Code assigned by issuer to identify reason for rejection
Type
ID
Length
Max 2 / Min 2
Codes
<>  01
Price Authorization Invalid
<>  02
Price Authorization Expired
<>  03
Product not on the price authorization
<>  04
Authorized Quantity Exceeded
<>  05
Zero Balance
<>  06
Special Cost Incorrect
<>  07
Catalog Cost Incorrect
<>  08
Invalid Ship Location
<>  09
No Credit Allowed
<>  10
Administrative Cancellation
<>  11
Invalid Debit Number
<>  12
Duplicate Sequence Number
<>  13
Not Valid for Price Protection
<>  14
Invalid part number
<>  15
Required application data missing
<>  16
Unit resale higher than authorized
<>  17
Negotiated price was not less than book price
<>  18
Ship date must not be after current date
<>  19
Ship date cannot be prior to price authorization issue date
<>  20
Ship date should not be before price authorization date (for rebills)
<>  21
Price authorization is a rebill type
<>  23
Price authorization has been deleted
<>  24
Price authorization used on a sales order
<>  25
Disposition pending vendor review.
<>  26
Invalid Customer Number
<>  27
Invalid Ship Date
<>  28
Duplicate Invoice Number
<>  29
Claim Submitted Past Exercise Period
<>  30
Invalid Meet Competition Cost
<>  31
Invalid Book Cost
<>  32
Input Incomplete
<>  33
Input Errors
<>  34
No Coverage
<>  35
Out of Network
<>  36
Testing not Included
<>  37
Request Forwarded To and Decision Response Forthcoming From an External Review Organization
<>  38
Claim Can Not Be Identified for Verification
<>  39
Actual Information Different than Reported
<>  40
Actual Information Different - Claim Has Been Re-adjudicated Since Initial Payment
<>  41
Authorization/Access Restrictions
<>  42
Unable to Respond at Current Time
<>  43
Invalid/Missing Provider Identification
<>  44
Invalid/Missing Provider Name
<>  45
Invalid/Missing Provider Specialty
<>  46
Invalid/Missing Provider Phone Number
<>  47
Invalid/Missing Provider State
<>  48
Invalid/Missing Referring Provider Identification Number
<>  49
Provider is Not Primary Care Physician
<>  50
Provider Ineligible for Inquiries
<>  51
Provider Not on File
<>  52
Service Dates Not Within Provider Plan Enrollment
<>  53
Inquired Benefit Inconsistent with Provider Type
<>  54
Inappropriate Product/Service ID Qualifier
<>  55
Inappropriate Product/Service ID
<>  56
Inappropriate Date
<>  57
Invalid/Missing Date(s) of Service
<>  58
Invalid/Missing Date-of-Birth
<>  59
Invalid/Missing Date-of-Death
<>  60
Date of Birth Follows Date(s) of Service
<>  61
Date of Death Precedes Date(s) of Service
<>  62
Date of Service Not Within Allowable Inquiry Period
<>  63
Date of Service in Future
<>  64
Invalid/Missing Patient ID
<>  65
Invalid/Missing Patient Name
<>  66
Invalid/Missing Patient Gender Code
<>  67
Patient Not Found
<>  68
Duplicate Patient ID Number
<>  69
Inconsistent with Patient's Age
<>  70
Inconsistent with Patient's Gender
<>  71
Patient Birth Date Does Not Match That for the Patient on the Database
<>  72
Invalid/Missing Subscriber/Insured ID
<>  73
Invalid/Missing Subscriber/Insured Name
<>  74
Invalid/Missing Subscriber/Insured Gender Code
<>  75
Subscriber/Insured Not Found
<>  76
Duplicate Subscriber/Insured ID Number
<>  77
Subscriber Found, Patient Not Found
<>  78
Subscriber/Insured Not in Group/Plan Identified
<>  79
Invalid Participant Identification
<>  80
No Response received - Transaction Terminated
<>  81
Invalid or Missing Case Number
<>  82
Not Medically Necessary
<>  83
Level of Care Not Appropriate
<>  84
Certification Not Required for this Service
<>  85
Certification Responsibility of External Review Organization
<>  86
Primary Care Service
<>  87
Exceeds Plan Maximums
<>  88
Non-covered Service
<>  89
No Prior Approval
<>  90
Requested Information Not Received
<>  91
Duplicate Request
<>  92
Service Inconsistent with Diagnosis
<>  95
Patient Not Eligible
<>  96
Pre-existing Condition
<>  97
Invalid or Missing Provider Address
<>  98
Experimental Service or Procedure
<>  AA
Authorization Number Not Found
<>  AB
Air Brakes - Inoperative, etc.
