Alabama Explanation of Benefit (EOB) Code Crosswalk
Health Care	Health Care Claim Status Code Description	Adj. Reason	Adjustment Reason Code Description	Hipaa Remarks	Hipaa Remarks Code Description	MMIS Edit	MMIS Edit Code Description
Status		Code		Code		Code
Code
0	Cannot provide further status electronically.	19	Claim denied because this is a work-related injury/illness and thus the liability of the Workers Compensation Carrier.	M1	X-ray not taken within the past 12 months or near enough to the start of treatment.	8210	WORKER'S COMP - PROVIDER
1	For more detailed information, see remittance advice.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4252	DIAGNOSIS CODE 10-24 NOT ON FILE
1	For more detailed information, see remittance advice.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N245	INCOMPLETE/INVALID PLAN INFORMATION FOR OTHER INSURANCE.	0643	INVALID OTHER COVERAGE CODE
1	For more detailed information, see remittance advice.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N307	MISSING/INCOMPLETE/INVALID ADJUDICATION OR PAYMENT DATE.	0807	INVALID TPL ADJUDICATION DATE
1	For more detailed information, see remittance advice.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N307	MISSING/INCOMPLETE/INVALID ADJUDICATION OR PAYMENT DATE.	0808	TPL ADJUDUCATION DATE CANNOT BE A FUTURE DATE
1	For more detailed information, see remittance advice.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N245	INCOMPLETE/INVALID PLAN INFORMATION FOR OTHER INSURANCE.	0643	INVALID OTHER COVERAGE CODE
1	For more detailed information, see remittance advice.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M79	Missing/incomplete/invalid charge.	8997	CLAIM MODIFIED POST-PROCESSING.  THE BILLED AMOUNT WAS CHANGED TO ZERO ON THE E NCOUNTER DETAIL.  THE HEADER BILLED AMOUNT WAS REDUCED BY THE ORIGINAL ENCOUNTE R DETAIL BILLED AMOUNT. SEE TASK 8767 FOR ADDITIONAL INFORMATION.
1	For more detailed information, see remittance advice.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N307	MISSING/INCOMPLETE/INVALID ADJUDICATION OR PAYMENT DATE.	0606	INVALID OTHER PAYER DATE
1	For more detailed information, see remittance advice.	A2	Contractual adjustment.	N245	INCOMPLETE/INVALID PLAN INFORMATION FOR OTHER INSURANCE.	0643	INVALID OTHER COVERAGE CODE
7	Claim may be reconsidered at a future date.	18	Duplicate claim/service.	M86	SERVICE DENIED BECAUSE PAYMENT ALREADY MADE FOR SAME/SIMILAR PROCEDURE WITHIN SET TIME FRAME.	5754	OUR RECORDS INDICATE THAT THIS SERVICE HAS ALREADY BEEN PERFORMED ON THIS PATIE NT
7	Claim may be reconsidered at a future date.	18	Duplicate claim/service.	M86	SERVICE DENIED BECAUSE PAYMENT ALREADY MADE FOR SAME/SIMILAR PROCEDURE WITHIN SET TIME FRAME.	5755	OUR RECORDS INDICATE THAT THIS SERVICE HAS ALREADY BEEN PERFORMED ON THIS PATIE NT
8	No payment due to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N29	MISSING DOCUMENTATION/ORDERS/NOTES/SUMMARY/REPORT/CHART.	8560	PAPER CLAIM AND OPERATIVE NOTE REQUIRED FOR PAYMENT DECISION.  PLEASE RESUBMIT.
8	No payment due to contract/plan provisions.	18	Duplicate claim/service.	N117	THIS SERVICE IS PAID ONLY ONCE IN A LIFETIME.	6671	OUR RECORDS INDICATE THAT THIS SERVICE HAS ALREADY BEEN PERFORMED ON THIS RECIP IENT.
8	No payment due to contract/plan provisions.	18	Duplicate claim/service.	N59	Please refer to your provider manual for additional program and provider information.	6646	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
8	No payment due to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6646	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
9	No payment will be made for this claim.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N61	Rebill services on separate claims.	0820	FROM DOS AND TO DOS MAY NOT SPAN THE FISCAL YEAR
9	No payment will be made for this claim.	193	ORIGINAL PAYMENT DECISION IS BEING MAINTAINED. THIS CLAIM WAS PROCESSED PROPERLY THE FIRST TIME.	MA44	No appeal rights. Adjudicative decision based on law.	8555	NCCI REDETERMINIATION - DENIED - NO APPEAL
9	No payment will be made for this claim.	193	ORIGINAL PAYMENT DECISION IS BEING MAINTAINED. THIS CLAIM WAS PROCESSED PROPERLY THE FIRST TIME.	MA46	The new information was considered, however, additional payment cannot be issued. Please review the information listed for the explanation.	8556	NCCI REDETERMINIATION - DENIED
9	No payment will be made for this claim.	193	ORIGINAL PAYMENT DECISION IS BEING MAINTAINED. THIS CLAIM WAS PROCESSED PROPERLY THE FIRST TIME.	MA91	This determination is the result of the appeal you filed.	8558	NCCI ADMINISTRATIVE REVIEW - DENIED
12	One or more originally submitted procedure codes have been combined.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5642	ROUTINE ANCILLARY SERVICES ASSOCIATED WITH AN ABORTION ARE COVERED IN THE TOTAL  ABORTION COST AND ARE NOT REIMBURSABLE SEPARATELY
12	One or more originally submitted procedure codes have been combined.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5643	ROUTINE ANCILLARY SERVICES ASSOCIATED WITH AN ABORTION ARE COVERED IN THE TOTAL  ABORTION COST AND ARE NOT REIMBURSABLE SEPARATELY
12	One or more originally submitted procedure codes have been combined.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N22	This procedure code was added/changed because it more accurately describes the services rendered.	7215	PROCEDURE CODE IS INCIDENTAL
12	One or more originally submitted procedure codes have been combined.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N384	Records indicate that the referenced body part/tooth has been removed in a previous procedure.	5352	CLAIMS HISTORY SHOWS TOOTH HAS BEEN EXTRACTED.
12	One or more originally submitted procedure codes have been combined.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N384	Records indicate that the referenced body part/tooth has been removed in a previous procedure.	5353	CLAIMS HISTORY SHOWS TOOTH HAS BEEN EXTRACTED.
12	One or more originally submitted procedure codes have been combined.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N39	Procedure code is not compatible with tooth number/letter.	5352	CLAIMS HISTORY SHOWS TOOTH HAS BEEN EXTRACTED.
12	One or more originally submitted procedure codes have been combined.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N39	Procedure code is not compatible with tooth number/letter.	5353	CLAIMS HISTORY SHOWS TOOTH HAS BEEN EXTRACTED.
15	One or more originally submitted procedure code have been modified.	6	The procedure code is inconsistent with the patient's age.	MA38	Missing/incomplete/invalid birth date.	7212	PROCEDURE ADDED DUE TO ALTERNATE CODE REPLACEMENT (AGE)
15	One or more originally submitted procedure code have been modified.	7	The procedure code is inconsistent with the patient's gender.	MA39	Missing/incomplete/invalid gender.	7214	PROCEDURE ADDED DUE TO ALTERNATE CODE REPLACEMENT (SEX)
15	One or more originally submitted procedure code have been modified.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N22	This procedure code was added/changed because it more accurately describes the services rendered.	7246	PROCEDURE REPLACED DUE TO INTENSITY OF SERVICE REPLACEMENT
15	One or more originally submitted procedure code have been modified.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N22	This procedure code was added/changed because it more accurately describes the services rendered.	7247	PROCEDURE ADDED DUE TO INTENSITY OF SERVICE REPLACEMENT
15	One or more originally submitted procedure code have been modified.	119	Benefit maximum for this time period or occurrence has been reached.	N20	Service not payable with other service rendered on the same date.	6645	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
15	One or more originally submitted procedure code have been modified.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6645	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
15	One or more originally submitted procedure code have been modified.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	6645	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
15	One or more originally submitted procedure code have been modified.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	6645	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
20	Accepted for processing.	6	The procedure code is inconsistent with the patient's age.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	3100	CLAIM AND PA PRESCRIBING PROV DON'T MATCH
20	Accepted for processing.	15	Payment adjusted because the submitted authorization number is missing, invalid, or does not apply to the billed services or provider.	M62	Missing/incomplete/invalid treatment authorization code.	3104	PA REQUIRED FOR CERTAIN TRANSPORTATION SERVICES
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	3100	CLAIM AND PA PRESCRIBING PROV DON'T MATCH
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4077	NON-COVERED REVENUE CODE
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M62	Missing/incomplete/invalid treatment authorization code.	3104	PA REQUIRED FOR CERTAIN TRANSPORTATION SERVICES
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3998	BPA-RR-REV - OTHER HDR DIAGNOSIS RESTRICTION
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3999	BPA-RR-PROC - OTHER HDR DIAGNOSIS RESTRICTION
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4745	BPA-RP-PROC - DIAGNOSIS RESTRICTION
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4210	BPA-RR-REV - ANY HDR DIAGNOSIS RESTRICTION
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4315	BPA-PC-PROC - ANY HDR DIAGNOSIS RESTRICTION
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	0826	TYPE OF BILL INVALID FOR CLAIM TYPE
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA31	Missing/incomplete/invalid beginning and ending dates of the period billed.	0554	HEADER BILLED DATE IS PRIOR TO DATES OF SERVICE
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N253	MISSING/INCOMPLETE/INVALID ATTENDING PROVIDER PRIMARY IDENTIFIER.	1960	NPI REQUIRED:  ATTENDING PROVIDER (HEALTHCARE)
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N262	MISSING/INCOMPLETE/INVALID OPERATING PROVIDER PRIMARY IDENTIFIER.	1961	NPI REQUIRED:  OPERATING PROVIDER (HEALTHCARE)
20	Accepted for processing.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N4	Missing/incomplete/invalid prior insurance carrier EOB.	8088	SAVE FOR FUTURE USE.
20	Accepted for processing.	38	Services not provided or authorized by designated (network/primary care) providers.	N31	MISSING/INCOMPLETE/INVALID PRESCRIBING PROVIDER IDENTIFIER.	1024	BILLING PROVIDER NOT LISTED AS RECIPIENT LTC PROV
20	Accepted for processing.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	M78	Missing/incomplete/invalid HCPCS modifier.	4246	ADJUSTMENT NET PAID AMOUNT EXCEEDS THE CASH RECEIPT BALANCE
20	Accepted for processing.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	M85	Subjected to review of physician evaluation and management services.	0589	ADJUSTMENT HAS AUTO DENIAL
20	Accepted for processing.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	M85	Subjected to review of physician evaluation and management services.	0595	MANUALLY SUSPEND FOR REVIEW
20	Accepted for processing.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	MA120	Missing/incomplete/invalid CLIA certification number.	4208	CLIA NUMBER NOT EFFECTIVE FOR ENTIRE SVC PERIOD
20	Accepted for processing.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	MA129	This provider was not certified for this procedure on this date of service.	4208	CLIA NUMBER NOT EFFECTIVE FOR ENTIRE SVC PERIOD
20	Accepted for processing.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N123	This is a split service and represents a portion of the units from the originally submitted service.	3019	PA CUTBACK PERFORMED
20	Accepted for processing.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N31	MISSING/INCOMPLETE/INVALID PRESCRIBING PROVIDER IDENTIFIER.	1024	BILLING PROVIDER NOT LISTED AS RECIPIENT LTC PROV
20	Accepted for processing.	63	Correction to a prior claim.	M56	Missing/incomplete/invalid payer identifier.	4130	PAYER HIERARCHY NOT FOUND
20	Accepted for processing.	63	Correction to a prior claim.	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	4130	PAYER HIERARCHY NOT FOUND
20	Accepted for processing.	92	Claim Paid in full.	M50	Missing/incomplete/invalid revenue code(s).	4077	NON-COVERED REVENUE CODE
20	Accepted for processing.	92	Claim Paid in full.	MA31	Missing/incomplete/invalid beginning and ending dates of the period billed.	0554	HEADER BILLED DATE IS PRIOR TO DATES OF SERVICE
20	Accepted for processing.	92	Claim Paid in full.	N123	This is a split service and represents a portion of the units from the originally submitted service.	3019	PA CUTBACK PERFORMED
20	Accepted for processing.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5334	PALLIATIVE (EMERGENCY)TREATMENT MAY NOT BE BILLED WITH DEFINITIVE TREATMENT OR  OTHER EMERGECNY PROCEDURES ON THE SAME DAY.
20	Accepted for processing.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5335	PALLIATIVE (EMERGENCY)TREATMENT MAY NOT BE BILLED WITH DEFINITIVE TREATMENT OR  OTHER EMERGECNY PROCEDURES ON THE SAME DAY.
20	Accepted for processing.	119	Benefit maximum for this time period or occurrence has been reached.	N20	Service not payable with other service rendered on the same date.	6400	SPECIMEN COLLECTION FEE IS LIMITED TO ONE PER DAY
20	Accepted for processing.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6154	MAXIMUN UNIT LIMIT HAS BEEN EXCEEDED.
20	Accepted for processing.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6200	THIS PROCEDURE IS LIMITED TO SIXTEEN (16) UNITS PER CALENDAR YEAR.
20	Accepted for processing.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6291	SPECIMEN COLLECTION FEE IS LIMITED TO ONE PER DAY
20	Accepted for processing.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6650	THE LIMIT FOR THESE SERVICES HAS BEEN REACHED FOR THIS CONTRACT YEAR
20	Accepted for processing.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6651	UNITS BILLED FOR PROCEDURE CODE EXCEED MAXIMUM UNITS ALLOWED
20	Accepted for processing.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6652	UNITS BILLED FOR PROCEDURE CODE EXCEED MAXIMUM UNITS ALLOWED
20	Accepted for processing.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M83	Service is not covered unless the patient is classified as at high risk.	5506	SERVICE NOT PAYABLE WITH OTHER SERVICE ON SAME DAY
20	Accepted for processing.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M83	Service is not covered unless the patient is classified as at high risk.	5507	SERVICE NOT PAYABLE WITH OTHER SERVICE ON SAME DAY
20	Accepted for processing.	133	The disposition of this claim/service is pending further review.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	4114	PRICING BEING REVIEWED
20	Accepted for processing.	133	The disposition of this claim/service is pending further review.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	7288	SMARTSUSPENSE FLAG
20	Accepted for processing.	133	The disposition of this claim/service is pending further review.	MA66	MISSING/INCOMPLETE/INVALID PRINCIPAL PROCEDURE CODE.	4014	NO PRICING SEGMENT IS ON FILE.
20	Accepted for processing.	133	The disposition of this claim/service is pending further review.	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	4014	NO PRICING SEGMENT IS ON FILE.
20	Accepted for processing.	A1	Claim/Service denied.	M56	Missing/incomplete/invalid payer identifier.	4130	PAYER HIERARCHY NOT FOUND
20	Accepted for processing.	A1	Claim/Service denied.	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	4130	PAYER HIERARCHY NOT FOUND
20	Accepted for processing.	A2	Contractual adjustment.	M78	Missing/incomplete/invalid HCPCS modifier.	4246	ADJUSTMENT NET PAID AMOUNT EXCEEDS THE CASH RECEIPT BALANCE
20	Accepted for processing.	A2	Contractual adjustment.	M85	Subjected to review of physician evaluation and management services.	0589	ADJUSTMENT HAS AUTO DENIAL
20	Accepted for processing.	A2	Contractual adjustment.	M85	Subjected to review of physician evaluation and management services.	0595	MANUALLY SUSPEND FOR REVIEW
20	Accepted for processing.	A2	Contractual adjustment.	MA120	Missing/incomplete/invalid CLIA certification number.	4208	CLIA NUMBER NOT EFFECTIVE FOR ENTIRE SVC PERIOD
20	Accepted for processing.	A2	Contractual adjustment.	MA129	This provider was not certified for this procedure on this date of service.	4208	CLIA NUMBER NOT EFFECTIVE FOR ENTIRE SVC PERIOD
20	Accepted for processing.	A2	Contractual adjustment.	N31	MISSING/INCOMPLETE/INVALID PRESCRIBING PROVIDER IDENTIFIER.	1024	BILLING PROVIDER NOT LISTED AS RECIPIENT LTC PROV
20	Accepted for processing.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5330	TWO RESTORATIONS NOT COVERED FOR THE SAME TOOTH NUMBER SAME DATE OF SERVICE.
20	Accepted for processing.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5331	TWO RESTORATIONS NOT COVERED FOR THE SAME TOOTH NUMBER SAME DATE OF SERVICE.
20	Accepted for processing.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	6290	MULTIPLE URINALYSIS TESTS CANNOT BE BILLED ON THE SAME DAY
20	Accepted for processing.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N39	Procedure code is not compatible with tooth number/letter.	5326	CORE BUILDUP NOT COVERED WITH OTHER RESTORATION
20	Accepted for processing.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N39	Procedure code is not compatible with tooth number/letter.	5327	CORE BUILDUP NOT COVERED WITH OTHER RESTORATION
20	Accepted for processing.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N39	Procedure code is not compatible with tooth number/letter.	5328	TWO RESTORATIONS NOT COVERED FOR THE SAME TOOTH NUMBER.
20	Accepted for processing.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N39	Procedure code is not compatible with tooth number/letter.	5329	TWO RESTORATIONS NOT COVERED FOR THE SAME TOOTH NUMBER.
20	Accepted for processing.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5451	HOME HEALTH PROVIDERS CANNOT BILL INPATIENT AND OUTPATIENT SERVICES ON THE SAME  CLAIM.
20	Accepted for processing.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	6283	REVENUE CODES 170 -171 MUST NOT EXCEED 10 UNITS UNDER MOTHER'S NUMBER.
20	Accepted for processing.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA120	Missing/incomplete/invalid CLIA certification number.	4208	CLIA NUMBER NOT EFFECTIVE FOR ENTIRE SVC PERIOD
20	Accepted for processing.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA129	This provider was not certified for this procedure on this date of service.	4208	CLIA NUMBER NOT EFFECTIVE FOR ENTIRE SVC PERIOD
21	Missing or invalid information.	3	Co-payment Amount	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0644	OTHER PAYER PAT RESP AMT IS INVALID
21	Missing or invalid information.	3	Co-payment Amount	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0645	OTHER PAYER PAT RESP QUALIFIER IS INVALID
21	Missing or invalid information.	3	Co-payment Amount	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	1038	DEA NOT ON FILE FOR PRESCRIBER
21	Missing or invalid information.	3	Co-payment Amount	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	1039	PRESCRIBER DEA NOT EFFECTIVE FOR DATE PRESCRIBED
21	Missing or invalid information.	3	Co-payment Amount	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	1040	PRESCRIBER DEA DOES NOT PERMIT DRUG SCHEDULE
21	Missing or invalid information.	3	Co-payment Amount	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	1041	PRESCRIBER PRACTICE TYPE NOT VALID FOR DRUG SCHED
21	Missing or invalid information.	14	The date of birth follows the date of service.	N56	Procedure code billed is not correct/valid for the services billed or the date of service billed.	7262	DOB CANNOT BE GREATER THAN DATE OF SERVICE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	0473	ICD9 PROCEDURE 7-24 INVALID
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4273	INVALID NDC QUALIFIER CODE, MUST EQUAL N4
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M46	MISSING/INCOMPLETE/INVALID OCCURRENCE SPAN CODE.	0511	2ND OCCURRENCE SPAN FROM DATE IS AFTER THE TO DATE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	0350	THE NUMBER OF DETAILS IS NOT EQUAL TO THE SUBMITTED DETAIL COUNT.
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0456	INVALID PROCEDURE TYPE ACC. TO PROCEDURE QUALIFIER
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0457	INVALID PRINCIPAL/OTHER PROCEDURE TYPE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M53	Missing/incomplete/invalid days or units of service.	4251	DECIMAL UNITS NOT BILLABLE FOR PROCEDURE.
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0510	1ST OCCURRENCE SPAN FROM DATE IS AFTER THE TO DATE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3352	SECOND DIAGNOSIS REQUIRES PRESENT ON ADMISSION INDICATOR
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3353	THIRD DIAGNOSIS REQUIRES PRESENT ON ADMISSION INDICATOR
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3354	FOURTH DIAGNOSIS REQUIRES PRESENT ON ADMISSION INDICATOR
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3355	FIFTH DIAGNOSIS REQUIRES PRESENT ON ADMISSION INDICATOR
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3356	SIXTH DIAGNOSIS REQUIRES PRESENT ON ADMISSION INDICATOR
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3357	SEVENTH DIAGNOSIS REQUIRES PRESENT ON ADMISSION INDICATOR
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3358	EIGHTH DIAGNOSIS REQUIRES PRESENT ON ADMISSION INDICATOR
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	3359	NINTH DIAGNOSIS REQUIRES PRESENT ON ADMISSION INDICATOR
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M67	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE CODE(S)	0369	SECOND OTHER PROCEDURE CODE INVALID
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M68	MISSING/INCOMPLETE/INVALID ATTENDING, ORDERING, RENDERING, SUPERVISING  OR REFERRING PHYSICIAN IDENTIFICATION.	0476	DETAIL ATTENDING PHYSICIAN ID INVALID
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M68	MISSING/INCOMPLETE/INVALID ATTENDING, ORDERING, RENDERING, SUPERVISING  OR REFERRING PHYSICIAN IDENTIFICATION.	1051	RENDERING PROVIDER NOT ON PROVIDER DATABASE (HDR)
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA102	Missing/incomplete/invalid name or provider identifier for the rendering/referring/ordering/supervising provider.	1007	RENDERING PROVIDER IDENTIFIER NOT ON FILE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA31	Missing/incomplete/invalid beginning and ending dates of the period billed.	0526	DETAIL DATES NOT WITHIN HEADER DATES
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA40	Missing/incomplete/invalid admission date.	0526	DETAIL DATES NOT WITHIN HEADER DATES
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	3351	PRIMARY DIAGNOSIS REQUIRES PRESENT ON ADMISSION INDICATOR
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N183	This is a predetermination advisory message, when this service is submitted for payment additional documentation as specified in plan documents will be required to process benefits.	0455	DENTAL PREDETERMINATION OF BENEFITS NOT ALLOWED
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N228	INCOMPLETE/INVALID CONSENT FORM.	0460	THE ATTACHMENT TYPE IS NOT VALID.
