Code identifying reason for rejection as assigned by issuer
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
<> 93
Invalid Provider Identification
<> 94
Missing Provider Identification
<> 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.
<> AC
Missing Date(s) of Service
<> 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
<> AP
Invalid Date of Birth
<> AQ
Missing Date of Birth
<> AR
Arrivals
<> AS
Invalid Gender Code
<> AT
Missing Gender Code
<> AU
Provider Identification Does Not Match That on the Database
<> AV
Invalid Member Identification
<> AW
Invalid Date(s) of Service
<> AX
System is Unable to Respond Within the Allotted Time
<> AY
Invalid Last Name
<> AZ
Invalid First Name
<> B1
Contract Price Error
<> B2
Contract Price Mark Up Error
<> B3
Contract Price Freight Error
<> B4
Contract Price Volume Discount Error
<> B5
Contract Price Starting Price Error
<> B6
Contract Price Invalid Date Range
<> B7
Contract Price Freight Surcharge Error
<> B8
Drop Size Error
<> B9
Drop Frequency Error
<> BA
Reject Due to Air Bags
<> BB
Missing Last Name
<> BC
Reject Due to No Chains
<> BD
Reject Due to Damps
<> BE
Missing First Name
<> BF
Missing Member Identification
<> BG
Reject Due to Bearings
<> BH
Member Identification Does Not Match That on the Database
<> BI
Gender Code Does Not Match That on the Database
<> BJ
First Name Does Not Match That on the Database
<> BK
Last Name Does Not Match That on the Database
<> BL
Reject Due to Load Divider Bad Order
<> BM
Invalid Middle Name
<> BN
Missing Middle Name
<> BO
Loaded Car, Unable to Load
<> BP
Reject Due to Bridge Plate
<> BQ
Middle Name Does Not Match That on the Database
<> BR
Reject Due to Brake Rigging Beam, Lever
<> BS
Reject Due to Bad Order Slides
<> BT
Invalid Suffix
<> BU
Missing Suffix
<> BV
Reject Due to Bad Order Valves/Piping
<> BW
Reject Due to Bad Order Walls
<> BX
Suffix Does Not Match That on the Database
<> C1
Date Error
<> C2
Duplicate Program
<> C3
Duplicate Contract
<> C4
Not As Negotiated
<> C5
Product Missing
<> C6
Quantity Error
<> C7
Incorrect Allowance
<> C8
Incorrect Start Date
<> C9
Incorrect End Date
<> 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
<> GI
Group Number is Invalid
<> GM
Group Number is Missing
<> 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
<> RM
Requesting Provider Contact Information Missing
<> 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
<> XR
Inquiry Response Type Not Supported
<> XT
Responding System Cannot Process Inquiry Type in Real-time
<> ZZ
Mutually Defined
