Error Reason Codes

X12 External Code Source 977 8/1/2019 LAST UPDATED

The Error Reason codes are used to communicate the type of error reason.

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01Inappropriate combination of service type code and service type code descriptor.
Activation Date: 11/01/2017
02Inappropriate service type code(s)
Activation Date: 11/01/2017
03The submitted procedure code(s) is not supported.
Activation Date: 11/01/2017
04Inquiries related to procedure codes are not supported.
Activation Date: 11/01/2017
05The submitted modifier code(s) is not supported.
Activation Date: 11/01/2017
06Inquiries related to modifier codes are not supported.
Activation Date: 11/01/2017
07The submitted diagnosis code(s) is not supported.
Activation Date: 11/01/2017
08Inquiries related to diagnosis codes are not supported.
Activation Date: 11/01/2017
09Duplicate ID
Activation Date: 11/01/2017 | Deactivation Date: 08/01/2019
10Invalid subscriber or insured ID
Activation Date: 11/01/2017
11Missing subscriber or insured ID
Activation Date: 11/01/2017
12Missing subscriber or insured name
Activation Date: 11/01/2017
13Invalid date of death
Activation Date: 11/01/2017
14Missing date of death
Activation Date: 11/01/2017
15Missing provider name
Activation Date: 11/01/2017
16Invalid taxonomy
Activation Date: 11/01/2017
17Missing taxonomy
Activation Date: 11/01/2017
18Missing provider state
Activation Date: 11/01/2017
19Invalid referring provider ID
Activation Date: 11/01/2017
20Missing referring provider ID
Activation Date: 11/01/2017
21The request date(s) is not within the provider's plan enrollment period.
Activation Date: 11/01/2017
22The request date(s) precedes the date of birth.
Activation Date: 11/01/2017
23The date of death in our records precedes the request date(s).
Activation Date: 11/01/2017
24The request date(s) is not within the allowable inquiry period.
Activation Date: 11/01/2017
25The request date(s) is in the future.
Activation Date: 11/01/2017
26Invalid request date(s)
Activation Date: 11/01/2017
27Invalid patient ID
Activation Date: 11/01/2017
28Missing patient ID
Activation Date: 11/01/2017
29Missing patient name
Activation Date: 11/01/2017
30Invalid case number
Activation Date: 11/01/2017
31Missing case number
Activation Date: 11/01/2017
32Invalid provider address
Activation Date: 11/01/2017
33Missing provider address
Activation Date: 11/01/2017
34The referral number was not found.
Activation Date: 11/01/2017
35Invalid diagnosis code(s)
Activation Date: 11/01/2017
36Missing diagnosis code(s)
Activation Date: 11/01/2017
37Invalid procedure code(s)
Activation Date: 11/01/2017
38Missing procedure code(s)
Activation Date: 11/01/2017
39Invalid modifier code(s)
Activation Date: 11/01/2017
40Missing modifier code(s)
Activation Date: 11/01/2017
41Invalid authorization number
Activation Date: 11/01/2017
42Invalid referral number
Activation Date: 11/01/2017
43Missing referral number
Activation Date: 11/01/2017
44The authorized quantity of patient requests was exceeded.
Activation Date: 11/01/2017
45The provider is out of network for the member.
Activation Date: 11/01/2017
46The responding system is unable to complete the request at the current time.
Activation Date: 11/01/2017
47The provider ID does not match our records and we were not able to identify the provider.
Activation Date: 11/01/2017
48Inappropriate combination of qualifier and product or service code.
Activation Date: 11/01/2017
49Inappropriate combination of provider ID and taxonomy.
Activation Date: 11/01/2017
50Inappropriate combination of place of service and product or service code.
Activation Date: 11/01/2017
51Duplicate patient ID
Activation Date: 11/01/2017 | Deactivation Date: 08/01/2019
52The service is inconsistent with the patient's age.
Activation Date: 11/01/2017
53The diagnosis is inconsistent with the patient's age.
Activation Date: 11/01/2017
54The patient's date of birth does not match our records.
Activation Date: 11/01/2017
55The subscriber or insured was not found.