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N228	INCOMPLETE/INVALID CONSENT FORM.	0480	THE ATTACHMENT TYPE IS NOT VALID.
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N245	INCOMPLETE/INVALID PLAN INFORMATION FOR OTHER INSURANCE.	0652	MISSING OR INVALID OTHER PAYER COVERAGE TYPE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N262	MISSING/INCOMPLETE/INVALID OPERATING PROVIDER PRIMARY IDENTIFIER.	0477	DETAIL FIRST OTHER PHYSICIAN ID INVALID
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N262	MISSING/INCOMPLETE/INVALID OPERATING PROVIDER PRIMARY IDENTIFIER.	1053	OTHER-1 (OPERATING) PROVIDER ID NOT ON FILE - DTL
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N277	MISSING/INCOMPLETE/INVALID OTHER PAYER RENDERING PROVIDER IDENTIFIER.	1051	RENDERING PROVIDER NOT ON PROVIDER DATABASE (HDR)
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N286	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER PRIMARY IDENTIFIER.	1052	OTHER-2 (REFERRING) PROVIDER ID NOT ON FILE - DTL
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N286	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER PRIMARY IDENTIFIER.	1055	DTL REFERRING PROV NOT ON FILE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N290	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER PRIMARY IDENTIFIER.	1007	RENDERING PROVIDER IDENTIFIER NOT ON FILE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N3	MISSING CONSENT FORM.	0599	ATTACHMENT CONTROL NUMBER MISSING
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N3	MISSING CONSENT FORM.	0603	ATTACHMENT BEING SENT BY PROVIDER FOR AN ELECTRONIC CLAIM.
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N3	MISSING CONSENT FORM.	0607	ATTACHMENT BEING SENT BY PROVIDER FOR AN ELECTRONIC CLAIM.
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	1018	CLINIC RATE NOT ON FILE FOR HOSPITAL
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	4054	FIRST OTHER PROCEDURE CODE NOT ON FILE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	4055	SECOND OTHER PROCEDURE CODE NOT ON FILE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	4056	THIRD OTHER PROCEDURE CODE NOT ON FILE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	4057	FOURTH OTHER PROCEDURE CODE NOT ON FILE
21	Missing or invalid information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	4058	FIFTH OTHER PROCEDURE CODE NOT ON FILE
21	Missing or invalid information.	18	Duplicate claim/service.	N20	Service not payable with other service rendered on the same date.	5500	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	18	Duplicate claim/service.	N20	Service not payable with other service rendered on the same date.	5501	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	31	Claim denied as patient cannot be identified as our insured.	N382	Missing/incomplete/invalid patient identifier.	2808	COBA - MEDICARE ID NOT ON FILE
21	Missing or invalid information.	96	Non-covered charge(s).	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	4089	MISSING OR INVALID SURGERY CODE-PLEASE VERIFY TO SEE IF HCPC CODE CAN BE BILLED  WITH THE SURGERY REVENUE CODE AND RESUBMIT
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5202	CHEMOTHERAPY ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS THIS PROCE DURE
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5203	CHEMOTHERAPY ADMINISTRATION FEE MAY NOT BE BILLED ON THES AME DAY AS THIS PROCE DURE
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5204	VENIPUNCTURE AND LAB CODES ARE NOT ALLOWED ON THE SAME DAY.
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5205	VENIPUNCTURE AND LAB CODES ARE NOT ALLOWED ON THE SAME DAY.
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5208	ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS THIS PROCEDURE CODE.
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5209	ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS THIS PROCEDURE CODE.
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5630	INCIDENTAL SURGERY MAY NOT BE BILLED WITH DEFINITIVE SURGERY ON THE SAME DAY.
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5631	INCIDENTAL SURGERY MAY NOT BE BILLED WITH DEFINITIVE SURGERY ON THE SAME DAY.
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5632	EXPLORATORY LAP/LYSIS OF ADHESIONS MAY NOT BE BILLED ON THE SAME DAY WITH OTHER  RELATED SURGERY
21	Missing or invalid information.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5633	INCIDENTAL SURGERY NOT COVERED WITH DEFINITIVE SURGERY ON THE SAME DAY
21	Missing or invalid information.	110	BILLING DATE PREDATES SERVICE DATE.	MA06	Missing/incomplete/invalid beginning and/or ending date(s).	7264	DOS CANNOT BE A FUTURE DATE
21	Missing or invalid information.	119	Benefit maximum for this time period or occurrence has been reached.	N20	Service not payable with other service rendered on the same date.	5512	PRENATAL VISIT NOT BE COVERED ON THE SAME DAY AS POSTPARTUM VISIT.
21	Missing or invalid information.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	5338	ORAL EXAM EVALUATIONS ARE LIMITED TO ONE PER DAY.
21	Missing or invalid information.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6180	THE ALLOWED LENS LIMITATION HAS BEEN EXCEEDED
21	Missing or invalid information.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M38	The patient is liable for the charges for this service as you informed the patient in writing before the service was furnished that we would not pay for it, and the patient agreed to pay.	7279	INVALID AMOUNT CHARGED
21	Missing or invalid information.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N183	This is a predetermination advisory message, when this service is submitted for payment additional documentation as specified in plan documents will be required to process benefits.	0455	DENTAL PREDETERMINATION OF BENEFITS NOT ALLOWED
21	Missing or invalid information.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N59	Please refer to your provider manual for additional program and provider information.	5484	LAB SERVICES MUST BE BILLED WITH COMBINATION CODE.  SEE CPT.
21	Missing or invalid information.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N59	Please refer to your provider manual for additional program and provider information.	5486	CHEMISTRY PROFILES MUST BE BILLED USING ONE MULTICHANNEL TEST CODE
21	Missing or invalid information.	146	Diagnosis was invalid for the date(s) of service reported.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	0310	ICD-10 DIAGNOSIS BILLED BEFORE COMPLIANCE DATE
21	Missing or invalid information.	181	PAYMENT ADJUSTED BECAUSE THIS PROCEDURE CODE WAS INVALID ON THE DATE OF SERVICE	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	0309	ICD-10 PROCEDURE BILLED BEFORE COMPLIANCE DATE
21	Missing or invalid information.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5624	EMERGENCY ROOM VISIT/INITIAL HOSPITAL VISIT MAY NOT BE BILLED ON THE SAME DAY
21	Missing or invalid information.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5625	EMERGENCY ROOM VISIT/INITIAL HOSPITAL VISIT MAY NOT BE BILLED ON THE SAME DAY
21	Missing or invalid information.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5634	THE SAME PHYSICAIN MAY NOT BILL HOSPITAL VISIT AND DISCHARGE VISIT ON THE SAME  DAY
21	Missing or invalid information.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5635	THE SAME PHYSICAIN MAY NOT BILL HOSPITAL VISIT AND DISCHARGE VISIT ON THE SAME  DAY
21	Missing or invalid information.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5640	SUBSEQUENT HOSPITAL CARE MAY NOT BE BILLED ON SAME DAY AS INITIAL HOSPITAL CARE
21	Missing or invalid information.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5641	SUBSEQUENT HOSPITAL CARE MAY NOT BE BILLED ON SAME DAY AS INITIAL HOSPITAL CARE
21	Missing or invalid information.	B17	Payment adjusted because this service was not prescribed by a physician, not prescribed prior to delivery, the prescription is incomplete, or the prescription is not current.	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0213	DATE PRESCRIBED IS MISSING
21	Missing or invalid information.	B17	Payment adjusted because this service was not prescribed by a physician, not prescribed prior to delivery, the prescription is incomplete, or the prescription is not current.	N57	MISSING/INCOMPLETE/INVALID PRESCRIBING DATE.	0213	DATE PRESCRIBED IS MISSING
21	Missing or invalid information.	B17	Payment adjusted because this service was not prescribed by a physician, not prescribed prior to delivery, the prescription is incomplete, or the prescription is not current.	N57	MISSING/INCOMPLETE/INVALID PRESCRIBING DATE.	0214	DATE PRESCRIBED IS INVALID
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5202	CHEMOTHERAPY ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS THIS PROCE DURE
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5203	CHEMOTHERAPY ADMINISTRATION FEE MAY NOT BE BILLED ON THES AME DAY AS THIS PROCE DURE
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5204	VENIPUNCTURE AND LAB CODES ARE NOT ALLOWED ON THE SAME DAY.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5205	VENIPUNCTURE AND LAB CODES ARE NOT ALLOWED ON THE SAME DAY.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5208	ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS THIS PROCEDURE CODE.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5209	ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS THIS PROCEDURE CODE.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5210	OUTPATIENT CHEMOTHERAPY AND EMERGENCY DEPARTMENT SERVICE CODES MAY NOT BE BILLE D ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5211	OUTPATIENT CHEMOTHERAPY AND EMERGENCY DEPARTMENT SERVICE CODES MAY NOT BE BILLE D ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5214	PROCEDURE CODE NOT ALLOWED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5232	DAILY MANAGEMENT OF AN EPIDURAL OR SUBARACHNOID CATHETER MAYNOT BE BILLED ON TH E SAME DAY AS A PROCEDURE FOR CATHETHER PLACEMENT.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5233	DAILY MANAGEMENT OF AN EPIDURAL OR SUBARACHNOID CATHETER MAYNOT BE BILLED ON TH E SAME DAY AS A PROCEDURE FOR CATHETHER PLACEMENT.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5262	PROCEDURE CODES 92553, 92556 AND 92557 CANNOT BE BILLED ON THE SAME DAY BY THE  SAME OR DIFFERENT PROVIDER
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5270	CLINIC CODES Z5145-Z5149 CANNOT BE BILLED ON THE SAME DAY WITH SAME UNIQUE NUMB ER AS 99241-99245 AND 99281-99285                                               ER AS 99241-99245 AND 99281-99286
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5271	CLINIC CODES AND E&M CODES CANNOT BE BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5280	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5281	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5282	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5283	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5284	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5354	TEMPORARY FILLING NOT PAYABLE ON SAME DATE OF SERVICE AS DEFINITIVE FILLING
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5355	TEMPORARY FILLING NOT PAYABLE ON SAME DATE OF SERVICE AS DEFINITIVE FILLING
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5436	SALPINGECTOMY WILL NOT BE PAID ON THE SAME DAY AS A TUBAL LIGATION
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5437	SALPINGECTOMY WILL NOT BE PAID ON THE SAME DAY AS A TUBAL LIGATION
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5472	CHEMISTRY PROFILE AND CHEMICAL PANEL CANNOT BE BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5473	CHEMISTRY PROFILE AND CHEMICAL PANEL CANNOT BE BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5474	COMPONENTS OF A CBC MAY NOT BE BILLED ON THE SAME DAY AS A COMPLETE CBC
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5475	COMPONENTS OF A CBC MAY NOT BE BILLED ON THE SAME DAY AS A COMPLETE CBC
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5476	COMPONENTS OF A CBC MAY NOT BE BILLED ON THE SAME DAY AS A COMPLETE CBC
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5477	COMPONENTS OF A CBC MAY NOT BE BILLED ON THE SAME DAY AS A COMPLETE CBC
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5478	COMPONENTS OF A URINALYSIS MAY NOT BE BILLED ON THE SAME DAY AS URINALYSIS
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5479	COMPONENTS OF A URINALYSIS MAY NOT BE BILLED ON THE SAME DAY AS URINALYSIS
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5480	COMPONENTS OF A CBC MAY NOT BE BILLED ON THE SAME DAY AS A COMPLETE CBC
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5481	COMPONENTS OF A CBC MAY NOT BE BILLED ON THE SAME DAY AS A COMPLETE CBC
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5482	COMPONENTS OF A CBC MAY NOT BE BILLED ON THE SAME DAY AS A COMPLETE CBC
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5483	COMPONENTS OF A CBC MAY NOT BE BILLED ON THE SAME DAY AS A COMPLETE CBC
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5488	COMPONENTS OF A CBC MAY NOT BE BILLED ON THE SAME DAY AS A COMPLETE CBC
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5500	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5501	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5502	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5503	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5512	PRENATAL VISIT NOT BE COVERED ON THE SAME DAY AS POSTPARTUM VISIT.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5513	PRENATAL VISIT NOT BE COVERED ON THE SAME DAY AS POSTPARTUM VISIT.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5600	PROCEDURE CANNOT BE BILLED ON THE SAME DAY AS CRITICAL CARE
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5601	PROCEDURE CANNOT BE BILLED ON THE SAME DAY AS CRITICAL CARE
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5602	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5603	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5610	PROCEDURE CODES 95115, 95117 OR Z4998 SHALL NOT BE PAID ON THE SAME DAY AS PROC EDURE CODES 95120 - 95134.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5611	PROFESSIONAL SERVICES ARE INCLUDED IN THE PROVISION OF THE EXTRACT.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5612	PROCEDURE CODES 95120-95134 WILL NOT BE PAID ON THE SAME DAY AS PROCEDURE CODES  95135-95170                                                                     95135-95171
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5613	PROCEDURE CODES 95120-95134 WILL NOT BE PAID ON THE SAME DAY AS PROCEDURE CODES  95135-95170                                                                     95135-95171
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5614	PROCEDURE NOT COVERED WHEN BILLED WITH PROCEDURE CODES 90918-90947
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5615	PROCEDURE NOT COVERED WHEN BILLED WITH PROCEDURE CODES 90918-90947
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5616	CRITICAL CARE CANNOT BE BILLED ON THE SAME DAY AS PROCEDURE
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5617	PROCEDURE CANNOT BE BILLED ON THE SAME DAY AS CRITICAL CARE
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5618	THE SAME PHYSICIAN MAY NOT BILL INTUBATION AND NEWBORN RESUSCITATION ON THE SAM E DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5619	THE SAME PHYSICIAN MAY NOT BILL INTUBATION AND NEWBORN RESUSCITATION ON THE SAM E DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5620	STANDBY/RESUCITATION/ATTENDANCE AT DELIVERY CANNOT BE BILLEDTOGETHER.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5621	STANDBY/RESUCITATION/ATTENDANCE AT DELIVERY CANNOT BE BILLED TOGETHER.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5622	ELECTROSHOCK THERAPY MAY NOT BE ON THE SAME DAY AS A HOSPITAL VISIT
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5623	ELECTROSHOCK THERAPY MAY NOT BE ON THE SAME DAY AS A HOSPITAL VISIT
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5626	PROFESSIONAL COMPONENTS AND HOSPITAL VISITS MAY NOT BE BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5627	PROFESSIONAL COMPONENTS AND HOSPITAL VISITS MAY NOT BE BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5648	PROCEDURE CODES NOT ALLOWED ON THE SAME DAY (95130- 95134)
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5791	PROCEDURE CODE NOT COVERED WHEN BILLED ON THE SAME DAY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5802	PREVOCATIONAL SERVICES AND SUPPORTED EMPLOYMENT SHALL NOT BE PAID ON THE SAME D AY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5803	PREVOCATIONAL SERVICES AND SUPPORTED EMPLOYMENT SHALL NOT BE PAID ON THE SAME D AY
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5232	DAILY MANAGEMENT OF AN EPIDURAL OR SUBARACHNOID CATHETER MAYNOT BE BILLED ON TH E SAME DAY AS A PROCEDURE FOR CATHETHER PLACEMENT.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5233	DAILY MANAGEMENT OF AN EPIDURAL OR SUBARACHNOID CATHETER MAYNOT BE BILLED ON TH E SAME DAY AS A PROCEDURE FOR CATHETHER PLACEMENT.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5238	PHYSICIAN VISIT CODES/PRIMARY ANESTHESIA CODES MAY NOT BE BILLED WITHIN 3 DAYS  OR ON SAME DAY OF EACH OTHER.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5239	PHYSICIAN VISIT CODES/PRIMARY ANESTHESIA CODES MAY NOT BE BILLED WITHIN 3 DAYS  OR ON SAME DAY OF EACH OTHER.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5484	LAB SERVICES MUST BE BILLED WITH COMBINATION CODE.  SEE CPT.
21	Missing or invalid information.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5486	CHEMISTRY PROFILES MUST BE BILLED USING ONE MULTICHANNEL TEST CODE
26	Entity not found.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M68	MISSING/INCOMPLETE/INVALID ATTENDING, ORDERING, RENDERING, SUPERVISING  OR REFERRING PHYSICIAN IDENTIFICATION.	1054	ATTENDING PROVIDER NOT FOUND
26	Entity not found.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA102	Missing/incomplete/invalid name or provider identifier for the rendering/referring/ordering/supervising provider.	0231	CLAIM WAS FILED WITHOUT SERVICING PROVIDER
26	Entity not found.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N253	MISSING/INCOMPLETE/INVALID ATTENDING PROVIDER PRIMARY IDENTIFIER.	0381	ATTENDING PHYSICIAN PROVIDER NUMBER MISSING
26	Entity not found.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N290	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER PRIMARY IDENTIFIER.	0231	CLAIM WAS FILED WITHOUT SERVICING PROVIDER
26	Entity not found.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N31	MISSING/INCOMPLETE/INVALID PRESCRIBING PROVIDER IDENTIFIER.	0206	PRESCRIBING PROVIDER NUMBER NOT IN VALID FORMAT
26	Entity not found.	100	PAYMENT MADE TO PATIENT/INSURED/RESPONSIBLE PARTY/EMPLOYER.	N31	MISSING/INCOMPLETE/INVALID PRESCRIBING PROVIDER IDENTIFIER.	1027	REFERRING PROVIDER NOT FOUND
26	Entity not found.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N257	MISSING/INCOMPLETE/INVALID BILLING PROVIDER/SUPPLIER PRIMARY IDENTIFIER.	0202	BILLING PROVIDER ID IN INVALID FORMAT
33	Subscriber and subscriber id not found.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M20	Missing/incomplete/invalid HCPCS.	0238	RECIPIENT NAME IS MISSING
33	Subscriber and subscriber id not found.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA36	Missing/incomplete/invalid patient name.	0238	RECIPIENT NAME IS MISSING
33	Subscriber and subscriber id not found.	A1	Claim/Service denied.	N382	Missing/incomplete/invalid patient identifier.	0204	RECIPIENT ID - OLD FORMAT
35	Claim/encounter not found.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	3018	STOP LOSS THRESHOLD REACHED - ENCOUNTER CLAIMS
35	Claim/encounter not found.	A2	Contractual adjustment.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	3018	STOP LOSS THRESHOLD REACHED - ENCOUNTER CLAIMS
48	Referral/authorization.	62	Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.	M62	Missing/incomplete/invalid treatment authorization code.	3003	PROCEDURE REQUIRES PRIOR AUTHORIZATION
48	Referral/authorization.	62	Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.	N54	Claim information is inconsistent with pre-certified/authorized services.	3006	PRIOR AUTH UNITS/AMOUNTS USED
52	Investigating existence of other insurance coverage.	22	Payment adjusted because this care may be covered by another payer per coordination of benefits.	N4	Missing/incomplete/invalid prior insurance carrier EOB.	2507	THIS PATIENT HAS TWO COVERAGE TYPES
54	Duplicate of a previously processed claim/line.	18	Duplicate claim/service.	MA38	Missing/incomplete/invalid birth date.	7267	ONLY ONE PROVIDER ALLOWED FOR CURRENT PROCEDURES
54	Duplicate of a previously processed claim/line.	96	Non-covered charge(s).	N20	Service not payable with other service rendered on the same date.	5730	THIS PROCEDURE CODE IS NOT COVERED WHEN BILLED WITH MEDICAL PSYCHOTHERAPY CODES
54	Duplicate of a previously processed claim/line.	96	Non-covered charge(s).	N20	Service not payable with other service rendered on the same date.	5731	THIS PROCEDURE CODE IS NOT COVERED WHEN BILLED WITH MEDICAL PSYCHOTHERAPY CODES
54	Duplicate of a previously processed claim/line.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	M86	SERVICE DENIED BECAUSE PAYMENT ALREADY MADE FOR SAME/SIMILAR PROCEDURE WITHIN SET TIME FRAME.	5608	SAME PROVIDER CANNOT BILL APPLICATION/REMOVAL/REPAIR OF CAST FOR THE SAME RECIP IENT.
