sent; Never Enrolled
- E5Requested Record Will Not Be Sent; No Degree Awarded
- E6Requested Record Will Not Be Sent; No Grades Posted
- T1Cannot Identify Provider as TPO (Third Party Organization) Participant
- T2Cannot Identify Payer as TPO (Third Party Organization) Participant
- T3Cannot Identify Insured as TPO (Third Party Organization) Participant
- T4Payer Name or Identifier Missing
- T5Certification Information Missing
- T6Claim does not contain enough information for re-pricing
- ZZMutually Defined
Code identifying follow-up actions allowed.
Codes (9)- CPlease Correct and Resubmit
- DResubmit Entire Claim
- EResubmit This Item Only
- NResubmission Not Allowed
- PPlease Resubmit Original Transaction
- RResubmission Allowed
- WPlease Wait 30 Days and Resubmit
- XPlease Wait 10 Days and Resubmit
- YDo Not Resubmit; We Will Hold Your Request and Respond Again Shortly
