Dictionary of Transaction Error Messages - Emdeon Dictionary of Transaction Error Messages contains a composite list of all transaction error messages that can be returned from the

February 2010 005010

Dictionary of Transaction Error Messages Emdeon MAX®, Emdeon Assistant®, Emdeon Direct®, and Emdeon POS® (Vx570 and Tranz)

09.24.2012 Pub # 60114

Dictionary of Transaction Error Messages Disclaimer

© 2012 Emdeon Business Services LLC. All rights reserved. This material contains confidential, proprietary information. Unauthorized use or disclosure of the information is strictly prohibited.

Disclaimer

This information is provided by Emdeon for education and awareness use only. Even though all information in these documents is believed to be correct at the time of writing, these documents are for educational purposes only and do not purport to provide legal advice. If you require legal advice, you should consult with an attorney. The information provided here is for reference use only and does not constitute the rendering of legal, financial, or other professional advice or recommendations by Emdeon.

Dictionary of Transaction Error Messages

© 2012 Emdeon Business Services LLC. All rights reserved. Page 1 This material contains confidential, proprietary information. Unauthorized use or disclosure of the information is strictly prohibited.


About This Guide The Dictionary of Transaction Error Messages contains a composite list of all transaction error messages that can be returned from the Emdeon data center across all payers and transactions. It is designed as a reference tool in which you can look up the meaning of any transaction error message you receive in a response.

In the response, an error message prints as a two-letter prefix (such as CL, HT, or RH) followed by a three- or four-digit number and a line or so of text.

The error messages in this guide are listed numerically by the number. The two-letter prefix is omitted.

Emdeon Customer Support

800.333.0263

[email protected]

mailto:[email protected]�



Number Message with Explanation

-- Announcement

Occasionally you will see a message at the end of your response. Such messages are used to convey pertinent information about Emdeon products, such as program changes, new product releases, or additional transactions or payers that are available to you. Call your Emdeon sales representative or Emdeon Customer Support if you would like more information.

001 No Response From Host

The payer did not respond to the transaction. Retry the transaction. If the problem persists, call Emdeon Customer Service.

0001 Account Suspended. Call Customer Service

Prefix CL: Your Emdeon customer account is not active. Call Emdeon Customer Support.

0001 Insufficient Data for Request

Prefix PC: Max attempted to perform an auto MCO transaction, but a default provider ID was not set up for the payer that was automatically queried.

0002 Incomplete Customer Information - Please Call Customer Service

Prefix CL: Your customer account information is not complete. Call Emdeon Customer Support.

0002 Incomplete Customer Information - Please Call Customer Service

Prefix HT: Your user ID and password has not been set up. Call Emdeon Customer Support.

0003 Insufficient Information To Complete a Search-Please Call Customer Service

Call Emdeon Customer Support.

0004 Please Call Customer Service For Program Update


0005 Unknown Transaction Request. Please Call Customer Service

Try again. If the problem persists, call Emdeon Customer Support.

0006 Invalid ApplID


0008 Invalid First Name

The first name submitted contains unacceptable characters, or it is the wrong length.

0009 Invalid Last Name

You last name submitted contains unacceptable characters, or it is the wrong length.

0010 Invalid Medicaid Number

The Medicaid number submitted contains unacceptable characters, or it is the wrong length.

0011 Invalid Card Control Number

The card control number submitted contains unacceptable characters, or it is the wrong length.



0012 Invalid Member Number

The member number submitted contains unacceptable characters, or it is the wrong length.

0014 Invalid Social Security Number

The Social Security number submitted contains unacceptable characters, such as letters, or it is the wrong length.

0015 Invalid Date of Birth

The date of birth submitted contains unacceptable characters, such as letters, or it was in the wrong format.

0016 Invalid Gender

The gender code or description submitted contains unacceptable characters, or it is the wrong length.

0017 Invalid Date of Service

The date of service submitted contains unacceptable characters, such as letters, or it is in the wrong format.

0018 Invalid Beginning Date of Service

The beginning date of service submitted contains unacceptable characters, such as letters, or it is in the wrong format.

0019 Invalid Ending Date of Service

The beginning date of service submitted contains unacceptable characters, such as letters, or it is in the wrong format.

0020 Beginning Date of Service Must Be Before Ending Date of Service

The beginning date of service submitted is chronologically after the ending date submitted.

0021 Date of Service Older Than One Year From Today

The date of service submitted is more than one year in the past, based on the submission date.

0023 Date of Service Older Than nnn Days From Today

The date of service submitted is more days in the past than the number of days noted in the message, based on the submission date.

0024 Future Date of Service Not Allowed

The date of service submitted is in the future, based on the submission date.

0025 Range for Dates of Service Greater than nnn Days

The begin and end dates of service submitted span more than the number of days noted in the error message.

0026 Duplicate Recipient

More than one record was found using the data submitted. Retry the transaction, using a different search type.



0027 Duplicate Name

More than one member was found using the name submitted. Retry the transaction, using a different search type.