54	Duplicate of a previously processed claim/line.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	M86	SERVICE DENIED BECAUSE PAYMENT ALREADY MADE FOR SAME/SIMILAR PROCEDURE WITHIN SET TIME FRAME.	5609	SAME PROVIDER CANNOT BILL APPLICATION/REMOVAL/REPAIR OF CAST FOR THE SAME RECIP IENT.
54	Duplicate of a previously processed claim/line.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5460	PROCEDURE CODE IS PART OF THE OUTPATIENT SURGICAL PROCEDURE REIMBURSEMENT.
54	Duplicate of a previously processed claim/line.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5461	PROCEDURE CODE IS PART OF THE OUTPATIENT SURGICAL PROCEDURE REIMBURSEMENT.
54	Duplicate of a previously processed claim/line.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5464	PROCEDURE CODE IS PART OF THE OUTPATIENT SURGICAL PROCEDURE REIMBURSEMENT.
54	Duplicate of a previously processed claim/line.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5465	PROCEDURE CODE IS PART OF THE OUTPATIENT SURGICAL PROCEDURE REIMBURSEMENT.
54	Duplicate of a previously processed claim/line.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N390	This service/report cannot be billed separately.	5815	VISION AND HEARING SCREENING MUST BE BILLED WITH A REGULAR SCREENING AND ARE LI MITED TO ONCE PER YEAR
54	Duplicate of a previously processed claim/line.	119	Benefit maximum for this time period or occurrence has been reached.	N390	This service/report cannot be billed separately.	5815	VISION AND HEARING SCREENING MUST BE BILLED WITH A REGULAR SCREENING AND ARE LI MITED TO ONCE PER YEAR
54	Duplicate of a previously processed claim/line.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6030	NEW PATIENT CODE Z5147 MAY ONLY BE BILLED ONCE PER LIFETIME PER RECIPIENT
54	Duplicate of a previously processed claim/line.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6204	INITIAL VISIT IS LIMITED TO ONE PER RECIPIENT, PER PROVIDER, PER LIFETIME
54	Duplicate of a previously processed claim/line.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6653	PROCEDURE LIMITED TO 1080 HOURS,PER WAIVER YEAR OCTOBER 1 - SEPTEMBER 30.
54	Duplicate of a previously processed claim/line.	B13	Previously paid. Payment for this claim/service may have been provided in a previous payment.	M86	SERVICE DENIED BECAUSE PAYMENT ALREADY MADE FOR SAME/SIMILAR PROCEDURE WITHIN SET TIME FRAME.	5628	THE PAYMENT FOR THIS SERVICE WAS PREVIOUSLY MADE TO ANOTHER PROVIDER OR TO ANOT HER NUMBER FOR THIS PROVIDER
54	Duplicate of a previously processed claim/line.	B13	Previously paid. Payment for this claim/service may have been provided in a previous payment.	M86	SERVICE DENIED BECAUSE PAYMENT ALREADY MADE FOR SAME/SIMILAR PROCEDURE WITHIN SET TIME FRAME.	5629	THE PAYMENT FOR THIS SERVICE WAS PREVIOUSLY MADE TO ANOTHER PROVIDER OR TO ANOT HER NUMBER FOR THIS PROVIDER
54	Duplicate of a previously processed claim/line.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5650	ONLY ONE OUTPATIENT OBSERVATION VISIT MAY BE BILLED PER DAY
54	Duplicate of a previously processed claim/line.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5830	PROCEDURE IS NOT PAYABLE WHEN BILLED WITHOUT A PAID ROOT CANAL FOR THE SAME TOO TH NUMBER.
54	Duplicate of a previously processed claim/line.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5831	MEDICAID'S RECORD DO NOT SHOW A ROOT CANAL PAYMENT THEREFORE THIS PROCEDURE COD E IS NOT COVERED.
54	Duplicate of a previously processed claim/line.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5832	MEDICAID'S RECORD DO NOT SHOW A ROOT CANAL PAYMENT THEREFORE THIS PROCEDURE COD E IS NOT COVERED.
65	Claim/line has been paid.	59	Processed based on multiple or concurrent procedure rules. (For example multiple surgery or diagnostic imaging, concurrent anesthesia.)	MA91	This determination is the result of the appeal you filed.	8554	NCCI REDETERMINIATION - APPROVED
65	Claim/line has been paid.	59	Processed based on multiple or concurrent procedure rules. (For example multiple surgery or diagnostic imaging, concurrent anesthesia.)	MA91	This determination is the result of the appeal you filed.	8557	NCCI ADMINISTRATIVE REVIEW - APPROVED
67	Payment made in full.	123	Payer refund due to overpayment.	MA67	Correction to a prior claim.	8097	AGENCY REQUESTED REFUND DUE TO OTHER INSURANCE
67	Payment made in full.	193	ORIGINAL PAYMENT DECISION IS BEING MAINTAINED. THIS CLAIM WAS PROCESSED PROPERLY THE FIRST TIME.	MA67	Correction to a prior claim.	8097	AGENCY REQUESTED REFUND DUE TO OTHER INSURANCE
68	Partial payment made for this claim.	42	Charges exceed our fee schedule or maximum allowable amount.	N14	Payment based on a contractual amount or agreement, fee schedule, or maximum allowable amount.	9000	THE SUBMITTED CHARGE EXCEEDS THE ALLOWED CHARGE.  CLAIM PAID AT THE MEDICAID    PROGRAM ALLOWED AMOUNT.
70	Payment reflects contract provisions.	11	The diagnosis is inconsistent with the procedure.	N22	This procedure code was added/changed because it more accurately describes the services rendered.	7248	INTENSITY OF PROCEDURE WAS FOUND TO BE HIGHER THAN EXPECTED BASED ON DIAGNOSIS
70	Payment reflects contract provisions.	96	Non-covered charge(s).	N19	Procedure code incidental to primary procedure.	7216	VISIT PROCEDURE CODE IS NOT INDICATED FOR SEPARATE REIMBURSEMENT
70	Payment reflects contract provisions.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N22	This procedure code was added/changed because it more accurately describes the services rendered.	7219	PROCEDURE IS MUTUALLY EXCLUSIVE
70	Payment reflects contract provisions.	B13	Previously paid. Payment for this claim/service may have been provided in a previous payment.	M144	Pre-/post-operative care payment is included in the allowance for the surgery/procedure.	7221	PROCEDURE IS WITHIN THE NUMBER OF DAYS POST-OP RANGE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5300	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5301	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5302	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5303	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5304	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5305	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5306	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5307	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5308	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5309	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5310	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5311	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5312	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5313	PULP THERAPY COMBINATION NOT ALLOWED IN THIS CASE
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5314	PULP THERAPY COMBINATION NOT ALLOWED
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5315	PULP THERAPY COMBINATION NOT ALLOWED
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5316	PULP THERAPY COMBINATION NOT ALLOWED
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5317	PULP THERAPY COMBINATION NOT ALLOWED
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5318	PULP THERAPY COMBINATION NOT ALLOWED
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5319	PULP THERAPY COMBINATION NOT ALLOWED
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5320	PULP THERAPY COMBINATION NOT ALLOWED
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5321	PULP THERAPY COMBINATION NOT ALLOWED
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5322	PULP THERAPY COMBINATION NOT ALLOWED
70	Payment reflects contract provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5323	PULP THERAPY COMBINATION NOT ALLOWED
78	Duplicate of an existing claim/line, awaiting processing.	18	Duplicate claim/service.	N22	This procedure code was added/changed because it more accurately describes the services rendered.	7239	PROCEDURE IS A POSSIBLE DUPLICATE
78	Duplicate of an existing claim/line, awaiting processing.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5606	PAYMENT MADE FOR SIMILAR PROCEDURE
78	Duplicate of an existing claim/line, awaiting processing.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5607	PAYMENT MADE FOR SIMILAR PROCEDURE
78	Duplicate of an existing claim/line, awaiting processing.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N59	Please refer to your provider manual for additional program and provider information.	5660	ONLY ONE HOSPITAL ADMISSION MAY BE BILLED PER HOSPITAL STAY
84	Service not authorized.	15	Payment adjusted because the submitted authorization number is missing, invalid, or does not apply to the billed services or provider.	M62	Missing/incomplete/invalid treatment authorization code.	6052	CODE, SERVICE, PROCEDURE, NDC OR STAY REQUIRES PRIOR AUTHORIZATION
85	Entity not primary.	22	Payment adjusted because this care may be covered by another payer per coordination of benefits.	N4	Missing/incomplete/invalid prior insurance carrier EOB.	2504	FILE SHOWS OTHER INSURANCE, SUBMIT TO OTHER CARRIER
85	Entity not primary.	22	Payment adjusted because this care may be covered by another payer per coordination of benefits.	N4	Missing/incomplete/invalid prior insurance carrier EOB.	2505	RECIPIENT COVERED BY PRIVATE INSURANC(W/ATTACHMNT)
85	Entity not primary.	22	Payment adjusted because this care may be covered by another payer per coordination of benefits.	N4	Missing/incomplete/invalid prior insurance carrier EOB.	2508	RECIPIENT COVERED BY PRIVATE INSURANCE (PHARMACY)
85	Entity not primary.	129	Payment denied - Prior processing information appears incorrect.	N4	Missing/incomplete/invalid prior insurance carrier EOB.	2504	FILE SHOWS OTHER INSURANCE, SUBMIT TO OTHER CARRIER
85	Entity not primary.	129	Payment denied - Prior processing information appears incorrect.	N4	Missing/incomplete/invalid prior insurance carrier EOB.	2505	RECIPIENT COVERED BY PRIVATE INSURANC(W/ATTACHMNT)
85	Entity not primary.	129	Payment denied - Prior processing information appears incorrect.	N4	Missing/incomplete/invalid prior insurance carrier EOB.	2506	INSURANCE DENIAL REQUIRED
85	Entity not primary.	129	Payment denied - Prior processing information appears incorrect.	N4	Missing/incomplete/invalid prior insurance carrier EOB.	2508	RECIPIENT COVERED BY PRIVATE INSURANCE (PHARMACY)
87	Denied: Entity not found.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N279	MISSING/INCOMPLETE/INVALID PAY-TO PROVIDER NAME.	1000	NO PAY-TO PROVIDER RECORD
87	Denied: Entity not found.	31	Claim denied as patient cannot be identified as our insured.	N382	Missing/incomplete/invalid patient identifier.	0203	RECIPIENT I.D. NUMBER MISSING
88	Entity not eligible for benefits for submitted dates of service.	22	Payment adjusted because this care may be covered by another payer per coordination of benefits.	N30	Recipient ineligible for this service.	2007	QMB RECIPIENT ELIGIBLE FOR CROSSOVER ONLY
88	Entity not eligible for benefits for submitted dates of service.	96	Non-covered charge(s).	N30	Recipient ineligible for this service.	2045	ITEM NOT PAYABLE IN LONG TERM CARE FACILITY
88	Entity not eligible for benefits for submitted dates of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5206	THIS SERVICE IS INCLUDED IN THE FACILITY FEE
88	Entity not eligible for benefits for submitted dates of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5207	THIS SERVICE IS INCLUDED IN THE FACILITY FEE
88	Entity not eligible for benefits for submitted dates of service.	100	PAYMENT MADE TO PATIENT/INSURED/RESPONSIBLE PARTY/EMPLOYER.	N30	Recipient ineligible for this service.	2045	ITEM NOT PAYABLE IN LONG TERM CARE FACILITY
88	Entity not eligible for benefits for submitted dates of service.	110	BILLING DATE PREDATES SERVICE DATE.	N304	MISSING/INCOMPLETE/INVALID DISPENSED DATE.	0503	DATE DISPENSED AFTER BILLING DATE
88	Entity not eligible for benefits for submitted dates of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5206	THIS SERVICE IS INCLUDED IN THE FACILITY FEE
88	Entity not eligible for benefits for submitted dates of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5207	THIS SERVICE IS INCLUDED IN THE FACILITY FEE
90	Entity not eligible for medical benefits for submitted dates of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N55	Procedures for billing with group/referring/performing providers were not followed.	1010	PERFORMING PROVIDER NOT IN BILLING GROUP
90	Entity not eligible for medical benefits for submitted dates of service.	38	Services not provided or authorized by designated (network/primary care) providers.	N55	Procedures for billing with group/referring/performing providers were not followed.	1010	PERFORMING PROVIDER NOT IN BILLING GROUP
90	Entity not eligible for medical benefits for submitted dates of service.	52	The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.	M68	MISSING/INCOMPLETE/INVALID ATTENDING, ORDERING, RENDERING, SUPERVISING  OR REFERRING PHYSICIAN IDENTIFICATION.	1048	PERFORMING PROVIDER ENROLLMENT STATUS INVALID
90	Entity not eligible for medical benefits for submitted dates of service.	52	The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.	MA102	Missing/incomplete/invalid name or provider identifier for the rendering/referring/ordering/supervising provider.	1002	PERFORMING PROV NOT ELIGIBLE FOR DOS
90	Entity not eligible for medical benefits for submitted dates of service.	52	The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.	N277	MISSING/INCOMPLETE/INVALID OTHER PAYER RENDERING PROVIDER IDENTIFIER.	1002	PERFORMING PROV NOT ELIGIBLE FOR DOS
90	Entity not eligible for medical benefits for submitted dates of service.	52	The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.	N277	MISSING/INCOMPLETE/INVALID OTHER PAYER RENDERING PROVIDER IDENTIFIER.	1048	PERFORMING PROVIDER ENROLLMENT STATUS INVALID
90	Entity not eligible for medical benefits for submitted dates of service.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA102	Missing/incomplete/invalid name or provider identifier for the rendering/referring/ordering/supervising provider.	1002	PERFORMING PROV NOT ELIGIBLE FOR DOS
90	Entity not eligible for medical benefits for submitted dates of service.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	N277	MISSING/INCOMPLETE/INVALID OTHER PAYER RENDERING PROVIDER IDENTIFIER.	1002	PERFORMING PROV NOT ELIGIBLE FOR DOS
91	Entity not eligible/not approved for dates of service.	52	The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.	N95	This provider type/provider specialty may not bill this service.	1003	PROVIDER INELIGIBLE ON DATE OF SERVICE
91	Entity not eligible/not approved for dates of service.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	N95	This provider type/provider specialty may not bill this service.	1003	PROVIDER INELIGIBLE ON DATE OF SERVICE
94	Entity not referred by selected primary care provider.	38	Services not provided or authorized by designated (network/primary care) providers.	N286	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER PRIMARY IDENTIFIER.	1050	SERVICE NOT REFERRED BY PRIMARY CARE CASE MANAGER
94	Entity not referred by selected primary care provider.	38	Services not provided or authorized by designated (network/primary care) providers.	N286	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER PRIMARY IDENTIFIER.	1820	PATIENT FIRST CLAIM REQUIRES A REFERRAL
101	Claim was processed as adjustment to previous claim.	123	Payer refund due to overpayment.	M1	X-ray not taken within the past 12 months or near enough to the start of treatment.	8092	AGENCY REQUESTED REFUND DUE TO BILLING ERROR
101	Claim was processed as adjustment to previous claim.	123	Payer refund due to overpayment.	M1	X-ray not taken within the past 12 months or near enough to the start of treatment.	8094	AGENCY REQUESTED REFUND DUE TO WRONG PROVIDER PAID/EFT ERROR
101	Claim was processed as adjustment to previous claim.	123	Payer refund due to overpayment.	M104	Information supplied supports a break in therapy.  A new capped rental period will begin with delivery of the equipment.  This is the maximum approved under the fee schedule for this item or service.	8091	AGENCY REQUESTED REFUND DUE TO AUDIT DIVISION REVIEW
101	Claim was processed as adjustment to previous claim.	123	Payer refund due to overpayment.	MA67	Correction to a prior claim.	8076	PROVIDER SENT REFUND DUE TO PATIENT LIABILITY PROCES                            SING ERROR.
101	Claim was processed as adjustment to previous claim.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA67	Correction to a prior claim.	8995	CLAIM MODIFIED POST-PROCESSING.  BILLING PROVIDER OVERRIDDEN TO FORCE CLAIM TO  ADJUDICATE TO SAME BILLING  PROVIDER AS ORIGINAL CLAIM FROM MARCH 2008.
101	Claim was processed as adjustment to previous claim.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA91	This determination is the result of the appeal you filed.	8208	NCCI REDETERMINIATION - HISTORY VOID
101	Claim was processed as adjustment to previous claim.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA91	This determination is the result of the appeal you filed.	8209	NCCI ADMINISTRATIVE REVIEW - HISTORY VOID
106	This amount is not entity's responsibility.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0236	NO PROCEDURE FOR REVENUE CODE; MEDICAID HAS NO PAYMENT LIABILITY FOR THIS LINE  ITEM.
106	This amount is not entity's responsibility.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0255	PATIENT RSN FOR VISIT REQ ON OUTPATIENT HOSP CLAIM
106	This amount is not entity's responsibility.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0256	ADMIT DIAGNOSIS INVALID ON OUTPATIENT HOSP CLAIM
106	This amount is not entity's responsibility.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0257	PATIENT RSN FOR VISIT INVALID ON INPATIENT CLAIM
107	Processed according to contract/plan provisions.	1	DEDUCTIBLE AMOUNT	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	0433	MEDICARE DEDUCTIBLE AMOUNT INVALID
107	Processed according to contract/plan provisions.	2	Coinsurance Amount	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	0433	MEDICARE DEDUCTIBLE AMOUNT INVALID
107	Processed according to contract/plan provisions.	5	The procedure code/bill type is inconsistent with the place of service.	MA30	Missing/incomplete/invalid type of bill.	3309	PROCEDURE CODE - TYPE OF BILL RESTRICTION
107	Processed according to contract/plan provisions.	6	The procedure code is inconsistent with the patient's age.	M50	Missing/incomplete/invalid revenue code(s).	4254	BPA-RP-REV - AGE RESTRICTION
107	Processed according to contract/plan provisions.	12	The diagnosis is inconsistent with the provider type.	M76	Missing/incomplete/invalid diagnosis or condition.	4001	BPA-RP-DIAG - BILL PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	12	The diagnosis is inconsistent with the provider type.	M76	Missing/incomplete/invalid diagnosis or condition.	4016	BPA-RP-DIAG - PERF PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4002	BPA-RP-NDC - NO COVERAGE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4117	BPA-PC-NDC - FAMILY PLANNING IND RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4138	BPA-RP-NDC - BILL PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4160	BPA-PC-NDC - CURR PROV CONTRACT RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4166	BPA-RR-NDC - NO RULE FOR BENEFIT PLAN
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4522	BPA-RP-NDC - BILL PROV ALL PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4947	BPA-RR-NDC - ASSIGNMENT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4960	BPA-RP-NDC - BENE PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4965	BPA-PC-NDC - BENEFIT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M123	Missing/incomplete/invalid name, strength, or dosage of the drug furnished.	6311	QTY DISPENSED EXCEEDS MAX QTY BASED ON PA
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4062	BPA-RR - NO RULE FOR COND CODE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4901	BPA-RP-DIAG - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4911	BPA-PC-DIAG - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4921	BPA-RP-DRG - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4931	BPA-PC-DRG - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4941	BPA-RP-ICD9 - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4951	BPA-PC-ICD9 - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4971	BPA-RP-REV - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4976	BPA-PC-REV - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4981	BPA-RP-PROC - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	4991	BPA-PC-PROC - CONDITION CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4902	BPA-RP-DIAG - OCCURRENCE CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4912	BPA-PC-DIAG - OCCURRENCE CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4913	BPA-XX-DIAG - DIAG ROLE RESTRICTION -PC and RR
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4922	BPA-RP-DRG -  OCCURRENCE CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4942	BPA-RP-ICD9 -  OCCURRENCE CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4952	BPA-PC-ICD9 - OCCURRENCE CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4972	BPA-RP-REV -  OCCURRENCE CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4977	BPA-PC-REV -  OCCURRENCE CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4982	BPA-RP-PROC -  OCCURRENCE CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	4992	BPA-PC-PROC -  OCCURRENCE CODE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M47	Missing/incomplete/invalid internal or document control number.	0677	ADJ - ORIGINAL ICN NOT FOUND
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M47	Missing/incomplete/invalid internal or document control number.	0678	ADJ - ORIGINAL ICN NOT SUBMITTED
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M47	Missing/incomplete/invalid internal or document control number.	0681	ADJ - ORIGINAL ICN NOT FOUND
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M49	Missing/incomplete/invalid value code(s) or amount(s).	0836	MEDICARE PAID, DEDUCTIBLE AMOUNTS INVALID - BOTH CANNOT BE ZERO  **OR** MEDICAR D PAID, COINSURANCE AMOUNTS INVALID - MEDICARE PAID AMOUNT CANNOT BE ZERO WHEN  COINSURANCE IS BILLED
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4106	BPA-RP-REV - FAMILY PLANNING IND RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4142	BPA-RP-REV - BILL PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4143	BPA-RP-REV - PERF PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4151	BPA-PC-REV - BILL PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4152	BPA-PC-REV - PERF PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4154	BPA-PC-REV - FAMILY PLANNING IND RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4162	BPA-PC-REV - CURR PROV CONTRACT RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4167	BPA-RR-REV - NO RULE FOR BENEFIT PLAN
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4227	BPA-RP-REV - NO COVERAGE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4254	BPA-RP-REV - AGE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4520	BPA-PC-REV - BILL PROV ALL PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4525	BPA-RP-REV - BILL PROV ALL PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4529	BPA-RP-REV -  PROV COUNTY RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4757	BPA-PC-REV - CURRENT BENEFIT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4804	BPA-PC-REV - NO CONTRACT
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4929	BPA-RP-REV - ASSIGNMENT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4939	BPA-PC-REV - ASSIGNMENT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4949	BPA-RR-REV - ASSIGNMENT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4970	BPA-RP-REV - BENEFIT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4975	BPA-PC-REV - BENEFIT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4021	BPA-RP-PROC - NO COVERAGE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4075	BPA-RP-ICD9 - FAMILY PLANNING IND RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4104	BPA-RP-PROC - FAMILY PLANNING IND RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4112	BPA-PC-ICD9 - FAMILY PLANNING IND RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4118	BPA-PC-PROC - FAMILY PLANNING IND RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4136	BPA-RP-ICD9 - BILL PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4140	BPA-RP-PROC - BILL PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4141	BPA-RP-PROC - PERF PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4149	BPA-PC-PROC - BILL PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4150	BPA-PC-PROC - PERF PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4159	BPA-PC-ICD9 - CURR PROV CONTRACT RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4161	BPA-PC-PROC - CURR PROV CONTRACT RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4194	BPA-RP-PROC - OTHER DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4519	BPA-PC-PROC - BILL PROV ALL PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4524	BPA-RP-PROC - BILL PROV ALL PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4801	BPA-PC-PROC - NO CONTRACT
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4928	BPA-RP-PROC - ASSIGNMENT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4938	BPA-PC-PROC - ASSIGNMENT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4948	BPA-RR-PROC - ASSIGNMENT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4961	BPA-RP-PROC - PROV COUNTY RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M53	Missing/incomplete/invalid days or units of service.	4540	BPA-PC-PROC - MIN UNIT RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M56	Missing/incomplete/invalid payer identifier.	0687	CANNOT ADJUST THIS CLAIM DUE TO PROVIDER CHANGES.  VOID THIS CLAIM AND RESUBMIT A NEW CLAIM.
