属性

数据类型ID

必须?Optional

Codes (89)

• 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
• 32Input Incomplete
• 33Input Errors
• 34No Coverage
• 35Out of Network
• 36Testing not Included
• 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
• 79Invalid Participant Identification
• 80No Response received - Transaction Terminated
• 81Invalid or Missing Case Number
• 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