Segment
X12 EDI Release 00603
To specify rejection information
Elements
Code identifying reason for rejection as assigned by issuer
Codes (256)- 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
- 37Request Forwarded To and Decision Response Forthcoming From an External Review Organization
- 38Claim Can Not Be Identified for Verification
- 39Actual Information Different than Reported
- 40Actual Information Different - Claim Has Been Re-adjudicated Since Initial Payment
- 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
- 82Not Medically Necessary
- 83Level of Care Not Appropriate
- 84Certification Not Required for this Service
- 85Certification Responsibility of External Review Organization
- 86Primary Care Service
- 87Exceeds Plan Maximums
- 88Non-covered Service
- 89No Prior Approval
- 90Requested Information Not Received
- 91Duplicate Request
- 92Service Inconsistent with Diagnosis
- 93Invalid Provider Identification
- 94Missing Provider Identification
- 95Patient Not Eligible
- 96Pre-existing Condition
- 97Invalid or Missing Provider Address
- 98Experimental Service or Procedure
- 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
- AAAuthorization Number Not Found
- ABAir Brakes - Inoperative, etc.
- ACMissing Date(s) of Service
- ADAccident Damage - Derail/Sideswiped
- AERequires Primary Care Physician Authorization
- AFInvalid/Missing Diagnosis Code(s)
- AGInvalid/Missing Procedure Code(s)
- AHInvalid/Missing Onset of Current Condition or Illness Date
- AIInvalid/Missing Accident Date
- AJInvalid/Missing Last Menstrual Period Date
- AKInvalid/Missing Expected Date of Birth
- ALInvalid/Missing Surgery Date
- AMInvalid/Missing Admission Date
- ANInvalid/Missing Discharge Date
- AOAdditional Patient Condition Information Required
- APInvalid Date of Birth
- AQMissing Date of Birth
- ARArrivals
- ASInvalid Gender Code
- ATMissing Gender Code
- AUProvider Identification Does Not Match That on the Database
- AVInvalid Member Identification
- AWInvalid Date(s) of Service
- AXSystem is Unable to Respond Within the Allotted Time
- AYInvalid Last Name
- AZInvalid First Name
- B1Contract Price Error
- B2Contract Price Mark Up Error
- B3Contract Price Freight Error
- B4Contract Price Volume Discount Error
- B5Contract Price Starting Price Error
- B6Contract Price Invalid Date Range
- B7Contract Price Freight Surcharge Error
- B8Drop Size Error
- B9Drop Frequency Error
- BAReject Due to Air Bags
- BBMissing Last Name
- BCReject Due to No Chains
- BDReject Due to Damps
- BEMissing First Name
- BFMissing Member Identification
- BGReject Due to Bearings
- BHMember Identification Does Not Match That on the Database
- BIGender Code Does Not Match That on the Database
- BJFirst Name Does Not Match That on the Database
- BKLast Name Does Not Match That on the Database
- BLReject Due to Load Divider Bad Order
- BMInvalid Middle Name
- BNMissing Middle Name
- BOLoaded Car, Unable to Load
- BPReject Due to Bridge Plate
- BQMiddle Name Does Not Match That on the Database
- BRReject Due to Brake Rigging Beam, Lever
- BSReject Due to Bad Order Slides
- BTInvalid Suffix
- BUMissing Suffix
- BVReject Due to Bad Order Valves/Piping
- BWReject Due to Bad Order Walls
- BXSuffix Does Not Match That on the Database
- C1Date Error
- C2Duplicate Program
- C3Duplicate Contract
- C4Not As Negotiated
- C5Product Missing
- C6Quantity Error
- C7Incorrect Allowance
- C8Incorrect Start Date
- C9Incorrect End Date
- CAReject Due to Crank Arm Application
- CBReject Due to Center Bowls, Plates and Pins
- CICertification Information Does Not Match Patient
- CLComplete Loading
- CMReleased as Railroad Company Material
- CNCar Not Ordered
- CPPut on Constructive Placement
- CRWrong Consignee
- CSRelease Load Through Bill Connecting Road
- CTRelease as a Cross-town Load
- CUEquipment Not Used
- CWWrong Car Type
- DDReject Due to Doors
- DGReject Due to Draft Gear - Yoke
- DMDismantle
- DPDeparted
- DRReject Due to Dirty
- DSDefective Safety Devices
- DVReject Due to Load Dividers, Side Filters, Special Equipment
- 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
- E7Requested Record Cannot Be Sent Electronically; Record Resides in Paper Format only which Will Be Sent by Mail
- E8Requires Medical Review
- EAEmpty Equipment Available for Loading
- ERReject Due to Spotted in Error
- ETEmpty Trailer Flat Release
- FDFreight Damage Claim
- FRReject Due to Bad Floor
- GSRelease From Demurrage and Start Storage until Waybilled
- HBReject Due to Handbrake
- HHReject Due to Hand Hold, Ladder, Step, Running Boards, Platforms, etc.
- HXReject Due to Hot Journal Box
- IAInvalid Authorization Number Format
- IDReleases an Idler
- IIIndustrial Interchange
- IPInappropriate Provider Role
- J1Ambulance Certification Segment Information Doesn’t Correspond to Transport Address Segment Information
- J2Mileage Cannot Be Computed Based on Data Submitted
- J3Computed Mileage is Inconsistent with Transport Information or Service Units
- KRReject Due to Couplers
- LKReject Due to Leaking Contents
- LSReject Due to Load Shifted
- LWLight Weigh and Restencil
- MAMissing Authorization Number
- MOMove from Current Spot to Next
- MUMissing Number of Units
- NCNo Certification Information Found
- OGReject Due to Outlet Gate/Valve Lo and Open Hopper
- OIReleased from Industry to be Inspected
- OROrdered for Replacement
- OVReject Due to Overloaded
- PMPreventative Maintenance
- RBReleased from Industry to Custody of Broker
- RDTo be Reloaded
- RFReject Due to Refrigeration Unit
- RHReject Due to Roof Hatches
- RKReject Due to Racks (Bi or Tri Levels)
- RLReleased
- RMRequesting Provider Contact Information Missing
- RNBad Order Reinitialing and Numbering
- RPReleased Partially Unloaded
- RSReleased Loaded for Line Haul Shipment
- RTRun Through Equipment not Spotted
- SCReleased from Demurrage after being Scrapped
- STReleased from Shop Track
- SUReject Due to Superstructure - End, Roof and Sides
- SWLocal Waybill
- 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
- TCBad Order to Transfer Lading
- TDReject Due to Tie Down Devices
- THReject Due to Trailer Hitch
- TLReject Due to Train Line, Air Hose, Anglecock
- TRReject Due to Truck, S-Frame, Bolster
- UCReject Due to Uncoupling Rod
- UFReject Due to Underframe - Including Sills
- UGBad Order for Upgrading of Car
- UNInvalid Number of Units
- WAReject Due to Wheel/Axle
- WKBad Order Due to Wreck
- XRInquiry Response Type Not Supported
- XTResponding System Cannot Process Inquiry Type in Real-time
- ZZMutually Defined