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4313	BPA-PC-PROC - SECONDARY DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4316	BPA-PC -ANY DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4372	BPA-PC-PROC -  SECONDARY HDR DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4530	BPA-RR-PROC - SECONDARY DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4532	BPA-RR-ICD9 - OTHER HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4533	BPA-RP-REV - OTHER HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4560	BPA-RP-ICD9 -  SECONDARY HDR DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4561	BPA-RP-REV -  SECONDARY HDR DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4564	BPA-RR-PROC - HDR  SECONDARY DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4565	BPA-RR-ICD9 - HDR  SECONDARY DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4566	BPA-RR-REV - HDR  SECONDARY DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4724	BPA-RP-ICD9 - ANY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4731	BPA-RP-PROC - ANY DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4733	BPA-RP-REV - ANY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4743	BPA-RP-PROC - SECONDARY DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4744	BPA-RP-PROC -  SECONDARY HDR DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4747	BPA-PC-ICD9 - HDR  SECONDARY DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4748	BPA-PC-REV - SECONDARY HDR DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4765	BPA-RP-ICD9 - NO COVERAGE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4806	BPA-PC-ICD9 - NO CONTRACT
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4835	BPA-PC-PROC - OTHER DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4905	BPA-RP-ICD9 - OTHER HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4906	BPA-RP-PROC - OTHER HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4923	BPA-PC-ICD9 - OTHER HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M64	Missing/incomplete/invalid other diagnosis.	4973	BPA-RR-PROC - ANY DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4001	BPA-RP-DIAG - BILL PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4016	BPA-RP-DIAG - PERF PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4093	BPA-RP-DIAG - DIAG ROLE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4109	BPA-PC-DIAG - FAMILY PLANNING IND RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4144	BPA-PC-DIAG - PERF PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4157	BPA-PC-DIAG - CURR PROV CONTRACT RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4244	BPA-RP-DIAG - NO COVERAGE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4319	BPA-PC-ICD9 - ANY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4322	BPA-PC-REV - ANY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4361	BPA - DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4521	BPA-RP-DIAG - BILL PROV ALL PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4523	BPA-RP-ICD9 - BILL PROV ALL PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4535	BPA-RP-ICD9 -  EMERGENCY DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4536	BPA-RP-PROC -  EMERGENCY DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4538	BPA-RP-REV -  EMERGENCY DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4539	BPA-PC-PROC -  EMERGENCY DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4716	BPA-PC-ICD9 - AGE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4756	BPA-PC-DIAG - CURRENT BENEFIT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4802	BPA-PC-DIAG - NO CONTRACT
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4900	BPA-RP-DIAG - BENEFIT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4910	BPA-PC-DIAG - BENEFIT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4927	BPA-RP-DIAG - ASSIGNMENT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4933	BPA-PC-PROC - OTHER HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4937	BPA-PC-DIAG - ASSIGNMENT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4940	BPA-RP-ICD9 - BENE PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4943	BPA-PC-REV - OTHER HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4950	BPA-PC-ICD9 - BENEFIT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4966	BPA-RR - DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	4993	BPA-RR-PROC - PRIMARY DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	4029	BPA-RP-DIAG - PLACE OF SERVICE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	4155	BPA-RR-PROC - PLACE OF SERVICE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	4762	BPA-PC-ICD9 - PLACE OF SERVICE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	4767	BPA-RP-ICD9 - PLACE OF SERVICE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	4821	BPA-PC-PROC - PLACE OF SERVICE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	4822	BPA-PC-DIAG - PLACE OF SERVICE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	3309	PROCEDURE CODE - TYPE OF BILL RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	4219	BPA-RR-REV - NO RULE FOR TYPE OF BILL
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	4362	BPA-PC-DIAG - TYPE OF BILL RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	4363	BPA-PC-DRG - TYPE OF BILL RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	4364	BPA-PC-ICD9 - TYPE OF BILL RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	4751	BPA-PC-REV - TYPE OF BILL RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA36	Missing/incomplete/invalid patient name.	4723	BPA-RP-ICD9 - PRIMARY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA36	Missing/incomplete/invalid patient name.	4734	BPA-PC-DRG - PRIMARY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA39	Missing/incomplete/invalid gender.	4064	BPA-RP-ICD9 - GENDER RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA39	Missing/incomplete/invalid gender.	4562	BPA-RP-REV - GENDER RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA39	Missing/incomplete/invalid gender.	4935	BPA-RP-DRG - GENDER RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA39	Missing/incomplete/invalid gender.	4936	BPA-PC-DRG - GENDER RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA39	Missing/incomplete/invalid gender.	4944	BPA-PC-ICD9 - GENDER RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA39	Missing/incomplete/invalid gender.	4962	BPA-PC-NDC - GENDER RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA39	Missing/incomplete/invalid gender.	4963	BPA-PC-PROC - GENDER RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA39	Missing/incomplete/invalid gender.	4964	BPA-PC-REV - GENDER RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4073	BPA-RP-DIAG - FAMILY PLANNING IND RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4311	BPA-PC-PROC - PRIMARY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4312	BPA-PC-PROC - PRIMARY DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4318	BPA-PC-ICD9 - PRIMARY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4321	BPA-PC-REV - PRIMARY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4527	BPA-PC-NDC - PRIMARY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4580	BPA-RP-PROC - DIAGNOSIS RESTRICTION - GROUP
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4581	BPA-PC-PROC - DIAGNOSIS RESTRICTION - GROUP
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4736	BPA-RP-REV - PRIMARY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4742	BPA-RP-PROC - PRIMARY HDR DIAGNOSIS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA63	Missing/incomplete/invalid principal diagnosis.	4746	BPA-RP-PROC - PRIMARY DTL DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA65	Missing/incomplete/invalid admitting diagnosis.	4310	BPA-PC-PROC - ADMIT DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA65	Missing/incomplete/invalid admitting diagnosis.	4317	BPA-PC-ICD9 - ADMIT DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA65	Missing/incomplete/invalid admitting diagnosis.	4320	BPA-PC-REV - ADMIT DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA65	Missing/incomplete/invalid admitting diagnosis.	4726	BPA-RP-ICD9 - ADMIT DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA65	Missing/incomplete/invalid admitting diagnosis.	4732	BPA-RP-REV -  ADMIT DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA65	Missing/incomplete/invalid admitting diagnosis.	4741	BPA-RP-PROC - ADMIT DIAG RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N142	The original claim was denied.  Resubmit a new claim, not a replacement claim.	0685	ADJ - ORIGINAL CLAIM NOT IN A PAID STATUS
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N152	Missing/incomplete/invalid replacement claim information.	0680	ADJ - REQUEST PROVIDER DOES NOT MATCH ORIGINAL
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N152	Missing/incomplete/invalid replacement claim information.	0684	ADJ - REQUEST RECIPIENT DOES NOT MATCH ORIGINAL
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N152	Missing/incomplete/invalid replacement claim information.	0686	ADJ - REPLACEMENT CLAIM NOT SAME CLAIM TYPE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N208	MISSING/INCOMPLETE/INVALID DRG CODE.	4920	BPA-RP-DRG - BENE PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N208	MISSING/INCOMPLETE/INVALID DRG CODE.	4930	BPA-PC-DRG - BENEFIT PLAN RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1980	TAXONOMY IS NOT VALID FOR BILLING PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1985	TAXONOMY IS INVALID: BILLING PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N284	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER TAXONOMY.	1975	TAXONOMY IS INVALID: DTL REFERRING PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N284	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER TAXONOMY.	1979	TAXONOMY IS NOT VALID FOR DTL REFERRING PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N284	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER TAXONOMY.	1982	TAXONOMY IS NOT VALID FOR REFERRING PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N284	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER TAXONOMY.	1987	TAXONOMY IS INVALID: REFERRING PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N286	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER PRIMARY IDENTIFIER.	0225	REFERRING PROVIDER - INVALID FORMAT
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N286	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER PRIMARY IDENTIFIER.	1962	NPI REQUIRED: REFERRING PROVIDER (HEALTHCARE)
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1974	TAXONOMY IS INVALID: DTL PERFORMING PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1978	TAXONOMY IS NOT VALID FOR DTL PERFORMING PROV
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1981	TAXONOMY IS NOT VALID FOR PERFORMING PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1986	TAXONOMY IS INVALID: PERFORMING PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N290	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER PRIMARY IDENTIFIER.	1815	PERF PROV ENROLL STATUS NOT VALID FOR DOS
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N301	MISSING/INCOMPLETE/INVALID PROCEDURE DATE(S).	0474	ICD9 PROCEDURE 7-24 OR DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N301	MISSING/INCOMPLETE/INVALID PROCEDURE DATE(S).	0475	ICD9 PROCEDURE 7-24 DATE INVALID
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0367	FIRST OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0368	FIRST OTHER ICD9 PROCEDURE DATE INVALID
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0370	SECOND OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0371	SECOND OTHER ICD9 PROCEDURE DATE INVALID
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0373	THIRD OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0374	THIRD OTHER ICD9 PROCEDURE DATE INVALID
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0376	FOURTH OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0377	FOURTH OTHER ICD9 PROCEDURE DATE INVALID
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0379	FIFTH OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N302	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE DATE(S).	0380	FIFTH OTHER ICD9 PROCEDURE DATE INVALID
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N303	MISSING/INCOMPLETE/INVALID PRINCIPAL PROCEDURE DATE.	0364	PRINCIPAL ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N303	MISSING/INCOMPLETE/INVALID PRINCIPAL PROCEDURE DATE.	0365	PRINCIPAL ICD9 PROCEDURE DATE INVALID
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	1807	CROSSOVER ONLY PROVIDER CANNOT BILL CLAIM TYPE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	1825	COBA DENIAL - DO NOT CROSSOVER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4061	BPA-RR -  NO RULE FOR CLAIM TYPE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4314	BPA-RP-DIAG - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4371	BPA-RP-PROC - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4373	BPA-RP-NDC - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4374	BPA-RP-REV - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4376	BPA-RP-ICD9 - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4871	BPA-PC-PROC - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4872	BPA-PC-DIAG - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4873	BPA-PC-NDC - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4874	BPA-PC-REV - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	4876	BPA-PC-ICD9 - CLAIM TYPE RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N362	THE NUMBER OF DAYS OR UNITS OF SERVICE EXCEEDS OUR ACCEPTABLE MAXIMUM.	3315	NURSERY DAYS EXCEED LIMIT
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N362	THE NUMBER OF DAYS OR UNITS OF SERVICE EXCEEDS OUR ACCEPTABLE MAXIMUM.	4224	BPA-RP-PROC - QUANTITY RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N382	Missing/incomplete/invalid patient identifier.	0675	ADJ - RECIPIENT ID NOT SUBMITTED
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N382	Missing/incomplete/invalid patient identifier.	0679	ADJ - REQUEST RECIPIENT ID NOT FOUND
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N382	Missing/incomplete/invalid patient identifier.	2807	COBA-NO MEDICAID ID FOR MEDICARE ID
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	0364	PRINCIPAL ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	0367	FIRST OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	0370	SECOND OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	0373	THIRD OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	0376	FOURTH OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	0379	FIFTH OTHER ICD9 PROCEDURE DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	0474	ICD9 PROCEDURE 7-24 OR DATE MISSING
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N77	Missing/incomplete/invalid designated provider number.	0676	ADJ - PROVIDER ID NOT SUBMITTED
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N94	Claim/Service denied because a more specific taxonomy code is required for adjudication.	1976	TAXONOMY IS INVALID: DTL OTHER PROVIDER 2
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N94	Claim/Service denied because a more specific taxonomy code is required for adjudication.	1977	TAXONOMY IS NOT VALID FOR DTL OTHER PROVIDER 2
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N94	Claim/Service denied because a more specific taxonomy code is required for adjudication.	1983	TAXONOMY IS NOT VALID FOR FACILITY PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N94	Claim/Service denied because a more specific taxonomy code is required for adjudication.	1984	TAXONOMY IS NOT VALID FOR OTHER PROVIDER 2
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N94	Claim/Service denied because a more specific taxonomy code is required for adjudication.	1988	TAXONOMY IS INVALID: FACILITY PROVIDER
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N94	Claim/Service denied because a more specific taxonomy code is required for adjudication.	1989	TAXONOMY IS INVALID: OTHER PROVIDER 2
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N95	This provider type/provider specialty may not bill this service.	1826	SERVICE FOR MATERNITY WAIVER/CARE RECIPIENT MUST BE BILLED WITH GLOBAL SERVICE  FEE
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N95	This provider type/provider specialty may not bill this service.	4177	BPA-PC-ICD9 - BILL PROV PRIMARY PT/PS RESTRICTION
107	Processed according to contract/plan provisions.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N95	This provider type/provider specialty may not bill this service.	4250	BPA-RR - NO RULE FOR PRIMARY PT/PS BILL/PERF
107	Processed according to contract/plan provisions.	17	Payment adjusted because requested information was not provided or was insufficient/incomplete. Additional information is supplied using the remittance advice remarks codes whenever	N307	MISSING/INCOMPLETE/INVALID ADJUDICATION OR PAYMENT DATE.	0243	MISSING MEDICARE PAID DATE
107	Processed according to contract/plan provisions.	18	Duplicate claim/service.	N20	Service not payable with other service rendered on the same date.	5804	ONLY ONE TYPE OF RESPITE CARE IS ALLOWED FOR A GIVEN DATE OF SERVICE.
107	Processed according to contract/plan provisions.	24	Payment for charges adjusted. Charges are covered under a capitation agreement/managed care plan.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	2017	RECIPIENT SERVICES COVERED BY HMO PLAN
107	Processed according to contract/plan provisions.	29	The time limit for filing has expired.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	0555	SERVICE(S) PAST THE MAXIMUM MEDICAID FILING LIMIT
107	Processed according to contract/plan provisions.	29	The time limit for filing has expired.	M46	MISSING/INCOMPLETE/INVALID OCCURRENCE SPAN CODE.	0512	SERVICE(S) PAST THE MAXIMUM MEDICAID FILING LIMIT
107	Processed according to contract/plan provisions.	29	The time limit for filing has expired.	N59	Please refer to your provider manual for additional program and provider information.	0557	MEPD LATE FILING
107	Processed according to contract/plan provisions.	31	Claim denied as patient cannot be identified as our insured.	N382	Missing/incomplete/invalid patient identifier.	2807	COBA-NO MEDICAID ID FOR MEDICARE ID
107	Processed according to contract/plan provisions.	42	Charges exceed our fee schedule or maximum allowable amount.	N14	Payment based on a contractual amount or agreement, fee schedule, or maximum allowable amount.	5760	ESWL PRICING
107	Processed according to contract/plan provisions.	42	Charges exceed our fee schedule or maximum allowable amount.	N59	Please refer to your provider manual for additional program and provider information.	5760	ESWL PRICING
107	Processed according to contract/plan provisions.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N14	Payment based on a contractual amount or agreement, fee schedule, or maximum allowable amount.	5760	ESWL PRICING
107	Processed according to contract/plan provisions.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N59	Please refer to your provider manual for additional program and provider information.	5760	ESWL PRICING
107	Processed according to contract/plan provisions.	62	Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.	M123	Missing/incomplete/invalid name, strength, or dosage of the drug furnished.	6311	QTY DISPENSED EXCEEDS MAX QTY BASED ON PA
107	Processed according to contract/plan provisions.	62	Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.	N54	Claim information is inconsistent with pre-certified/authorized services.	3000	UNITS EXCEED AUTHORIZED UNITS ON PA MASTER FILE
107	Processed according to contract/plan provisions.	96	Non-covered charge(s).	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4002	BPA-RP-NDC - NO COVERAGE
107	Processed according to contract/plan provisions.	96	Non-covered charge(s).	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4021	BPA-RP-PROC - NO COVERAGE
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5200	ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS AN OFFICE VISIT AND/OR  VACCINE REPLACEMENT
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5201	ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS AN OFFICE VISIT AND/OR  VACCINE REPLACEMENT
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5516	ANTEPARTUM, POSTPARTUM CARE/VAGINAL DELIVERY MAY NOT BE BILLED WITH GLOBAL OB C ARE
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5517	ANTEPARTUM, POSTPARTUM CARE/VAGINAL DELIVERY MAY NOT BE BILLED WITH GLOBAL OB C ARE
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5522	ROUTINE PRENATAL LAB, OFFICE/HOSPITAL VISITS MAY NOT BE BILLED WITH GLOBAL OB P ROCEDURE
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5523	ROUTINE PRENATAL LAB, OFFICE/HOSPITAL VISITS MAY NOT BE BILLED WITH GLOBAL OB P ROCEDURE
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5636	HYSTERECTOMY ANCILLARY CODES MAY NOT BE PAID IN ADDITION TO  THE HYSTERECTOMY P ROCEDURE CODE
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5637	HYSTERECTOMY ANCILLARY CODES MAY NOT BE PAID IN ADDITION TO  THE HYSTERECTOMY P ROCEDURE CODE
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5638	HOSPITAL ADMISSION/VISITS MAY NOT BE BILLED ON OR AFTER OB GLOBAL
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5639	HOSPITAL ADMISSION/VISITS MAY NOT BE BILLED ON OR AFTER OB GLOBAL
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N390	This service/report cannot be billed separately.	5814	PROCEDURE NOT COVERED WITH SPECIFIC CODES.
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5524	POSTPARTUM SERVICES MAY NOT BE BILLED WITH GLOBAL OB ON OR WITHIN 62 DAYS OF DE LIVERY
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5525	POSTPARTUM SERVICES MAY NOT BE BILLED WITH GLOBAL OB ON OR WITHIN 62 DAYS OF DE LIVERY
107	Processed according to contract/plan provisions.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5820	LTC VENT CANNOT BE BILLED WITHOUT LTC STAY
107	Processed according to contract/plan provisions.	107	The related or qualifying claim/service was not identified on this claim.	M47	Missing/incomplete/invalid internal or document control number.	0677	ADJ - ORIGINAL ICN NOT FOUND
107	Processed according to contract/plan provisions.	107	The related or qualifying claim/service was not identified on this claim.	M47	Missing/incomplete/invalid internal or document control number.	0678	ADJ - ORIGINAL ICN NOT SUBMITTED
107	Processed according to contract/plan provisions.	107	The related or qualifying claim/service was not identified on this claim.	M47	Missing/incomplete/invalid internal or document control number.	0681	ADJ - ORIGINAL ICN NOT FOUND
107	Processed according to contract/plan provisions.	107	The related or qualifying claim/service was not identified on this claim.	N59	Please refer to your provider manual for additional program and provider information.	5350	NO EXTRACTION CODE IN HISTORY IN 180 TIME FRAME.
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N362	THE NUMBER OF DAYS OR UNITS OF SERVICE EXCEEDS OUR ACCEPTABLE MAXIMUM.	3315	NURSERY DAYS EXCEED LIMIT
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N43	Bed hold or leave days exceeded.	6690	REVENUE CODE 183 IS LIMITED TO 6 DAYS EACH CALENDAR QUARTER.