0030 Provider Not Authorized

The inquiring provider is not authorized to access the payer’s database.

0031 Provider Not On File

Prefix HT: The inquiring provider is not set up in Emdeon’s database for this payer. Prefix RH: The inquiring provider is not in the payer’s provider files.

0032 Recipient Not On File

The recipient’s record was not found using the search data submitted.

0033 Recipient Not Eligible

The recipient’s record was found in the payer’s data files but the recipient is not eligible on the requested date(s) of service.

0034 System Not Available

The Emdeon data center did not receive a response from the payer. Try again later. If the problem persists, call Emdeon Customer Support.

0035 Host Timed Out Waiting For Response From Carrier

The Emdeon data center did not receive a response from the payer within the predefined response window. Try again later. If the problem persists, call Emdeon Customer Support.

0037 Invalid Transaction ID


0038 Invalid Transaction Type


0045 Future Date Of Service Beyond Current Month Not Allowed

The date of service submitted is beyond the end of the current month, based on the submission date.

0046 Provider Not Eligible

Applies to Missouri Medicaid: The inquiring provider is not eligible to submit claims on the current date (submission date). Call the Division of Medical Services Provider Relations Unit to verify your enrollment status.

0047 Required Request Parms Missing

Call Emdeon Customer Support

0048 Name Not On File

The name/date of birth combination submitted did not find the patient’s record in the payer’s database. Retry the transaction, using a different search type.



0049 Social Security Number Not On File

The Social Security number/name or Social Security number/date of birth combination submitted did not find the patient’s record in the payer’s database. Retry the transaction, using a different search type.

0050 Medicaid DCN Not On File

The Medicaid DCN submitted was not found in the payer’s database.

0051 Medicaid X-Ref DCN Not On File

The appropriate Medicaid DCN Cross-References were not found in the payer’s database.

0054 Function Not Available

A temporary condition has arisen on the host database which is not allowing transactions to process. Wait briefly, then retry the transaction. If the problem persists, call Emdeon Customer Support.

0055 Host Processing Error

A temporary condition has arisen at the payer’s mainframe which is not allowing transactions to process. Wait approximately 30 minutes and resubmit your request.

0057 For More Info Resubmit Per Instructions

Applies to Missouri Medicaid: A portion of the service dates submitted has non-restricted coverage, but the other portion has restricted coverage. Either the beginning date of service or the ending date of service of the response will be different from the dates you entered in the request. Run a separate transaction for the portion of your service dates not covered in the response.

0058 Claim Not Found

No claims were found for the provider, subscriber, and date of service submitted.

0067 Invalid/Missing Patient ID

Your request did not include a patient identifier, it is the wrong length, or it contains unacceptable characters.

0068 Invalid/Missing First And/Or Last Name

The first and/or last name submitted contains unacceptable characters or it is the wrong length.

0071 Multiple Eligibility


0073 Invalid Provider Number

The provider number submitted contains unacceptable characters, or it is the wrong length.

0079 Invalid Provider ID

The provider number submitted contains unacceptable characters, or it is the wrong length.

0082 Incorrect Request Or Version Format




0085 Unable to Respond at Current Time

The payer’s database is currently unavailable. Try again later.

0099 Invalid AHCCCS ID

Applies to AHCCCS only: The AHCCCS ID submitted contains unacceptable characters, or it is the wrong length.

0100 Future Beginning Date of Service Not Allowed

The beginning date of service submitted is in the future, based on the submission date.

0101 Future Ending Date of Service Beyond 30 Days Not Allowed

The ending date of service submitted is more than 30 days in the future, based on the submission date.

0102 The HAWI ID Entered Is A Secondary HAWI ID. Correct HAWI ID: xxxxxxx

Applies to Hawaii Medicaid Eligibility only. The Hawaii Medicaid identification number submitted is for a secondary record. The correct ID is noted in the message.

0103 Invalid Recipient ID Card

The card number submitted contains unacceptable characters or it is the wrong length.

0104 Duplicate Response

More than one record was found in the payer’s database using the data submitted. Retry the transaction, using a different search type.

0108 Invalid Recipient ID

The recipient ID submitted contains unacceptable characters, or it is the wrong length.

0109 Future Ending Date Of Service Not Allowed


0110 Invalid Member ID

The member ID submitted contains unacceptable characters, or it is the wrong length.

0142 Invalid Request Issued

Applies to BCBS Alabama Benefits only: The request was sent for a non-PMD physician.

0147 Provider Number Not Present

The provider number submitted was not found.

0150 Patient Not Found

The patient’s record was not found using the search data submitted.

0150 Patient Not Found Matching This Criteria

The patient’s record was not found using the search data submitted.

0152 System Error

There was a data length error or a maximum packet error. Call Emdeon Customer Support.



For Address Verification, Payment Predictor, Medicaid Predictor, and Charity Care transactions, can indicate that the entity submitting the transaction is not authorized to send this transaction to the payer.