Activation Date: 11/01/2017
56The subscriber ID or insured ID is not unique (returns multiple matches) in our records.
Activation Date: 11/01/2017 | Deactivation Date: 08/01/2019
57Although the subscriber was found, the patient was not found.
Activation Date: 11/01/2017
58The submitted group or plan does not match our records.
Activation Date: 11/01/2017
59A response was not received from the information source's system.
Activation Date: 11/01/2017
60The submitted services are inconsistent with the submitted diagnosis code(s).
Activation Date: 11/01/2017
61Invalid provider ID
Activation Date: 11/01/2017
62Missing provider ID
Activation Date: 11/01/2017
63This service is not medically appropriate for this patient.
Activation Date: 11/01/2017
64The submitted authorization number does not match our records.
Activation Date: 11/01/2017
65Invalid date of birth
Activation Date: 11/01/2017
66Missing date of birth
Activation Date: 11/01/2017
67Missing gender code
Activation Date: 11/01/2017
68The provider ID does not match our records but we were able to identify the provider.
Activation Date: 11/01/2017
69Invalid member ID
Activation Date: 11/01/2017
70The responding system is unable to respond within the alloted time.
Activation Date: 11/01/2017
71Missing last name
Activation Date: 11/01/2017
72Missing first name
Activation Date: 11/01/2017
73Missing member ID
Activation Date: 11/01/2017
74The member ID does not match our records.
Activation Date: 11/01/2017
75The gender code does not match our records.
Activation Date: 11/01/2017
76The first name does not match our records.
Activation Date: 11/01/2017
77The last name does not match our records.
Activation Date: 11/01/2017
78The middle name does not match our records.
Activation Date: 11/01/2017
79Invalid name suffix
Activation Date: 11/01/2017
80Missing name suffix
Activation Date: 11/01/2017
81The name suffix does not match our records.
Activation Date: 11/01/2017
82There were duplicates within the minimum number of service types supported (ten), so there are fewer than ten responses.
Activation Date: 11/01/2017
83There were duplicate service type inquiries so the number of responses does not match the number of inquiries.
Activation Date: 11/01/2017
84The number of service type inquiries exceeds the number of responses we can return.
Activation Date: 11/01/2017
85We have responded with general benefit information, however the submitted procedure code requires separate medical review.
Activation Date: 11/01/2017
86We have responded, however the submitted procedure code requires separate medical review and prior authorization.
Activation Date: 11/01/2017
87We have responded with general benefit information, however the submitted service type code requires separate medical review.
Activation Date: 11/01/2017
88We have responded, however the submitted service type code requires separate medical review and prior authorization.
Activation Date: 11/01/2017
89Invalid group number
Activation Date: 11/01/2017
90Missing group number
Activation Date: 11/01/2017
91The responding system cannot process this real-time inquiry in real-time mode.
Activation Date: 11/01/2017
92Duplicate first name
Activation Date: 08/24/2018
93Duplicate last name
Activation Date: 08/24/2018
94Duplicate date of birth
Activation Date: 08/24/2018
95Duplicate policy(s)
Activation Date: 08/24/2018
96A date range greater than 12 months is not supported.
Activation Date: 08/24/2018
97The date range of the inquiry exceeds the period of time supported.
Activation Date: 08/24/2018
98The member ID is not unique (returns multiple matches) in our records.
Activation Date: 08/01/2019
99Inappropriate combination of service type codes
Activation Date: 08/01/2019
100Service type code(s) on this request is valid only for responses and is not valid on requests.
Activation Date: 08/01/2019
101The provider ID does match our records but has not met the eligibility requirements to send or receive this transaction.
Activation Date: 08/01/2019