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N43	Bed hold or leave days exceeded.	6691	REVENUE CODE 184 IS LIMITED TO 14 DAYS PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	5410	MORE THAN ONE CONTACT LENS FITTING CANNOT BE BILLED FOR THE SAME DATE OF SERVIC E.
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	5411	MORE THAN ONE CONTACT LENS FITTING CANNOT BE BILLED FOR THE SAME DATE OF SERVIC E.
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6128	DME PROCEDURE LIMITED TO 1 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6129	DME PROCEDURE LIMITED TO 4 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6130	DME PROCEDURE LIMITED TO 5 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6131	DME PROCEDURE LIMITED TO 10 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6132	DME PROCEDURE LIMITED TO 12 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6133	DME PROCEDURE LIMITED TO 50 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6134	DME PROCEDURE LIMITED TO 90 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6135	DME PROCEDURE LIMITED TO 100 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6136	DME PROCEDURE LIMITED TO 500 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6137	DME PROCEDURE LIMITED TO 1000 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6138	DME PROCEDURE LIMITED TO 1 PER 2 CALENDAR YEARS
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6139	DME PROCEDURE LIMITED TO 4 PER CALENDAR YEAR
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6140	DME PROCEDURE RENTAL LIMITED TO 1 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6141	DME PROCEDURE RENTAL LIMITED TO 2 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6142	DME PROCEDURE RENTAL LIMITED TO 31 PER CALENDAR MONTH
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6143	DME BATTERY CHARGER TOTAL LIMIT OF 1 PER CALENDAR YEAR
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6144	DME BATTERY TOTAL LIMIT OF 2 PER CALENDAR YEAR
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6181	THE ALLOWED LENS LIMITATION HAS BEEN EXCEEDED
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6182	THE ALLOWED FRAMES LIMITATION HAS BEEN EXCEEDED
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6185	EYE LENS LIMIT LESS THAN 21
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6186	EYE FRAME LIMIT LESS THAN 21
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6187	EYE EXAM LIMIT LESS THAN 21
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6188	EYE FITTING LIMIT LESS THAN 21
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6189	EYE EXAM LIMIT 1 PER 3 YR (21 AND OLDER)
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6190	EYE REFRACTION LIMIT 1 PER 3 YR (21 AND OLDER)
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6191	EYE REFRACTION LIMIT LESS THAN 21
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6292	LAB DRUG SCREENING LIMIT OF 1 PER DAY
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6301	MORE THAN ONE OBSTETRICAL DELIVERY CODE MAY NOT BE BILLED W ITHIN SIX MONTHS
107	Processed according to contract/plan provisions.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6401	OB ULTRASOUND LIMIT HAS BEEN REACHED FOR THIS RECIPIENT. ANY FURTHER WILL REQUI RE PRIOR AUTHORIZATION.
107	Processed according to contract/plan provisions.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N61	Rebill services on separate claims.	0590	MEPD CLAIM SPANS FISCAL YEAR END
107	Processed according to contract/plan provisions.	129	Payment denied - Prior processing information appears incorrect.	N61	Rebill services on separate claims.	0596	FILE SEPARATE CLAIMS FOR DIFFERENT YEARS
107	Processed according to contract/plan provisions.	226	Information requested from the Billing/Rendering Provider was not provided or was insufficient/incomplete.	N307	MISSING/INCOMPLETE/INVALID ADJUDICATION OR PAYMENT DATE.	0243	MISSING MEDICARE PAID DATE
107	Processed according to contract/plan provisions.	A1	Claim/Service denied.	N59	Please refer to your provider manual for additional program and provider information.	9990	CLAIM DENIED.  CORRECT AND RESUBMIT.
107	Processed according to contract/plan provisions.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5644	HOSPITAL VISITS AND SUBSEQUENT CRITICAL CARE MAY NOT BE BILLED ON THE SAME DAY
107	Processed according to contract/plan provisions.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5645	HOSPITAL VISITS AND SUBSEQUENT CRITICAL CARE MAY NOT BE BILLED ON THE SAME DAY
107	Processed according to contract/plan provisions.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5740	INDIVIDUAL THERAPY AND GROUP THERAPY MAY NOT BE BILLED ON THE SAME DAY.
107	Processed according to contract/plan provisions.	B15	This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5324	WHEN PROPHYLAXIS AND FLUORIDE ARE PERFORMED ON THE SAME DAY,THE COMBINED CODE M UST BE BILLED.
107	Processed according to contract/plan provisions.	B15	This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5325	WHEN PROPHYLAXIS AND FLUORIDE ARE PERFORMED ON THE SAME DAY,THE COMBINED CODE M UST BE BILLED.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	M115	This item is denied when provided to this patient by a non-demonstration supplier.	1827	NON-MEPD CLAIM FOR MEPD RECIPIENT
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	5816	HIV CODES MUST BE BILLED IN CONJUNCTION WITH FAMILY PLANNING CODES.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5200	ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS AN OFFICE VISIT AND/OR  VACCINE REPLACEMENT
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5201	ADMINISTRATION FEE MAY NOT BE BILLED ON THE SAME DAY AS AN OFFICE VISIT AND/OR  VACCINE REPLACEMENT
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5400	PROCEDURE CANNOT BE BILLED ON THE SAME DAY BY THE PROVIDER
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5401	PROCEDURE CANNOT BE BILLED ON THE SAME DAY BY THE PROVIDER
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5402	SCREENING PROVIDER MAY NOT BILL FOR SCREENING EXAM AND INCLUSIVE MEDICAL SERVIC ES ON THE SAME DAY
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5403	SCREENING PROVIDER MAY NOT BILL FOR SCREENING EXAM AND INCLUSIVE MEDICAL SERVIC ES ON THE SAME DAY
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5412	PROCEDURE CODE V2020 AND V2025 CANNOT BE BILLED ON THE SAME DAY OF SERVICE.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5413	PROCEDURE CODE V2020 AND V2025 CANNOT BE BILLED ON THE SAME DAY OF SERVICE.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5414	EPSDT VISION SCREEN AND EXTERNAL OCULAR PHOTOGRAPHY NOT COVERED ON THE SAME DAY
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5415	EPSDT VISION SCREEN AND EXTERNAL OCULAR PHOTOGRAPHY NOT COVERED ON THE SAME DAY
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5438	COMPREHENSIVE EPSDT SCREENING AND FP VISIT MAY NOT BE BILLED ON THE SAME DAY.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5439	COMPREHENSIVE EPSDT SCREENING AND FP VISIT MAY NOT BE BILLEDON THE SAME DAY.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5710	SERVICE CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5711	SERVICE CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5712	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5713	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5714	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5715	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5716	SERVICES CANNOT BE BILLED ON THE SAME DAY FOR THE SAME RECIPIENT.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5717	SERVICES CANNOT BE BILLED ON THE SAME DAY FOR THE SAME RECIPIENT.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5718	SERVICES CANNOT BE BILLED ON THE SAME DAY FOR THE SAME RECIPENT
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5719	SERVICES CANNOT BE BILLED ON THE SAME DAY FOR THE SAME RECIPENT
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5720	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5721	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5722	SERVICES CANNOT BE BILLED ON THE SAME DAY FOR THE SAME RECIPIENT.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5723	SERVICES CANNOT BE BILLED ON THE SAME DAY FOR THE SAME RECIPIENT.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5724	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5725	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5726	THIS SERVICE IS NOT ALLOWED ON THE SAME DAY AS DAY TREATMENT
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5727	THIS SERVICE IS NOT ALLOWED ON THE SAME DAY AS DAY TREATMENT
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5728	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5729	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5732	THE SAME PROVIDER MAY NOT BILL HOSPITAL VISITS/PSYCHOTHERAPY ON THE SAME DAY
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5733	THE SAME PROVIDER MAY NOT BILL HOSPITAL VISITS/PSYCHOTHERAPY ON THE SAME DAY
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5734	THE SAME PROVIDER MAY NOT BILL PSYCHOTHERAPY/OFFICE VISITS ON THE SAME DAY
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5735	THE SAME PROVIDER MAY NOT BILL PSYCHOTHERAPY/OFFICE VISITS ON THE SAME DAY
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5736	SERVICES CANNOT BE BILLED ON THE SAME DAY BY THE SAME PROVIDER
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5738	SERVICES CANNOT BE BILLED ON THE SAME DAY FOR THE SAME RECIPIENT
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N390	This service/report cannot be billed separately.	5661	SUBSEQUENT CRITICAL CARE NOT  VALID WITHOUT INITAL CARE.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N390	This service/report cannot be billed separately.	5816	HIV CODES MUST BE BILLED IN CONJUNCTION WITH FAMILY PLANNING CODES.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N390	This service/report cannot be billed separately.	5818	THERAPY CODE PAYABLE ONLY WITH THERAPEUTIC TREATMENT.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N390	This service/report cannot be billed separately.	5819	OBSERVATION MUST BE BILLED IN CONJUNCTION WITH FACILITY FEE.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5440	FAMILY PLANNING VISIT NOT PAYABLE AFTER STERILIZATION
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5441	FAMILY PLANNING VISIT NOT PAYABLE AFTER STERILIZATION
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5818	THERAPY CODE PAYABLE ONLY WITH THERAPEUTIC TREATMENT.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5819	OBSERVATION MUST BE BILLED IN CONJUNCTION WITH FACILITY FEE.
107	Processed according to contract/plan provisions.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	6303	MORE THAN ONE OBSTETRICAL DELIVERY CODE MAY NOT BE BILLED WITHIN SIX MONTHS.
107	Processed according to contract/plan provisions.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4160	BPA-PC-NDC - CURR PROV CONTRACT RESTRICTION
107	Processed according to contract/plan provisions.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	M50	Missing/incomplete/invalid revenue code(s).	4162	BPA-PC-REV - CURR PROV CONTRACT RESTRICTION
107	Processed according to contract/plan provisions.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	M50	Missing/incomplete/invalid revenue code(s).	4529	BPA-RP-REV -  PROV COUNTY RESTRICTION
107	Processed according to contract/plan provisions.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4159	BPA-PC-ICD9 - CURR PROV CONTRACT RESTRICTION
107	Processed according to contract/plan provisions.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4161	BPA-PC-PROC - CURR PROV CONTRACT RESTRICTION
107	Processed according to contract/plan provisions.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	M76	Missing/incomplete/invalid diagnosis or condition.	4157	BPA-PC-DIAG - CURR PROV CONTRACT RESTRICTION
109	Entity not eligible.	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	M78	Missing/incomplete/invalid HCPCS modifier.	1817	MATERNITY CARE PROV CAN ONLY BILL MATERNITY SVCS
109	Entity not eligible.	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	N95	This provider type/provider specialty may not bill this service.	1817	MATERNITY CARE PROV CAN ONLY BILL MATERNITY SVCS
109	Entity not eligible.	8	The procedure code is inconsistent with the provider  type/specialty (taxonomy).	M78	Missing/incomplete/invalid HCPCS modifier.	1817	MATERNITY CARE PROV CAN ONLY BILL MATERNITY SVCS
109	Entity not eligible.	8	The procedure code is inconsistent with the provider  type/specialty (taxonomy).	N95	This provider type/provider specialty may not bill this service.	1817	MATERNITY CARE PROV CAN ONLY BILL MATERNITY SVCS
109	Entity not eligible.	26	Expenses incurred prior to coverage.	N30	Recipient ineligible for this service.	2003	ITEMIZED SERVICE DATE NOT IN ELIGIBILITY SPAN
109	Entity not eligible.	30	Payment adjusted because the patient has not met the required eligibility, spend down, waiting, or residency requirements.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	2001	RECIPIENT IS NOT ON ELIGIBILITY FILE
109	Entity not eligible.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N219	PAYMENT BASED ON PREVIOUS PAYER'S ALLOWED AMOUNT.	0825	MEDICARE ALLOWED AMOUNT MISSING OR INVALID
109	Entity not eligible.	141	Claim adjustment because the claim spans eligible and ineligible periods of coverage.	N30	Recipient ineligible for this service.	2003	ITEMIZED SERVICE DATE NOT IN ELIGIBILITY SPAN
109	Entity not eligible.	141	Claim adjustment because the claim spans eligible and ineligible periods of coverage.	N61	Rebill services on separate claims.	2077	RECIPIENT IS NOT ELIGIBLE ALL DATES OF SERVICES
109	Entity not eligible.	141	Claim adjustment because the claim spans eligible and ineligible periods of coverage.	N61	Rebill services on separate claims.	2804	DETAILS COVERED BY MORE THAN ONE PLAN CODE
117	Claim requires signature-on-file indicator.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA75	Missing/incomplete/invalid patient or authorized representative signature.	0228	CLAIMANT SIGNATURE MISSING
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	0913	GROUP NUMBER NOT FOUND IN REVENUE GROUP TABLE
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	0925	GROUP NUMBER NOT FOUND IN REFERENCE GROUP TABLE.
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0906	GROUP NUMBER NOT FOUND IN ICD-9 GROUP TABLE
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0917	GROUP NUMBER NOT FOUND IN PROCEDURE GROUP TABLE
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	0259	DATE BILLED IS INVALID
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	0909	GROUP NUMBER NOT FOUND IN DIAGNOSIS GROUP TABLE
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	0250	CLAIM HAS NO DETAILS
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	0903	GROUP NUMBER NOT FOUND IN PLACE OF SERVICE GROUP T
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA112	Missing/incomplete/invalid group practice information.	0915	GROUP NUMBER NOT FOUND IN COUNTY GROUP TABLE
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA112	Missing/incomplete/invalid group practice information.	0916	GROUP NOT FOUND IN PROVIDER GROUP TABLE
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA112	Missing/incomplete/invalid group practice information.	0921	GROUP NUMBER NOT FOUND IN PROVIDER LIST TABLE
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	0914	GROUP NUMBER NOT FOUND IN TYPE OF BILL GROUP TABLE
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA31	Missing/incomplete/invalid beginning and ending dates of the period billed.	0259	DATE BILLED IS INVALID
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N188	The approved level of care does not match the procedure code submitted.	0905	GROUP NUMBER NOT FOUND IN LEVEL OF CARE GROUP TABL
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N216	PATIENT IS NOT ENROLLED IN THIS PORTION OF OUR BENEFIT PACKAGE.	0919	GROUP NUMBER NOT FOUND IN AID CODE TABLE
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N55	Procedures for billing with group/referring/performing providers were not followed.	0902	PROCEDURE CODE GROUP NOT FOUND
122	Missing/invalid data prevents payer from processing claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N75	Missing/incomplete/invalid tooth surface information.	0918	TOOTH SURFACE NUMBER NOT FOUND IN TOOTH SURFACE GR
122	Missing/invalid data prevents payer from processing claim.	63	Correction to a prior claim.	M47	Missing/incomplete/invalid internal or document control number.	0924	SYSTEM ERROR - ADJ - ORIGINAL CLAIM NOT FOUND
122	Missing/invalid data prevents payer from processing claim.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA112	Missing/incomplete/invalid group practice information.	0915	GROUP NUMBER NOT FOUND IN COUNTY GROUP TABLE
122	Missing/invalid data prevents payer from processing claim.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA112	Missing/incomplete/invalid group practice information.	0916	GROUP NOT FOUND IN PROVIDER GROUP TABLE
122	Missing/invalid data prevents payer from processing claim.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA112	Missing/incomplete/invalid group practice information.	0921	GROUP NUMBER NOT FOUND IN PROVIDER LIST TABLE
125	Entity's name.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M57	Missing/incomplete/invalid provider identifier.	1065	PROVIDER NAME MISMATCH
125	Entity's name.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N279	MISSING/INCOMPLETE/INVALID PAY-TO PROVIDER NAME.	1065	PROVIDER NAME MISMATCH
125	Entity's name.	140	Patient/Insured health identification number and name do not match.	MA36	Missing/incomplete/invalid patient name.	0513	NAME ON CLAIM MUST MATCH NAME ON FILE
142	Entity's license/certification number.	5	The procedure code/bill type is inconsistent with the place of service.	MA120	Missing/incomplete/invalid CLIA certification number.	4212	BILLING OUT OF CLIA CERTIFICATE TYPE
142	Entity's license/certification number.	5	The procedure code/bill type is inconsistent with the place of service.	N39	Procedure code is not compatible with tooth number/letter.	4212	BILLING OUT OF CLIA CERTIFICATE TYPE
142	Entity's license/certification number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0226	ANESTHESIA CLAIMS REQUIRE REFERRING PROVIDER
142	Entity's license/certification number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N286	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER PRIMARY IDENTIFIER.	0226	ANESTHESIA CLAIMS REQUIRE REFERRING PROVIDER
142	Entity's license/certification number.	52	The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.	N262	MISSING/INCOMPLETE/INVALID OPERATING PROVIDER PRIMARY IDENTIFIER.	1021	FIRST OTHER (OPERATING) PROVIDER ID NOT ON FILE
142	Entity's license/certification number.	52	The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.	N286	MISSING/INCOMPLETE/INVALID REFERRING PROVIDER PRIMARY IDENTIFIER.	1022	OTHER-2 (REFERRING) PROVIDER ID NOT ON FILE - HDR
142	Entity's license/certification number.	52	The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	1020	ATTENDING PHYSICIAN ID NOT ON FILE
142	Entity's license/certification number.	100	PAYMENT MADE TO PATIENT/INSURED/RESPONSIBLE PARTY/EMPLOYER.	MA120	Missing/incomplete/invalid CLIA certification number.	4207	CLIA NUMBER NOT ON FILE FOR DATES OF SERVICE
142	Entity's license/certification number.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA120	Missing/incomplete/invalid CLIA certification number.	4207	CLIA NUMBER NOT ON FILE FOR DATES OF SERVICE
142	Entity's license/certification number.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA120	Missing/incomplete/invalid CLIA certification number.	4212	BILLING OUT OF CLIA CERTIFICATE TYPE
142	Entity's license/certification number.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	N39	Procedure code is not compatible with tooth number/letter.	4212	BILLING OUT OF CLIA CERTIFICATE TYPE
143	Entity's state license number.	2	Coinsurance Amount	MA34	Missing/incomplete/invalid number of coinsurance days during the billing period.	0816	COINSURANCE DAYS NOT NUMERIC
143	Entity's state license number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0802	MISSING OR INVALID PRESCRIBER ID QUALIFIER
143	Entity's state license number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA42	Missing/incomplete/invalid admission source.	0230	MISSING ATTENDING SURGEON PRESCRIBER NUMBER
143	Entity's state license number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N262	MISSING/INCOMPLETE/INVALID OPERATING PROVIDER PRIMARY IDENTIFIER.	0230	MISSING ATTENDING SURGEON PRESCRIBER NUMBER
143	Entity's state license number.	52	The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.	N31	MISSING/INCOMPLETE/INVALID PRESCRIBING PROVIDER IDENTIFIER.	0804	BILLING PROVIDER CANNOT BE PRESCRIBER
145	Entity's specialty code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1900	TAXONOMY IS INVALID BILLING PROVIDER
145	Entity's specialty code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1906	TAXONOMY IS NOT VALID FOR BILLING PROVIDER
145	Entity's specialty code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1912	TAXONOMY IS MISSING: BILLING PROVIDER
145	Entity's specialty code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1901	TAXONOMY IS INVALID PREFORMING PROVIDER
145	Entity's specialty code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1907	TAXONOMY IS NOT VALID FOR PERFORMING PROVIDER
145	Entity's specialty code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1913	TAXONOMY IS MISSING:  PERFORMING PROVIDER
145	Entity's specialty code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1919	TAXONOMY IS INVALID: DTL PERFORMING PROVIDER
145	Entity's specialty code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1921	TAXONOMY IS MISSING: DTL PERFORMING PROVIDER
145	Entity's specialty code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1925	TAXONOMY IS NOT VALID FOR DTL PERFORMING PROV
145	Entity's specialty code.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1900	TAXONOMY IS INVALID BILLING PROVIDER
145	Entity's specialty code.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1906	TAXONOMY IS NOT VALID FOR BILLING PROVIDER
145	Entity's specialty code.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1912	TAXONOMY IS MISSING: BILLING PROVIDER
145	Entity's specialty code.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1901	TAXONOMY IS INVALID PREFORMING PROVIDER
145	Entity's specialty code.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1907	TAXONOMY IS NOT VALID FOR PERFORMING PROVIDER
145	Entity's specialty code.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1913	TAXONOMY IS MISSING:  PERFORMING PROVIDER
145	Entity's specialty code.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1919	TAXONOMY IS INVALID: DTL PERFORMING PROVIDER
145	Entity's specialty code.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1921	TAXONOMY IS MISSING: DTL PERFORMING PROVIDER
145	Entity's specialty code.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1925	TAXONOMY IS NOT VALID FOR DTL PERFORMING PROV
145	Entity's specialty code.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M57	Missing/incomplete/invalid provider identifier.	1805	BILLING PROVIDER SPECIALTY NOT FOUND FOR CLAIM DOS
145	Entity's specialty code.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N95	This provider type/provider specialty may not bill this service.	1805	BILLING PROVIDER SPECIALTY NOT FOUND FOR CLAIM DOS
145	Entity's specialty code.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N95	This provider type/provider specialty may not bill this service.	1810	PERFORMING PROVIDER SPECIALTY NOT FOUND FOR DOS
145	Entity's specialty code.	A2	Contractual adjustment.	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1900	TAXONOMY IS INVALID BILLING PROVIDER
145	Entity's specialty code.	A2	Contractual adjustment.	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1906	TAXONOMY IS NOT VALID FOR BILLING PROVIDER
145	Entity's specialty code.	A2	Contractual adjustment.	N255	MISSING/INCOMPLETE/INVALID BILLING PROVIDER TAXONOMY.	1912	TAXONOMY IS MISSING: BILLING PROVIDER
145	Entity's specialty code.	A2	Contractual adjustment.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1901	TAXONOMY IS INVALID PREFORMING PROVIDER
145	Entity's specialty code.	A2	Contractual adjustment.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1907	TAXONOMY IS NOT VALID FOR PERFORMING PROVIDER
145	Entity's specialty code.	A2	Contractual adjustment.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1913	TAXONOMY IS MISSING:  PERFORMING PROVIDER
145	Entity's specialty code.	A2	Contractual adjustment.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1919	TAXONOMY IS INVALID: DTL PERFORMING PROVIDER
145	Entity's specialty code.	A2	Contractual adjustment.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1921	TAXONOMY IS MISSING: DTL PERFORMING PROVIDER
145	Entity's specialty code.	A2	Contractual adjustment.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	1925	TAXONOMY IS NOT VALID FOR DTL PERFORMING PROV
153	Entity's id number.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M78	Missing/incomplete/invalid HCPCS modifier.	7271	CURRENT PROCEDURE LINES MUST HAVE SAME PROVIDER ID
153	Entity's id number.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N55	Procedures for billing with group/referring/performing providers were not followed.	1803	BILLING PROVIDER MUST BE GROUP PROVIDER NUMBER
154	Relationship of surgeon & assistant surgeon.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N55	Procedures for billing with group/referring/performing providers were not followed.	1804	VERFIY PERFORMING PROVIDER NOT GROUP PROVIDER
158	Entity's date of birth	6	The procedure code is inconsistent with the patient's age.	MA38	Missing/incomplete/invalid birth date.	7266	AGE CANNOT BE GREATER THAN 124 YEARS
158	Entity's date of birth	14	The date of birth follows the date of service.	MA06	Missing/incomplete/invalid beginning and/or ending date(s).	7265	BIRTHDATE CANNOT BE A FUTURE DATE
164	Entity's contract/member number.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N219	PAYMENT BASED ON PREVIOUS PAYER'S ALLOWED AMOUNT.	0830	MEDICARE HDR ALLOW AMNT NOT EQUAL SUM OF DTL ALLOW
171	Other insurance coverage information (health, liability, auto, etc.).	23	Payment adjusted because charges have been paid by another payer.	MA92	MISSING PLAN INFORMATION FOR OTHER INSURANCE.	0576	CLAIM HAS THIRD-PARTY PAYMENT
178	Submitted charges.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N59	Please refer to your provider manual for additional program and provider information.	5234	ADDITIONAL PAIN CONTROL PROCEDURES PAID AT 50% OF MEDICAID ALLOWED.