<>  AD
Accident Damage - Derail/Sideswiped
<>  AE
Requires Primary Care Physician Authorization
<>  AF
Invalid/Missing Diagnosis Code(s)
<>  AG
Invalid/Missing Procedure Code(s)
<>  AH
Invalid/Missing Onset of Current Condition or Illness Date
<>  AI
Invalid/Missing Accident Date
<>  AJ
Invalid/Missing Last Menstrual Period Date
<>  AK
Invalid/Missing Expected Date of Birth
<>  AL
Invalid/Missing Surgery Date
<>  AM
Invalid/Missing Admission Date
<>  AN
Invalid/Missing Discharge Date
<>  AO
Additional Patient Condition Information Required
<>  AR
Arrivals
<>  BA
Reject Due to Air Bags
<>  BC
Reject Due to No Chains
<>  BD
Reject Due to Damps
<>  BG
Reject Due to Bearings
<>  BL
Reject Due to Load Divider Bad Order
<>  BO
Loaded Car, Unable to Load
<>  BP
Reject Due to Bridge Plate
<>  BR
Reject Due to Brake Rigging Beam, Lever
<>  BS
Reject Due to Bad Order Slides
<>  BV
Reject Due to Bad Order Valves/Piping
<>  BW
Reject Due to Bad Order Walls
<>  CA
Reject Due to Crank Arm Application
<>  CB
Reject Due to Center Bowls, Plates and Pins
<>  CI
Certification Information Does Not Match Patient
<>  CL
Complete Loading
<>  CM
Released as Railroad Company Material
<>  CN
Car Not Ordered
<>  CP
Put on Constructive Placement
<>  CR
Wrong Consignee
<>  CS
Release Load Through Bill Connecting Road
<>  CT
Release as a Cross-town Load
<>  CU
Equipment Not Used
<>  CW
Wrong Car Type
<>  DD
Reject Due to Doors
<>  DG
Reject Due to Draft Gear - Yoke
<>  DM
Dismantle
<>  DP
Departed
<>  DR
Reject Due to Dirty
<>  DS
Defective Safety Devices
<>  DV
Reject Due to Load Dividers, Side Filters, Special Equipment
<>  E1
Requested Record Will Not Be Sent; Cannot Identify the Record
<>  E2
Requested Record Will Not Be Sent; Need Student or Parent Permission
<>  E3
Requested Record Will Not Be Sent
<>  E4
Requested Record Will Not Be Sent; Never Enrolled
<>  E5
Requested Record Will Not Be Sent; No Degree Awarded
<>  E6
Requested Record Will Not Be Sent; No Grades Posted
<>  E7
Requested Record Cannot Be Sent Electronically; Record Resides in Paper Format only which Will Be Sent by Mail
<>  E8
Requires Medical Review
<>  EA
Empty Equipment Available for Loading
<>  ER
Reject Due to Spotted in Error
<>  ET
Empty Trailer Flat Release
<>  FD
Freight Damage Claim
<>  FR
Reject Due to Bad Floor
<>  GS
Release From Demurrage and Start Storage until Waybilled
<>  HB
Reject Due to Handbrake
<>  HH
Reject Due to Hand Hold, Ladder, Step, Running Boards, Platforms, etc.
<>  HX
Reject Due to Hot Journal Box
<>  IA
Invalid Authorization Number Format
<>  ID
Releases an Idler
<>  II
Industrial Interchange
<>  IP
Inappropriate Provider Role
<>  J1
Ambulance Certification Segment Information Doesn�t Correspond to Transport Address Segment Information
<>  J2
Mileage Cannot Be Computed Based on Data Submitted
<>  J3
Computed Mileage is Inconsistent with Transport Information or Service Units
<>  KR
Reject Due to Couplers
<>  LK
Reject Due to Leaking Contents
<>  LS
Reject Due to Load Shifted
<>  LW
Light Weigh and Restencil
<>  MA
Missing Authorization Number
<>  MO
Move from Current Spot to Next
<>  MU
Missing Number of Units
<>  NC
No Certification Information Found
<>  OG
Reject Due to Outlet Gate/Valve Lo and Open Hopper
<>  OI
Released from Industry to be Inspected
<>  OR
Ordered for Replacement
<>  OV
Reject Due to Overloaded
<>  PM
Preventative Maintenance
<>  RB
Released from Industry to Custody of Broker
<>  RD
To be Reloaded
<>  RF
Reject Due to Refrigeration Unit
<>  RH
Reject Due to Roof Hatches
<>  RK
Reject Due to Racks (Bi or Tri Levels)
<>  RL
Released
<>  RN
Bad Order Reinitialing and Numbering
<>  RP
Released Partially Unloaded
<>  RS
Released Loaded for Line Haul Shipment
<>  RT
Run Through Equipment not Spotted
<>  SC
Released from Demurrage after being Scrapped
<>  ST
Released from Shop Track
<>  SU
Reject Due to Superstructure - End, Roof and Sides
<>  SW
Local Waybill
<>  T1
Cannot Identify Provider as TPO (Third Party Organization) Participant
<>  T2
Cannot Identify Payer as TPO (Third Party Organization) Participant
<>  T3
Cannot Identify Insured as TPO (Third Party Organization) Participant
<>  T4
Payer Name or Identifier Missing
<>  T5
Certification Information Missing
<>  T6
Claim does not contain enough information for re-pricing
<>  TC
Bad Order to Transfer Lading
<>  TD
Reject Due to Tie Down Devices
<>  TH
Reject Due to Trailer Hitch
<>  TL
Reject Due to Train Line, Air Hose, Anglecock
<>  TR
Reject Due to Truck, S-Frame, Bolster
<>  UC
Reject Due to Uncoupling Rod
<>  UF
Reject Due to Underframe - Including Sills
<>  UG
Bad Order for Upgrading of Car
<>  UN
Invalid Number of Units
<>  WA
Reject Due to Wheel/Axle
<>  WK
Bad Order Due to Wreck
<>  ZZ
Mutually Defined