178	Submitted charges.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N59	Please refer to your provider manual for additional program and provider information.	5235	ADDITIONAL PAIN CONTROL PROCEDURES PAID AT 50% OF MEDICAID ALLOWED.
178	Submitted charges.	59	Processed based on multiple or concurrent procedure rules. (For example multiple surgery or diagnostic imaging, concurrent anesthesia.)	N59	Please refer to your provider manual for additional program and provider information.	5508	SECONDARY SURGICAL PROCEDURE WITHIN THE SAME INCISION PAID AT 50% OF MEDICAID A LLOWED
178	Submitted charges.	59	Processed based on multiple or concurrent procedure rules. (For example multiple surgery or diagnostic imaging, concurrent anesthesia.)	N59	Please refer to your provider manual for additional program and provider information.	5509	SECONDARY SURGICAL PROCEDURE WITHIN THE SAME INCISION PAID AT 50% OF MEDICAID A LLOWED
178	Submitted charges.	59	Processed based on multiple or concurrent procedure rules. (For example multiple surgery or diagnostic imaging, concurrent anesthesia.)	N59	Please refer to your provider manual for additional program and provider information.	5520	REGIONAL ANESTHESIA PAYMENT IS 50% OF LEVEL III PRICE
178	Submitted charges.	59	Processed based on multiple or concurrent procedure rules. (For example multiple surgery or diagnostic imaging, concurrent anesthesia.)	N59	Please refer to your provider manual for additional program and provider information.	5521	REGIONAL ANESTHESIA PAYMENT IS 50% OF LEVEL III PRICE
178	Submitted charges.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5230	SUBSEQUENT PROCEDURE INCLUDED IN PRIMARY ANESTHESIA CHARGE
178	Submitted charges.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5231	SUBSEQUENT PROCEDURE INCLUDED IN PRIMARY ANESTHESIA CHARGE
178	Submitted charges.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M54	Missing/incomplete/invalid total charges.	4005	SUBMITTED TO ALLOWED EXCEEDS PERCENT
178	Submitted charges.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M54	Missing/incomplete/invalid total charges.	4006	ALLOWED TO SUBMITTED EXCEEDS PERCENT
178	Submitted charges.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M54	Missing/incomplete/invalid total charges.	4009	ALLOWED TO SUBMITTED EXCEEDS PERCENT
178	Submitted charges.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M54	Missing/incomplete/invalid total charges.	4084	SUBMITTED TO ALLOWED EXCEEDS PERCENT
178	Submitted charges.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5234	ADDITIONAL PAIN CONTROL PROCEDURES PAID AT 50% OF MEDICAID ALLOWED.
178	Submitted charges.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5235	ADDITIONAL PAIN CONTROL PROCEDURES PAID AT 50% OF MEDICAID ALLOWED.
178	Submitted charges.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5508	SECONDARY SURGICAL PROCEDURE WITHIN THE SAME INCISION PAID AT 50% OF MEDICAID A LLOWED
178	Submitted charges.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5509	SECONDARY SURGICAL PROCEDURE WITHIN THE SAME INCISION PAID AT 50% OF MEDICAID A LLOWED
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M52	Missing/incomplete/invalid from date(s) of service.	0264	DETAIL FROM DATE OF SERVICE IS MISSING
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M52	Missing/incomplete/invalid from date(s) of service.	0265	DETAIL FROM DATE OF SERVICE IS INVALID
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M52	Missing/incomplete/invalid from date(s) of service.	0395	HEADER STATEMENT COVERS PERIOD "FROM" DATE MISSING
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M52	Missing/incomplete/invalid from date(s) of service.	0396	HEADER STATEMENT COVERS PERIOD "FROM" DATE INVALID
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M52	Missing/incomplete/invalid from date(s) of service.	0527	DETAIL FROM DATE OF SERVICE IS AFTER ICN DATE
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0239	DETAIL TO DATE OF SERVICE IS MISSING
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M59	Missing/incomplete/invalid to date(s) of service.	0239	DETAIL TO DATE OF SERVICE IS MISSING
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M59	Missing/incomplete/invalid to date(s) of service.	0240	THE DETAIL "TO" DATE IS INVALID
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M59	Missing/incomplete/invalid to date(s) of service.	0514	DATE RECEIVED FOR PROCESSING-PRIOR TO DATE OF SERV
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA31	Missing/incomplete/invalid beginning and ending dates of the period billed.	0507	FIRST DATE OF SERV GREATER THAN LAST DATE OF SERV
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA36	Missing/incomplete/invalid patient name.	0514	DATE RECEIVED FOR PROCESSING-PRIOR TO DATE OF SERV
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N304	MISSING/INCOMPLETE/INVALID DISPENSED DATE.	0216	DATE DISPENSED IS INVALID
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N341	MISSING/INCOMPLETE/INVALID SURGERY DATE.	0575	SURGERY DTE CANNOT BE OUTSIDE HDR DATES OF SERVICE
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N37	Missing/incomplete/invalid tooth number/letter.	0264	DETAIL FROM DATE OF SERVICE IS MISSING
187	Date(s) of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N74	Resubmit with multiple claims, each claim covering services provided in only one calendar month.	0574	SERVICE DATES ARE NOT IN SAME MONTH
187	Date(s) of service.	78	Non-Covered days/Room charge adjustment.	MA32	Missing/incomplete/invalid number of covered days during the billing period.	0821	NON-COVERED DAYS MISSING OR NOT NUMERIC
187	Date(s) of service.	78	Non-Covered days/Room charge adjustment.	MA33	Missing/incomplete/invalid noncovered days during the billing period.	0821	NON-COVERED DAYS MISSING OR NOT NUMERIC
187	Date(s) of service.	110	BILLING DATE PREDATES SERVICE DATE.	M59	Missing/incomplete/invalid to date(s) of service.	0514	DATE RECEIVED FOR PROCESSING-PRIOR TO DATE OF SERV
187	Date(s) of service.	110	BILLING DATE PREDATES SERVICE DATE.	MA36	Missing/incomplete/invalid patient name.	0514	DATE RECEIVED FOR PROCESSING-PRIOR TO DATE OF SERV
187	Date(s) of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M59	Missing/incomplete/invalid to date(s) of service.	0537	HDR FROM DATE OF SERVICE > HDR TO DATE OF SERVICE
187	Date(s) of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA31	Missing/incomplete/invalid beginning and ending dates of the period billed.	0537	HDR FROM DATE OF SERVICE > HDR TO DATE OF SERVICE
187	Date(s) of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA32	Missing/incomplete/invalid number of covered days during the billing period.	0821	NON-COVERED DAYS MISSING OR NOT NUMERIC
187	Date(s) of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA33	Missing/incomplete/invalid noncovered days during the billing period.	0821	NON-COVERED DAYS MISSING OR NOT NUMERIC
187	Date(s) of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA40	Missing/incomplete/invalid admission date.	0812	ADMIT DATE IS GREATER THAN ICN DATE
187	Date(s) of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N262	MISSING/INCOMPLETE/INVALID OPERATING PROVIDER PRIMARY IDENTIFIER.	0815	SURGICAL ICD9 REQUIRES OPERATING PHYSICIAN
187	Date(s) of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N280	MISSING/INCOMPLETE/INVALID PAY-TO PROVIDER PRIMARY IDENTIFIER.	0201	INVALID PAY-TO PROVIDER NUMBER
187	Date(s) of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N31	MISSING/INCOMPLETE/INVALID PRESCRIBING PROVIDER IDENTIFIER.	0815	SURGICAL ICD9 REQUIRES OPERATING PHYSICIAN
187	Date(s) of service.	141	Claim adjustment because the claim spans eligible and ineligible periods of coverage.	N61	Rebill services on separate claims.	0803	DATED EXCEED SOBRA/QMB ELIGIBILITY
188	Statement from-through dates.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA32	Missing/incomplete/invalid number of covered days during the billing period.	0570	TOTAL DAYS LESS THAN COVERED DAYS
189	Hospital admission date.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N307	MISSING/INCOMPLETE/INVALID ADJUDICATION OR PAYMENT DATE.	0813	MEDICARE PAID DATE > ICN DATE
214	Original date of prescription/orders/referral.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N304	MISSING/INCOMPLETE/INVALID DISPENSED DATE.	0215	DATE DISPENSED IS MISSING
214	Original date of prescription/orders/referral.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N304	MISSING/INCOMPLETE/INVALID DISPENSED DATE.	0502	DATE DISPENSED EARLIER THAN DATE PRESCRIBED
214	Original date of prescription/orders/referral.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	N304	MISSING/INCOMPLETE/INVALID DISPENSED DATE.	0502	DATE DISPENSED EARLIER THAN DATE PRESCRIBED
214	Original date of prescription/orders/referral.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N57	MISSING/INCOMPLETE/INVALID PRESCRIBING DATE.	0500	DATE PRESCRIBED AFTER BILLING DATE
214	Original date of prescription/orders/referral.	A2	Contractual adjustment.	N304	MISSING/INCOMPLETE/INVALID DISPENSED DATE.	0502	DATE DISPENSED EARLIER THAN DATE PRESCRIBED
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	0217	MISSING DRUG CODE
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	0218	INVALID DRUG CODE
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	3316	PHARMACY ONLY - NDC IS NOT PAYABLE BY ALABAMA MEDICAID
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4260	NDC REQUIRED FOR PROCEDURE
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4264	NDC NOT ON THE DRUG FILE
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4265	INVALID HCPCS/NDC COMBINATION FOR PRIMARY NDC
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4266	NDC NOT COVERED - PRIMARY NDC NOT ACTIVE ON DOS
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4267	NDC NOT COVERED - SECONDARY NDC NOT ACTIVE ON DOS
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4268	NDC NOT COVERED - NDC NOT REBATABLE ON DOS
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4269	NDC NOT COVERED - SECOND NDC NOT REBATABLE ON DOS
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4270	NDC NOT COVERED - NDC RATED LESS THAN EFFECTIVE
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4271	DUPLICATE NDC FOR CLAIM DETAIL
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4272	NDC NOT COVERED - OBSOLETE OR TERMINATED ON DOS
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4278	NDC NOT COVERED - NDC NOT EFFECTIVE ON THE DOS
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4279	NDC NOT COVERED - NDC INACTIVE ON THE DOS
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4280	NDC NOT COVERED - NDC IN REJECT REGARDLESS ON DOS
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4281	NDC NOT COVERED - REPACKAGED NDC
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M62	Missing/incomplete/invalid treatment authorization code.	3313	NDC DRUG, PRODUCT IS NOT PREFERRED
218	NDC number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M97	Not paid to practitioner when provided to patient in this place of service.  Payment included in the reimbursement issued the facility.	3314	PHARMACY ONLY - OTC DRUG NOT COVERED FOR LTC RECIP
218	NDC number.	18	Duplicate claim/service.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4271	DUPLICATE NDC FOR CLAIM DETAIL
218	NDC number.	46	This (these) service(s) is (are) not covered.	N30	Recipient ineligible for this service.	4999	RECIPIENT IS PART D ELIGIBLE - CLAIM NOT COVERED.  IF A RECIPIENT HAS MEDICAREP ART A OR B, THE RECIPIENT IS ELIGIBLE FOR MEDICARE PART D DRUG COVERAGE AND MED ICAID WILL ONLY PAY FOR DRUGS SPECIFICALLY EXCLUDED FROM MEDICARE PART D.
218	NDC number.	62	Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.	M62	Missing/incomplete/invalid treatment authorization code.	3313	NDC DRUG, PRODUCT IS NOT PREFERRED
218	NDC number.	96	Non-covered charge(s).	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4004	NDC IS NOT ON FILE
218	NDC number.	96	Non-covered charge(s).	N30	Recipient ineligible for this service.	4999	RECIPIENT IS PART D ELIGIBLE - CLAIM NOT COVERED.  IF A RECIPIENT HAS MEDICAREP ART A OR B, THE RECIPIENT IS ELIGIBLE FOR MEDICARE PART D DRUG COVERAGE AND MED ICAID WILL ONLY PAY FOR DRUGS SPECIFICALLY EXCLUDED FROM MEDICARE PART D.
218	NDC number.	96	Non-covered charge(s).	N60	A valid NDC is required for payment of drug claims effective October 02.	4007	NDC IS DEACTIVED AND NOT PAYABLE ON DATE FILLED
218	NDC number.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	M97	Not paid to practitioner when provided to patient in this place of service.  Payment included in the reimbursement issued the facility.	3314	PHARMACY ONLY - OTC DRUG NOT COVERED FOR LTC RECIP
218	NDC number.	D2	Claim lacks the name, strength, or dosage of the drug furnished.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4260	NDC REQUIRED FOR PROCEDURE
218	NDC number.	D2	Claim lacks the name, strength, or dosage of the drug furnished.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4264	NDC NOT ON THE DRUG FILE
218	NDC number.	D2	Claim lacks the name, strength, or dosage of the drug furnished.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4265	INVALID HCPCS/NDC COMBINATION FOR PRIMARY NDC
218	NDC number.	D2	Claim lacks the name, strength, or dosage of the drug furnished.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4266	NDC NOT COVERED - PRIMARY NDC NOT ACTIVE ON DOS
218	NDC number.	D2	Claim lacks the name, strength, or dosage of the drug furnished.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4267	NDC NOT COVERED - SECONDARY NDC NOT ACTIVE ON DOS
218	NDC number.	D2	Claim lacks the name, strength, or dosage of the drug furnished.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4268	NDC NOT COVERED - NDC NOT REBATABLE ON DOS
218	NDC number.	D2	Claim lacks the name, strength, or dosage of the drug furnished.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4269	NDC NOT COVERED - SECOND NDC NOT REBATABLE ON DOS
218	NDC number.	D2	Claim lacks the name, strength, or dosage of the drug furnished.	M119	MISSING/INCOMPLETE/INVALID/DEACTIVATED/WITHDRAWN NATIONAL DRUG CODE (NDC).	4270	NDC NOT COVERED - NDC RATED LESS THAN EFFECTIVE
219	Prescription number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0212	MISSING PRESCRIPTION NUMBER
219	Prescription number.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N388	Missing/incomplete/invalid prescription number.	0212	MISSING PRESCRIPTION NUMBER
221	Drug days supply and dosage.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0220	QUANTITY DISPENSED IS INVALID
221	Drug days supply and dosage.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0221	MISSING DAYS SUPPLY
221	Drug days supply and dosage.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0222	ESTIMATED DAYS SUPPLY INVALID
221	Drug days supply and dosage.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N378	Missing/incomplete/invalid prescription quantity.	0219	QUANTITY DISPENSED IS MISSING
221	Drug days supply and dosage.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N378	Missing/incomplete/invalid prescription quantity.	0220	QUANTITY DISPENSED IS INVALID
221	Drug days supply and dosage.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N60	A valid NDC is required for payment of drug claims effective October 02.	0219	QUANTITY DISPENSED IS MISSING
221	Drug days supply and dosage.	45	Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0222	ESTIMATED DAYS SUPPLY INVALID
221	Drug days supply and dosage.	A2	Contractual adjustment.	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0222	ESTIMATED DAYS SUPPLY INVALID
228	Type of bill for UB-92 claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0274	TYPE OF BILL CODE INVALID
228	Type of bill for UB-92 claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	0273	TYPE OF BILL MISSING
228	Type of bill for UB-92 claim.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA30	Missing/incomplete/invalid type of bill.	0274	TYPE OF BILL CODE INVALID
228	Type of bill for UB-92 claim.	62	Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	1032	PROVIDER TYPE - CLAIM INPUT CONFLICT
228	Type of bill for UB-92 claim.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N34	INCORRECT CLAIM FORM/FORMAT FOR THIS SERVICE.	1032	PROVIDER TYPE - CLAIM INPUT CONFLICT
229	Hospital admission source.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA41	Missing/incomplete/invalid admission type.	0278	ADMIT TYPE MISSING
229	Hospital admission source.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA42	Missing/incomplete/invalid admission source.	0229	SOURCE OF ADMISSION MISSING
229	Hospital admission source.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA75	Missing/incomplete/invalid patient or authorized representative signature.	0229	SOURCE OF ADMISSION MISSING
229	Hospital admission source.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N46	Missing/incomplete/invalid admission hour.	0278	ADMIT TYPE MISSING
229	Hospital admission source.	129	Payment denied - Prior processing information appears incorrect.	MA41	Missing/incomplete/invalid admission type.	0278	ADMIT TYPE MISSING
229	Hospital admission source.	129	Payment denied - Prior processing information appears incorrect.	MA42	Missing/incomplete/invalid admission source.	0229	SOURCE OF ADMISSION MISSING
229	Hospital admission source.	129	Payment denied - Prior processing information appears incorrect.	MA75	Missing/incomplete/invalid patient or authorized representative signature.	0229	SOURCE OF ADMISSION MISSING
229	Hospital admission source.	129	Payment denied - Prior processing information appears incorrect.	N46	Missing/incomplete/invalid admission hour.	0278	ADMIT TYPE MISSING
230	Hospital admission hour.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0275	ADMIT DATE MISSING
230	Hospital admission hour.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA40	Missing/incomplete/invalid admission date.	0275	ADMIT DATE MISSING
230	Hospital admission hour.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA40	Missing/incomplete/invalid admission date.	0276	ADMIT DATE INVALID
230	Hospital admission hour.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA40	Missing/incomplete/invalid admission date.	0277	INVALID ADMISSION HOUR
230	Hospital admission hour.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N46	Missing/incomplete/invalid admission hour.	0277	INVALID ADMISSION HOUR
230	Hospital admission hour.	110	BILLING DATE PREDATES SERVICE DATE.	M52	Missing/incomplete/invalid from date(s) of service.	0519	ADMIT DATE GREATER THAN FIRST DATE OF SERVICE
230	Hospital admission hour.	110	BILLING DATE PREDATES SERVICE DATE.	MA40	Missing/incomplete/invalid admission date.	0519	ADMIT DATE GREATER THAN FIRST DATE OF SERVICE
231	Hospital admission type.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA41	Missing/incomplete/invalid admission type.	0279	INVALID TYPE OF ADMISSION
231	Hospital admission type.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA42	Missing/incomplete/invalid admission source.	0279	INVALID TYPE OF ADMISSION
234	Patient discharge status.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA41	Missing/incomplete/invalid admission type.	0280	PATIENT STATUS IS MISSING
234	Patient discharge status.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA43	Missing/incomplete/invalid patient status.	0280	PATIENT STATUS IS MISSING
234	Patient discharge status.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA43	Missing/incomplete/invalid patient status.	0281	PATIENT STATUS IS INVALID
234	Patient discharge status.	129	Payment denied - Prior processing information appears incorrect.	MA41	Missing/incomplete/invalid admission type.	0280	PATIENT STATUS IS MISSING
234	Patient discharge status.	129	Payment denied - Prior processing information appears incorrect.	MA43	Missing/incomplete/invalid patient status.	0280	PATIENT STATUS IS MISSING
234	Patient discharge status.	129	Payment denied - Prior processing information appears incorrect.	MA43	Missing/incomplete/invalid patient status.	0281	PATIENT STATUS IS INVALID
239	Dental information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M53	Missing/incomplete/invalid days or units of service.	0602	UNITS NOT EQUAL TO TEETH BILLED
239	Dental information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N61	Rebill services on separate claims.	0602	UNITS NOT EQUAL TO TEETH BILLED
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M52	Missing/incomplete/invalid from date(s) of service.	0266	MISSING TOOTH SURFACE
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M53	Missing/incomplete/invalid days or units of service.	0261	MISSING TOOTH NUMBER
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N346	Missing/incomplete/invalid oral cavity designation code.	4120	ORAL CAVITY DESIGNATION CODE INVALID
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N37	Missing/incomplete/invalid tooth number/letter.	0261	MISSING TOOTH NUMBER
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N37	Missing/incomplete/invalid tooth number/letter.	0262	INVALID TOOTH NUMBER
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N37	Missing/incomplete/invalid tooth number/letter.	0600	THE NUMBER OF QUADRANTS BILLED ON THE CLAIM IS NOT EQUAL TO THE NUMBER OF UNITS
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N37	Missing/incomplete/invalid tooth number/letter.	0601	TOOTH NUMBERS CANNOT BE BILLED WITH A PROCEDURE THAT REQUIRES QUADRANTS.
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N39	Procedure code is not compatible with tooth number/letter.	4120	ORAL CAVITY DESIGNATION CODE INVALID
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N75	Missing/incomplete/invalid tooth surface information.	0263	INVALID TOOTH SURFACE
242	Tooth numbers, surfaces, and/or quadrants involved.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N75	Missing/incomplete/invalid tooth surface information.	0266	MISSING TOOTH SURFACE
244	Tooth number or letter.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N37	Missing/incomplete/invalid tooth number/letter.	4211	INVALID TOOTH NUMBER FOR THIS PROCEDURE
244	Tooth number or letter.	96	Non-covered charge(s).	N37	Missing/incomplete/invalid tooth number/letter.	4211	INVALID TOOTH NUMBER FOR THIS PROCEDURE
244	Tooth number or letter.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	5351	PULP CAP NOT ALLOWED FOR THIS TOOTH/DATE OF SERVICE.
245	Dental quadrant/arch.	11	The diagnosis is inconsistent with the procedure.	N346	Missing/incomplete/invalid oral cavity designation code.	0450	INVALID QUADRANT
245	Dental quadrant/arch.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N346	Missing/incomplete/invalid oral cavity designation code.	0450	INVALID QUADRANT
247	Line information.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA54	Physician certification or election consent for hospice care not received timely.	7280	CLAIM LEVEL PROVIDER OR PROCEDURE LINE PROVIDER IS REQUIRED
248	Accident date, state, description and cause.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N305	MISSING/INCOMPLETE/INVALID ACCIDENT DATE.	0569	DATE OF ACCIDENT IS GREATER THAN LAST DATE OF SERV
249	Place of service.	5	The procedure code/bill type is inconsistent with the place of service.	M77	Missing/incomplete/invalid place of service.	1819	INVALID POS FOR FQHC PROVIDER
249	Place of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	0248	PLACE OF SERVICE IS MISSING OR BLANK
249	Place of service.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M77	Missing/incomplete/invalid place of service.	0249	PLACE OF SERVICE IS INVALID
249	Place of service.	129	Payment denied - Prior processing information appears incorrect.	M77	Missing/incomplete/invalid place of service.	0248	PLACE OF SERVICE IS MISSING OR BLANK
249	Place of service.	129	Payment denied - Prior processing information appears incorrect.	M77	Missing/incomplete/invalid place of service.	0249	PLACE OF SERVICE IS INVALID
255	Diagnosis code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4226	DIAGNOSIS MUST BE BILLED AT THE HIGHEST SUBDIVISION
255	Diagnosis code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M76	Missing/incomplete/invalid diagnosis or condition.	0258	MISSING DIAGNOSIS CODE
255	Diagnosis code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M78	Missing/incomplete/invalid HCPCS modifier.	0258	MISSING DIAGNOSIS CODE
255	Diagnosis code.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M81	YOU ARE REQUIRED TO CODE TO THE HIGHEST LEVEL OF SPECIFICITY.	4226	DIAGNOSIS MUST BE BILLED AT THE HIGHEST SUBDIVISION
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	0246	FOURTH DIAGNOSIS CODE INVALID
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M50	Missing/incomplete/invalid revenue code(s).	4060	EMERGENCY DIAGNOSIS CODE NOT ON FILE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M54	Missing/incomplete/invalid total charges.	0272	PRIMARY DIAGNOSIS CODE INVALID
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M57	Missing/incomplete/invalid provider identifier.	7272	DIAGNOSIS 1 MUST BE A VALID CODE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M59	Missing/incomplete/invalid to date(s) of service.	0242	SECONDARY DIAGNOSIS CODE INVALID
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M64	Missing/incomplete/invalid other diagnosis.	4041	SECONDARY DIAGNOSIS CODE NOT ON FILE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M64	Missing/incomplete/invalid other diagnosis.	4042	THIRD DIAGNOSIS CODE NOT ON FILE OR INACTIVE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M64	Missing/incomplete/invalid other diagnosis.	4043	FOURTH DIAGNOSIS CODE NOT ON FILE OR INACTIVE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M64	Missing/incomplete/invalid other diagnosis.	4047	FIFTH DIAGNOSIS CODE NOT ON FILE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M64	Missing/incomplete/invalid other diagnosis.	4048	SIXTH DIAGNOSIS CODE NOT ON FILE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M64	Missing/incomplete/invalid other diagnosis.	4049	SEVENTH DIAGNOSIS CODE NOT ON FILE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M64	Missing/incomplete/invalid other diagnosis.	4050	EIGHTH DIAGNOSIS CODE NOT ON FILE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M64	Missing/incomplete/invalid other diagnosis.	4051	NINTH DIAGNOSIS CODE NOT ON FILE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	M64	Missing/incomplete/invalid other diagnosis.	4052	ADMITTING DIAGNOSIS CODE NOT ON FILE
255	Diagnosis code.	47	This (these) diagnosis(es) is (are) not covered, missing, or are invalid.	MA63	Missing/incomplete/invalid principal diagnosis.	4040	PRIMARY DIAGNOSIS CODE NOT ON FILE
255	Diagnosis code.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	6302	MORE THAN THREE OFFICE VISITS MAY NOT BE BILLED WITH PREGNANCY DIAGNOSIS.
259	Frequency of service.	18	Duplicate claim/service.	N20	Service not payable with other service rendered on the same date.	5800	RESIDENTIAL SERVICES AND RESPITE ,PERSONAL CARE/COMPANION CARE NOT ALLOWED FOR  THE SAME DOS.
259	Frequency of service.	18	Duplicate claim/service.	N20	Service not payable with other service rendered on the same date.	5801	RESIDENTIAL SERVICES AND RESPITE ,PERSONAL CARE/COMPANION CARE NOT ALLOWED FOR  THE SAME DOS.
259	Frequency of service.	62	Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	0436	TOTAL MEDICARE ALLOWED AMOUNT INVALID
259	Frequency of service.	62	Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.	N219	PAYMENT BASED ON PREVIOUS PAYER'S ALLOWED AMOUNT.	0436	TOTAL MEDICARE ALLOWED AMOUNT INVALID
259	Frequency of service.	62	Payment denied/reduced for absence of, or exceeded, pre-certification/authorization.	N45	Payment based on authorized amount.	9400	THE NUMBER OF SERVICES EXCEED MEDICAL POLICY GUIDELINES.  PRIOR AUTHORIZATION R EQUIRED FOR ADDITIONAL SERVICES.
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N19	Procedure code incidental to primary procedure.	5604	PROCEDURE IS INCLUSIVE IN PRIMARY PROCEDURE.
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N19	Procedure code incidental to primary procedure.	5605	PROCEDURE IS INCLUSIVE IN PRIMARY PROCEDURE.
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5240	THIS PROCEDURE IS PART OF ANOTHER PROCEDURE PERFORMED ON THE SAME DAY.
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5241	THIS PROCEDURE IS PART OF ANOTHER PROCEDURE PERFORMED ON THE SAME DAY.
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5470	THIS PROCEDURE IS PART OF ANOTHER PROCEDURE PERFORMED ON THE SAME DAY
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5471	THIS PROCEDURE IS PART OF ANOTHER PROCEDURE PERFORMED ON THE SAME DAY
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5514	THIS PROCEDURE CANNOT BE BILLED IN ADDITION TO THE DELIVERY CODE BILLED
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5515	THIS PROCEDURE CANNOT BE BILLED IN ADDITION TO THE DELIVERY CODE BILLED
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5518	LOCAL ANESTHESIA PROCEDURES ARE COVERED IN THE TOTAL OB COST AND MAY NOT BE BIL LED SEPARATELY WITH A DELIVERY PROCEDURE CODE
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5519	LOCAL ANESTHESIA PROCEDURES ARE COVERED IN THE TOTAL OB COST AND MAY NOT BE BIL LED SEPARATELY WITH A DELIVERY PROCEDURE CODE
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5656	THIS PROCEDURE IS PART OF ANOTHER PROCEDURE PERFORMED ON THE SAME DAY
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5336	DENTAL RECEMENT OF CROWNS NOT ALLOWED WITHIN 180 DAYS OF CROWN.
259	Frequency of service.	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5462	THIS SERVICE IS INCLUDED IN THE FACILITY FEE (REVENUE CODE 450).
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N117	THIS SERVICE IS PAID ONLY ONCE IN A LIFETIME.	6045	DENTAL SERVICE LIMITED TO ONCE PER TOOTH/PER LIFETIME.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N117	THIS SERVICE IS PAID ONLY ONCE IN A LIFETIME.	6053	COMPREHENSIVE DENTAL EXAM MAY ONLY BE BILLED ONCE PER LIFETIME PER PROVIDER.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N20	Service not payable with other service rendered on the same date.	5511	PROCEDURE CODE IS LIMITED TO ONE PER RECIPIENT WITHIN 60 DAYS OF DELIVERY.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N20	Service not payable with other service rendered on the same date.	5790	PHYSICAL THERAPY ELECTRIC STIMULATION CONTRA
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N20	Service not payable with other service rendered on the same date.	5792	PHYSICAL THERAPY APPLIANCES CONTRA
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N20	Service not payable with other service rendered on the same date.	6643	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	5236	QUALIFYING PROCEDURE LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	5336	DENTAL RECEMENT OF CROWNS NOT ALLOWED WITHIN 180 DAYS OF CROWN.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	5510	PROCEDURE CODE IS LIMITED TO ONE PER RECIPIENT WITHIN SIXTY DAYS OF DELIVERY
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	5511	PROCEDURE CODE IS LIMITED TO ONE PER RECIPIENT WITHIN 60 DAYS OF DELIVERY.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6001	THIS AMBULANCE SERVICE PROCEDURE CODE IS LIMITED TO FOUR UNITS PER CALENDAR MON TH.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6010	INPATIENT/OUTPATIENT/ASC VISITS HAVE BEEN EXCEEDED FOR THE CALENDAR YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6020	HEARING AID REPAIR IS LIMITED TO TWO EVERY SIX MONTHS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6021	MONAURAL HEARING AID BATTERIES ARE LIMITED TO ONE PACKAGE EVERY TWO MONTHS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6022	MONAURAL EARMOLDS ARE LIMITED TO ONE EVERY FOUR MONTHS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6023	HEARING AID REPAIR IS LIMITED TO ONCE EVERY SIX MONTHS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6024	THE PURCHASE OF A HEARING AID STETHOSCOPE IS LIMITED TO ONE EVERY TWO YEARS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6025	EARMOLDS ARE LIMITED TO TWO EVERY FOUR MONTHS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6026	BINAURAL HEARING AID BATTERIES ARE LIMITED TO TWO PACKAGES EVERY TWO MONTHS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6041	THE CALENDAR YEAR LIMIT HAS BEEN EXCEEDED FOR THIS PROCEDURE
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6042	PROCEDURE LIMITED TO ONCE EVERY 30 DAYS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6043	THE CALENDAR YEAR LIMIT HAS BEEN EXCEEDED FOR THIS PROCEDURE
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6044	EMERGENCY ORAL EXAM (D0140) LIMITED TO ONCE PER CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6046	PROCEDURE CODE LIMITED TO ONCE EVERY SIX MONTHS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6047	PROPHYLAXIS IS LIMITED TO ONCE EVERY 6 MONTHS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6048	FLUORIDE IS LIMITED TO ONCE EVERY 6  MONTHS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6049	PROCEDURE LIMITED TO TWO PER LIFETIME PER TOOTH.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6050	PROCEDURE CODE IS LIMITED TO ONE OCCURANCE EVERY SIX MONTHS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6051	FULL SERIES/PANORAMIC X-RAYS ARE LIMITED TO ONE EVERY THREE CALENDAR YEARS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6100	DME PROCEDURE LIMITED TO 60 PER CALENDAR MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6101	DME PROCEDURE LIMIT TO 20 PER CALENDAR MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6102	DME PROCEDURE LIMITED TO 1 PER 5 CALENDAR YEARS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6103	PROCEDURE IS LIMITED TO THIRTY (30) PER MONTH.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6104	DME PROCEDURE LIMITED TO 700 PER CALENDAR MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6105	DME CLOSED POUCH TOTAL LIMIT OF 60 PER CAL MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6106	PROCEDURE IS LIMITED TO 30 (THIRTY) PER MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6107	DME PROCEDURE LIMITED TO 40 PER CALENDAR MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6108	DME WC PRESSURE PAD TOTAL LIMIT OF 1 PER CAL YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6109	PROCEDURE CODE IS LIMTED TO 100 PER MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6110	THE LIMIT OF TWO UNITS PER MONTH HAS BEEN EXCEEDED FOR THIS PROCEDURE
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6111	THE LIMIT OF THREE UNITS PER MONTH HAS BEEN EXCEEDED FOR THIS PROCEDURE.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6112	THE LIMIT OF TWO UNITS PER MONTH HAS BEEN EXCEEDED FOR THIS PROCEDURE.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6113	DME CODES LIMITED TO THIRTY-ONE UNITS PER MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6114	DME PROCEDURE LIMITED TO 2 PER CALENDAR YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6115	MEDICAL SUPPLIES LIMIT IS $1,800.00 PER WAIVER YEAR, 02/22-02/21.  THE LIMIT HA S BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6116	DME PROCEDURE LIMITED TO 1 PER 4 CALENDAR YEARS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6117	DME PROCEDURE LIMITED TO 3 PER CALENDAR MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6118	THE LIMIT OF TWO UNITS PER MONTH HAS BEEN EXCEEDED FOR THIS PROCEDURE
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6119	PROCEDURE IS LIMITED TO 1 (ONE) EVERY TWO YEARS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6120	THIS PROCEDURE CODE IS LIMITED TO ONE PER MONTH.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6121	DME PROCEDURE LIMITED TO 1 PER CALENDAR YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6122	LEG BAGS ARE LIMITED TO TWO PER MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6123	DME PROCEDURE LIMITED TO 8 PER CALENDAR YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6124	DME PROCEDURE LIMITED TO 1 PER 3 CALENDAR YEARS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6125	DME PROCEDURE LIMITED TO 2 PER CALENDAR MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6126	DME PROCEDURE LIMITED TO 120 PER CALENDAR MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6150	VISION AND HEARING SCREENING ONE PER YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6151	INITIAL SCREENING IS LIMITED TO ONCE PER LIFETIME
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6152	EPSDT SCREENING LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6153	EPSDT SCREENING LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6155	EPSDT SCREENING LIMIT HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6183	THE ALLOWED EYE EXAM LIMITATION HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6184	THE ALLOWED FITTING LIMITATION HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6201	FAMILY PLANNING PERIODIC FOLLOW-UP IS LIMITED TO FOUR (4) VISITS PER YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6202	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6205	THIS PROCEDURE CODE IS LIMITED TO ONE EVERY CALENDAR YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6206	PROCEDURE CODE 11795 IS LIMITED TO ONE EVERY 365 DAYS AND PROCEDURE CODE 11977  CANNOT BE BILLED WITHIN 60 MONTHS OF INSERTION
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6208	PROCEDURE IS LIMITED TO ONE SERVICE EVERY 70 DAYS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6240	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6241	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6242	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6243	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6244	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6245	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6246	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6247	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6248	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6249	HBO LIMIT HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6280	THE LIMIT FOR THESE SERVICES HAS BEEN REACHED FOR THE CALENDAR YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6281	OUTPATIENT VISITS HAVE BEEN EXCEEDED FOR THIS CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6282	INPATIENT DAYS HAVE BEEN EXEEDED FOR THIS CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6293	LAB ?DRUG SCREENING LIMIT OF 1 EVERY 7 DAYS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6300	THIS PROCEDURE IS LIMITED TO 12 UNITS EVERY 24 MONTHS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6350	DME GESTATIONAL INSULIN LIMIT 4 BOXES PER MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6351	DME GESTATIONAL INSULIN LIMIT 2 BOXES PER MONTH
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6402	SCREENING MAMMOGRAPHY IS LIMITED TO ONE PER YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6403	THE LIMIT FOR THESE SERVICES HAS BEEN REACHED FOR THE CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6404	PROCEDURE IS LIMITED TO ONCE EVERY THIRTY(30) DAYS BY THE SAME BILLING PROVIDER
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6405	PROCEDURE CODE IS LIMITED TO ONE OCCURENCE EVERY SIX MONTHS
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6406	NEWBORN CODE MAY NOT BE BILLED MORE THAN ONCE
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6407	THE SAME PROVIDER MAY NOT BILL MORE THAN ONE NEW PATIENT OFFICE VISIT PER RECIP IENT IN A THREE YEAR PERIOD.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6409	REQUESTED INPATIENT HOSPITAL SERVICES EXCEED LIMIT OF 16
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6410	PHYSICIAN OFFICE VISIT LIMITATION HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6411	INITIAL CRITICAL CARE LIMITED TO ONE PER  DAY
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6413	REQUESTED INPATIENT HOSPITAL SERVICES EXCEED LIMIT OF 16
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6510	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6511	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6512	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6513	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6514	THIS PROCEDURE IS LIMITED TO 5 UNITS PER YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6515	THIS PROCEDURE IS LIMITED TO ONE EPISODE A YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6516	THIS PROCEDURE IS LIMITED TO 52 UNITS PER YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6517	THIS PROCEDURE IS LIMITED TO 10 (TEN) UNITS PER YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6518	PROCEDURE CODE IS LIMITED TO 104 UNITS A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6519	PROCEDURE CODE IS LIMITED TO 104 TIMES PER YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6520	PROCEDURE CODE IS LIMITED TO 104 TIMES A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6521	THIS PROCEDURE IS LIMITED TO 365 EPISODES A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6522	THIS PROCEDURE IS LIMITED TO 52 UNITS A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6523	BENEFITS HAVE BEEN EXCEEDED FOR THE CALDEAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6524	BENEFITS HAVE BEEN EXCEEDED FOR THE CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6525	BENEFITS HAVE BEEN EXCEEDED FOR THE CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6526	BENEFITS HAVE BEEN EXCEEDED FOR THE CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6527	BENEFITS HAVE BEEN EXCEEDEF FOR THE CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6528	BENEFITS HAVE BEEN EXCEEDED FOR THE CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6529	PROCEDURE IS LIMITED TO 260 UNITS A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6530	PROCEDURE IS LIMITED TO 8 UNITS A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6531	PROCEDURE CODE IS LIMITED TO 312 UNITS A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6532	PROCEDURE IS LIMITED TO 1040 UNITS A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6533	PROCEDURE IS LIMITED TO 1040 UNITS A YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6534	PROCEDURE IS LIMITED TO 2016 UNITS A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6535	PROCEDURE IS LIMITED TO 130 UNITS A CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6536	PROCEDURE IS LIMITED TO 104 TIMES A CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6537	PROCEDURE IS LIMITED TO 365 TIMES A CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6538	YEARLY LIMIT FOR CRISIS INTERVENTION HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6539	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6540	PSYCHOTHERAPY SERVICES ARE LIMITED TO 12 (TWELVE) PER CALENDAR YEAR AT PLACE OF  SERVICE "21" (INPATIENT)
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6541	DIAGNOSTIC ASSESSMENTS ARE LIMITED TO ONE ENCOUNTER PER CALENDAR YEAR
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6542	PROCEDURE IS LIMITED TO 4160 UNITS A YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6610	DIALYSIS ULTRAFILTRATION CODES Z5256 AND Z5266 ARE LIMITED TO A TOTAL OF 3 PER  RECIPIENT.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6611	PROCEDURE CODE IS LIMITED TO 156 UNITS PER CALENDAR YEAR.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6612	PROCEDURE CODE IS LIMITED TO ONE UNIT PER CALENDAR MONTH.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6613	PROCEDURE CODE IS LIMITED TO 12 UNITS PER LIFETIME.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6630	THIS PROCEDURE CODE IS LIMITED TO ONE PER CALENDAR MONTH.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6640	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6641	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6642	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6643	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6644	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6647	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6670	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6673	PROCEDURE IS LIMITED TO ONE (1) EVERY TWO YEARS.
259	Frequency of service.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6999	UNITS ON THIS CLAIM HAVE BEEN SYSTEMATICALLY REDUCED TO MEET THE BENEFIT LIMIT
259	Frequency of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	0436	TOTAL MEDICARE ALLOWED AMOUNT INVALID
259	Frequency of service.	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	N219	PAYMENT BASED ON PREVIOUS PAYER'S ALLOWED AMOUNT.	0436	TOTAL MEDICARE ALLOWED AMOUNT INVALID
259	Frequency of service.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	5511	PROCEDURE CODE IS LIMITED TO ONE PER RECIPIENT WITHIN 60 DAYS OF DELIVERY.
259	Frequency of service.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	6230	MORE THAN ONE MEDICAL ENCOUNTER (Z5298) CANNOT BE PAID ON THE SAME DATE OF SERV ICE.
259	Frequency of service.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N20	Service not payable with other service rendered on the same date.	6231	MORE THAN ONE DENTAL ENCOUNTER (D9430)CANNOT BE PAID ON THE SAME DATE OF SERVIC E.
259	Frequency of service.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N59	Please refer to your provider manual for additional program and provider information.	5511	PROCEDURE CODE IS LIMITED TO ONE PER RECIPIENT WITHIN 60 DAYS OF DELIVERY.
259	Frequency of service.	B14	Payment denied because only one visit or consultation per physician per day is covered.	N59	Please refer to your provider manual for additional program and provider information.	6408	PHYSICIAN IS LIMITED TO ONE VISIT PER DAY PER RECIPIENT
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5212	PROCEDURE CODE CANNOT BE BILLED ON THE SAME DAY WITH PROCEDURE CODES Z5181-Z518 5                                                                               6
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5213	PROCEDURE CODE CANNOT BE BILLED ON THE SAME DAY WITH PROCEDURE CODES Z5181-Z518 5                                                                               6
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5430	AN INITIAL VISIT WILL NOT BE PAID ON SAME DATE OF SERVICE ASAN ANNUAL, PERIODIC  OR HOME VISIT.
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5431	AN INITIAL VISIT WILL NOT BE PAID ON SAME DATE OF SERVICE ASAN ANNUAL, PERIODIC  OR HOME VISIT.
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5432	PRENATAL VISIT NOT COVERED FOR THE SAME DATE OF SERVICE OF FAMILY PLANNING.
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5433	PRENATAL VISIT NOT COVERED FOR THE SAME DATE OF SERVICE OF FAMILY PLANNING.
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5504	POSTPARTUM VISIT WILL NOT BE PAID ON THE SAME DAY AS PRENATAL VISIT
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5505	POSTPARTUM VISIT WILL NOT BE PAID ON THE SAME DAY AS PRENATAL VISIT
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	6230	MORE THAN ONE MEDICAL ENCOUNTER (Z5298) CANNOT BE PAID ON THE SAME DATE OF SERV ICE.
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	6412	ER AND CRITICAL CARE CODE ONE PER CLAIM.
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	6643	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N362	THE NUMBER OF DAYS OR UNITS OF SERVICE EXCEEDS OUR ACCEPTABLE MAXIMUM.	5817	REVENUE CODES 170 -171 MUST NOT EXCEED 10 UNITS UNDER MOTHER'S NUMBER.
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	6514	THIS PROCEDURE IS LIMITED TO 5 UNITS PER YEAR.
259	Frequency of service.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	6643	THE YEARLY LIMIT FOR THIS PROCEDURE HAS BEEN EXCEEDED.
275	Claim.	141	Claim adjustment because the claim spans eligible and ineligible periods of coverage.	N61	Rebill services on separate claims.	2057	RECIPIENT PARTIALLY ELIGIBILE - HEADER
275	Claim.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N61	Rebill services on separate claims.	2057	RECIPIENT PARTIALLY ELIGIBILE - HEADER
283	Medicare worksheet.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA112	Missing/incomplete/invalid group practice information.	0900	PROVIDER TYPE SPECIALITY GROUP NOT FOUND
283	Medicare worksheet.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA112	Missing/incomplete/invalid group practice information.	0901	GROUP NUMBER NOT FOUND IN PROVIDER GROUP TABLE
283	Medicare worksheet.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA112	Missing/incomplete/invalid group practice information.	0900	PROVIDER TYPE SPECIALITY GROUP NOT FOUND
283	Medicare worksheet.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	MA112	Missing/incomplete/invalid group practice information.	0901	GROUP NUMBER NOT FOUND IN PROVIDER GROUP TABLE
286	Other payer's Explanation of Benefits/payment information.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0227	THIRD PARTY PAYMENT AMOUNT INVALID
286	Other payer's Explanation of Benefits/payment information.	23	Payment adjusted because charges have been paid by another payer.	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0227	THIRD PARTY PAYMENT AMOUNT INVALID
286	Other payer's Explanation of Benefits/payment information.	109	Claim not covered by this payer/contractor. You must send the claim to the correct payer/contractor.	N104	This claim/service is not payable under our claims jurisdiction area. You can identify the correct Medicare contractor to process this claim/service through the CMS website at www.cms.hhs.gov.	2509	FILE CLAIM WITH MEDICARE
361	Is there other insurance?	22	Payment adjusted because this care may be covered by another payer per coordination of benefits.	N4	Missing/incomplete/invalid prior insurance carrier EOB.	2510	HMO CO-PAY/RECIPIENT HAS TPL
400	Claim is out of balance	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M52	Missing/incomplete/invalid from date(s) of service.	0508	TOTAL CHARGE DOES NOT EQUAL THE SUM OF ALL DETAILS
400	Claim is out of balance	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M54	Missing/incomplete/invalid total charges.	0271	INVALID TOTAL CLAIM CHARGE
400	Claim is out of balance	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M54	Missing/incomplete/invalid total charges.	0508	TOTAL CHARGE DOES NOT EQUAL THE SUM OF ALL DETAILS
402	Amount must be greater than zero	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M54	Missing/incomplete/invalid total charges.	0270	MISSING TOTAL CLAIM CHARGE
402	Amount must be greater than zero	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M79	Missing/incomplete/invalid charge.	0268	BILLED AMOUNT INVALID
402	Amount must be greater than zero	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M79	Missing/incomplete/invalid charge.	0269	DETAIL BILLED AMOUNT MISSING OR INVALID FORMAT
402	Amount must be greater than zero	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M79	Missing/incomplete/invalid charge.	0270	MISSING TOTAL CLAIM CHARGE
402	Amount must be greater than zero	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N75	Missing/incomplete/invalid tooth surface information.	0268	BILLED AMOUNT INVALID
421	Medical review attachment/information for service(s)	17	Payment adjusted because requested information was not provided or was insufficient/incomplete. Additional information is supplied using the remittance advice remarks codes whenever	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	2800	STERILIZATION DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREME NTS.
421	Medical review attachment/information for service(s)	17	Payment adjusted because requested information was not provided or was insufficient/incomplete. Additional information is supplied using the remittance advice remarks codes whenever	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	2801	HYSTERECTOMY DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREMEN TS.
421	Medical review attachment/information for service(s)	17	Payment adjusted because requested information was not provided or was insufficient/incomplete. Additional information is supplied using the remittance advice remarks codes whenever	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	2802	ABORTION DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREMENTS.
421	Medical review attachment/information for service(s)	17	Payment adjusted because requested information was not provided or was insufficient/incomplete. Additional information is supplied using the remittance advice remarks codes whenever	N59	Please refer to your provider manual for additional program and provider information.	2800	STERILIZATION DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREME NTS.
421	Medical review attachment/information for service(s)	17	Payment adjusted because requested information was not provided or was insufficient/incomplete. Additional information is supplied using the remittance advice remarks codes whenever	N59	Please refer to your provider manual for additional program and provider information.	2801	HYSTERECTOMY DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREMEN TS.
421	Medical review attachment/information for service(s)	17	Payment adjusted because requested information was not provided or was insufficient/incomplete. Additional information is supplied using the remittance advice remarks codes whenever	N59	Please refer to your provider manual for additional program and provider information.	2802	ABORTION DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREMENTS.
421	Medical review attachment/information for service(s)	226	Information requested from the Billing/Rendering Provider was not provided or was insufficient/incomplete.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	2800	STERILIZATION DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREME NTS.
421	Medical review attachment/information for service(s)	226	Information requested from the Billing/Rendering Provider was not provided or was insufficient/incomplete.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	2801	HYSTERECTOMY DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREMEN TS.
421	Medical review attachment/information for service(s)	226	Information requested from the Billing/Rendering Provider was not provided or was insufficient/incomplete.	N288	MISSING/INCOMPLETE/INVALID RENDERING PROVIDER TAXONOMY.	2802	ABORTION DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREMENTS.
421	Medical review attachment/information for service(s)	226	Information requested from the Billing/Rendering Provider was not provided or was insufficient/incomplete.	N59	Please refer to your provider manual for additional program and provider information.	2800	STERILIZATION DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREME NTS.
421	Medical review attachment/information for service(s)	226	Information requested from the Billing/Rendering Provider was not provided or was insufficient/incomplete.	N59	Please refer to your provider manual for additional program and provider information.	2801	HYSTERECTOMY DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREMEN TS.
421	Medical review attachment/information for service(s)	226	Information requested from the Billing/Rendering Provider was not provided or was insufficient/incomplete.	N59	Please refer to your provider manual for additional program and provider information.	2802	ABORTION DENIED BECAUSE DOCUMENTATION DOES NOT MEET HHS/MEDICAID REQUIREMENTS.
453	Procedure Code Modifier(s) for Service(s) Rendered	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	M57	Missing/incomplete/invalid provider identifier.	7269	MODIFIER NOT VALID FOR THIS PROCEDURE
453	Procedure Code Modifier(s) for Service(s) Rendered	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	M58	Missing/incomplete/invalid claim information.  Resubmit claim after corrections.	0251	FIRST MODIFIER INVALID FOR DATE OF SERVICE
453	Procedure Code Modifier(s) for Service(s) Rendered	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	M78	Missing/incomplete/invalid HCPCS modifier.	0252	SECOND MODIFIER INVALID FOR DATE OF SERVICE
453	Procedure Code Modifier(s) for Service(s) Rendered	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	M78	Missing/incomplete/invalid HCPCS modifier.	0253	THIRD MODIFIER INVALID FOR DATE OF SERVICE
453	Procedure Code Modifier(s) for Service(s) Rendered	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	M78	Missing/incomplete/invalid HCPCS modifier.	4097	INVALID/MISSING MODIFIER FOR THIS PROCEDURE
453	Procedure Code Modifier(s) for Service(s) Rendered	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	M78	Missing/incomplete/invalid HCPCS modifier.	5811	HEARING AND VISION SCREENING REQUIRE EP MODIFIER.
453	Procedure Code Modifier(s) for Service(s) Rendered	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	M78	Missing/incomplete/invalid HCPCS modifier.	7270	INVALID MODIFIER/PROCEDURE CODE COMBINATION
453	Procedure Code Modifier(s) for Service(s) Rendered	18	Duplicate claim/service.	M86	SERVICE DENIED BECAUSE PAYMENT ALREADY MADE FOR SAME/SIMILAR PROCEDURE WITHIN SET TIME FRAME.	6677	PROCEDURE CODE CANNOT BE BILLED MORE THAN SIX(6) TIMES WITH THE SAME MODIFIER.
453	Procedure Code Modifier(s) for Service(s) Rendered	B18	PAYMENT ADJUSTED BECAUSE THIS PROCEDURE CODES/MODIFIER WAS INVALID ON THE DATE OF SERVICE	M78	Missing/incomplete/invalid HCPCS modifier.	5811	HEARING AND VISION SCREENING REQUIRE EP MODIFIER.
453	Procedure Code Modifier(s) for Service(s) Rendered	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5750	PROCEDURE NOT COVERED WHEN BILLED WITH 76805, 76810 OR 76816 ON THE SAME DAY
453	Procedure Code Modifier(s) for Service(s) Rendered	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5751	PROCEDURE NOT COVERED WHEN BILLED WITH 76805, 76810 OR 76816 ON THE SAME DAY
453	Procedure Code Modifier(s) for Service(s) Rendered	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5752	PROCEDURE NOT COVERED WHEN BILLED WITH 76805 ON THE SAME DAY
453	Procedure Code Modifier(s) for Service(s) Rendered	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N20	Service not payable with other service rendered on the same date.	5753	PROCEDURE NOT COVERED WHEN BILLED WITH 76805 ON THE SAME DAY
453	Procedure Code Modifier(s) for Service(s) Rendered	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	6207	THESE NORPLANT SERVICES MUST BE BILLED USING THE APPROPRIATE COMBINATION CODE O NLY.
454	Procedure code for services rendered.	4	The procedure code is inconsistent with the modifier used or a required modifier is missing.	M144	Pre-/post-operative care payment is included in the allowance for the surgery/procedure.	7222	PROCEDURE DOES NOT REQUIRE AN ASSISTANT SURGEON
454	Procedure code for services rendered.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0234	PROCEDURE CODE MISSING
454	Procedure code for services rendered.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0235	PROCEDURE CODE NOT IN VALID FORMAT
454	Procedure code for services rendered.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	0571	SURGICAL PROCEDURE MISSING
454	Procedure code for services rendered.	96	Non-covered charge(s).	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4013	PROCEDURE CODE IS NO LONGER VALID
454	Procedure code for services rendered.	96	Non-covered charge(s).	M51	MISSING/INCOMPLETE/INVALID PROCEDURE CODE(S).	4032	PROCEDURE CODE IS MISSING/NOT ON FILE
454	Procedure code for services rendered.	96	Non-covered charge(s).	N56	Procedure code billed is not correct/valid for the services billed or the date of service billed.	4046	DATE OF SERVICE BEFORE PROCEDURE IS PAYABLE
454	Procedure code for services rendered.	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6203	THIS PROCEDURE IS LIMITED TO ONE PER POSTPARTUM PERIOD.
454	Procedure code for services rendered.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	3307	FQHC/PBRHC FFS/ENCOUNTER PROCEDURE CONFLICT
454	Procedure code for services rendered.	B7	This provider was not certified/eligible to be paid for this procedure/service on this date of service.	N257	MISSING/INCOMPLETE/INVALID BILLING PROVIDER/SUPPLIER PRIMARY IDENTIFIER.	1001	BILLING PROVIDER NOT ENROLLED FOR DATES OF SERVICE
455	Revenue code for services rendered.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	0339	REVENUE CODE IS MISSING
455	Revenue code for services rendered.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	0339	REVENUE CODE IS MISSING
455	Revenue code for services rendered.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	0340	REVENUE CODE IS INVALID
455	Revenue code for services rendered.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4059	REVENUE CODE NOT ON FILE
455	Revenue code for services rendered.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M50	Missing/incomplete/invalid revenue code(s).	4225	INVALID INPATIENT REVENUE CODE
455	Revenue code for services rendered.	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	N65	Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider.	4059	REVENUE CODE NOT ON FILE
455	Revenue code for services rendered.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	M50	Missing/incomplete/invalid revenue code(s).	3302	PROCEDURE AND REVENUE CODE COMBINATION NOT VALID
455	Revenue code for services rendered.	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	M76	Missing/incomplete/invalid diagnosis or condition.	3300	NEONATAL REVENUE - DIAGNOSIS CODE MISMATCH
456	Covered Day(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M52	Missing/incomplete/invalid from date(s) of service.	0397	HEADER STMT COVERS PERIOD "THROUGH" DATE MISSING
456	Covered Day(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M52	Missing/incomplete/invalid from date(s) of service.	0398	STATEMENT COVERS PERIOD "THROUGH" DATE INVALID
456	Covered Day(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA32	Missing/incomplete/invalid number of covered days during the billing period.	0282	MISSING COVERED DAYS
456	Covered Day(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA43	Missing/incomplete/invalid patient status.	0282	MISSING COVERED DAYS
457	Non-Covered Day(s)	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5332	THIS X-RAY PROCEDURE MAY NOT BE BILLED WITHIN 30 (THIRTY) DAYS OF A ROOT CANAL
457	Non-Covered Day(s)	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N20	Service not payable with other service rendered on the same date.	5333	THIS X-RAY PROCEDURE MAY NOT BE BILLED WITHIN 30 (THIRTY) DAYS OF A ROOT CANAL
457	Non-Covered Day(s)	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5646	POST-OPERATIVE CARE IS INCLUDED IN THE SURGERY FEE AND CANNOT BE BILLED SEPARAT ELY.
457	Non-Covered Day(s)	97	The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.	N59	Please refer to your provider manual for additional program and provider information.	5647	POST-OPERATIVE PHYSICIAN SERVICES FOR THE SAME DIAGNOSIS MAY NOT BE BILLED WITH IN 62 DAYS OF SURGERY
457	Non-Covered Day(s)	119	Benefit maximum for this time period or occurrence has been reached.	N59	Please refer to your provider manual for additional program and provider information.	6209	PROCEDURE LIMITED TO ONE SERVICE DURING 60 (SIXTY) DAY POSTPARTUM PERIOD.
457	Non-Covered Day(s)	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	M67	MISSING/INCOMPLETE/INVALID OTHER PROCEDURE CODE(S)	0822	SURGICAL REVENUE CODE REQUIRES ICD9 SURGERY CODE
457	Non-Covered Day(s)	B5	Payment adjusted because coverage/program guidelines were not met or were exceeded.	N59	Please refer to your provider manual for additional program and provider information.	6209	PROCEDURE LIMITED TO ONE SERVICE DURING 60 (SIXTY) DAY POSTPARTUM PERIOD.
458	Coinsurance Day(s)	2	Coinsurance Amount	MA34	Missing/incomplete/invalid number of coinsurance days during the billing period.	0817	INVALID COINSURANCE DAYS
458	Coinsurance Day(s)	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA35	Missing/incomplete/invalid number of lifetime reserve days.	0818	LIFETIME RESERVE DAYS NOT NUMERIC
459	Lifetime Reserve Day(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	MA35	Missing/incomplete/invalid number of lifetime reserve days.	0809	VERIFY LIFETIME RESERVE AND COINS DAYS TO COV DAYS
459	Lifetime Reserve Day(s)	125	Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.	MA35	Missing/incomplete/invalid number of lifetime reserve days.	0819	LIFETIME RESERVE DAYS > MAX ALLOWED
460	NUBC Condition Code(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M100	We do not pay for an oral anti-emetic drug that is not administered for use immediately before, at, or within 48 hours of administration of a covered chemotherapy drug.	0471	CONDITION CODE 8-24 INVALID
460	NUBC Condition Code(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	0284	PRIMARY CONDITION CODE INVALID
460	NUBC Condition Code(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	0285	SECOND CONDITON CODE INVALID
460	NUBC Condition Code(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	0286	THIRD CONDITION CODE INVALID
460	NUBC Condition Code(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	0287	FOURTH CONDITION CODE INVALID
460	NUBC Condition Code(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	0288	FIFTH CONDITION CODE INVALID
460	NUBC Condition Code(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	0289	SIXTH CONDITION CODE INVALID
460	NUBC Condition Code(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	0290	SEVENTH CONDITION CODE INVALID
460	NUBC Condition Code(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M44	Missing/incomplete/invalid condition code.	0471	CONDITION CODE 8-24 INVALID
461	NUBC Occurrence Code(s) and Date(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	0293	THIRD OCCURRENCE CODE INVALID
461	NUBC Occurrence Code(s) and Date(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	0295	DATE FOR PRIMARY OCCURRENCE CODE MISSING
461	NUBC Occurrence Code(s) and Date(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	0296	DATE FOR PRIMARY OCCURRENCE CODE INVALID
461	NUBC Occurrence Code(s) and Date(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	0297	DATE FOR SECOND OCCURRENCE CODE MISSING
461	NUBC Occurrence Code(s) and Date(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	0298	DATE FOR SECOND OCCURRENCE CODE INVALID
461	NUBC Occurrence Code(s) and Date(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	0299	DATE FOR THIRD OCCURRENCE CODE MISSING
461	NUBC Occurrence Code(s) and Date(s)	16	Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate	M45	MISSING/INCOMPLETE/INVALID OCCURRENCE CODE(S).	0300	DATE FOR THIRD OCCURRENCE CODE INVALID