0156 Recipient Eligibility Pending For Services On DOS

The patient is recognized by the payer as a covered individual, but the status cannot be determined at this time.

0158 Search Type Must Be 01, 02, 03, Or 04


0159 Member Not Eligible For Dates Of Service

The member’s record was found in the payer’s data files but the member is not eligible on the requested date(s) of service.

0160 Member Not On File

The member’s record was not found using the search data submitted.

0161 Unable To Determine Group ID. Please Call Customer Service

Call Emdeon Customer Service.

0162 No Subscriber On File For This Member

The subscriber was found, but the dependent patient was not found using the data submitted.

0163 Unknown Error

The Emdeon data center received an error from the payer that it did not recognize. Call Emdeon Customer Support.

0173 Search Criteria Format Invalid

Applies to BCBS of Arizona Security Registration only: The security registration failed when it reached BCBS of Arizona due to an improper format. Retry the transaction; make sure you enter the correct provider information. If you receive this message again, call Emdeon Customer Support.

0205 Invalid Access Number

Your request did not include an access number, it is the wrong length, or it contains unacceptable characters.

0211 Invalid Referring Provider Number

Your request did not include a referring provider number, it is the wrong length, or it contains unacceptable characters.

0214 Invalid Service Units

Your request did not include a number of service unit, or the number of service units entry contains unacceptable characters.

0231 Authorization/Access Restrictions

The entity submitting the request is not authorized to trade information with this payer.

Try again. If the problem persists, call Emdeon Customer Support.



0232 Invalid/Missing Provider Name

Your request did not include a provider name, it is the wrong length, or it contains unacceptable characters.

0237 Provider is Not Primary Care Physician

The provider identifier submitted does not match the provider identifier on file for the member’s primary care physician.

0238 Service Dates Not Within Provider Plan Enrollment

The dates of service submitted are not within the provider's enrollment in this plan.

0239 Inquired Benefit Inconsistent with Provider Type

The provider does not supply the benefit or service submitted.

0240 Inappropriate Product/Service ID Qualifier

The product or service ID qualifier submitted is not consistent with the product or service ID submitted.

0241 Inappropriate Product/Service ID

The product or service identifier submitted is not suitable for this member or provider.

0242 Inappropriate Date

The date of service submitted is not suitable for this member.

0244 Date of Birth Follows Date(s) of Service

The date of birth submitted is chronologically after the date(s) of service.

0247 Patient Not Found

The patient was not found using the data submitted.

0249 Inconsistent with Patient's Age

The benefit or service submitted is not suitable for the patient's age.

0250 Inconsistent with Patient's Gender

The benefit or service submitted is not suitable for the patient's gender.

0251 Patient Birth Date Does Not Match That for the Patient on the Database

The patient was found, but the date of birth submitted does not match the date of birth on file.

0252 Invalid/Missing Subscriber/Insured ID

Your request did not include a member identifier, it is the wrong length, or it contains unacceptable characters.

0253 Invalid/Missing Subscriber/Insured Name

Your request did not include a member name, it is the wrong length, or it contained unacceptable characters.

0255 Duplicate Subscriber/Insured ID Number

More than one member was found using the subscriber or insured identifier submitted. Retry the transaction, using a different search type.



0256 Subscriber Found, Patient Not Found

The subscriber was found, but the dependent patient was not found using the data submitted.

0257 Subscriber/Insured Not in Group/Plan Identified

The group/plan number does not match the group/plan number on file.

0258 Invalid Participant Identification

The provider identifier or participant identifier submitted does not identify a provider or payer.

0259 No Response Received - Transaction Terminated

The Emdeon data center did not receive a response from the payer. Try again later. If the problem persists, call Emdeon Customer Support.

Do not try the transaction again. Please call WebMD/Medifax Customer Support. (from Addr/Crdt spec)

0268 Invalid Member's Plan Code

The plan code submitted contains unacceptable characters, or it is the wrong length.

0272 Group Number Not Found

Applies to the Sloans Lake Managed Care transaction: The group number that you entered is not on file with Sloans Lake Managed Care. Try the transaction again and use a group name search.

0274 Subscriber Number Not Found

The subscriber number was not found in the payer’s data files.

0276 Member Number Not Found

The member’s record was not found in the payer’s using the member identification number you entered. Retry the transaction, using a different search type.

0278 Benefit Package Not Found For Group

The benefit package for the identified group was not found in the payer’s files.

0300 Recipient Number Not Numeric

Applies to Illinois Medicaid Supplemental transactions only. The recipient ID that was sent with the request contained characters other than numbers. Call Emdeon Customer Support.

0301 No Data Found For Inquiry

Applies to Illinois Medicaid Supplemental transactions only. There is no claim in the Illinois Department of Public Aid (IDPA) files matching the input information by which you searched.

0303 Transaction Timed Out At IDPA

Applies to Illinois Medicaid Supplemental transactions only. Consultec (who facilitates access to the Illinois Medicaid data files) did not receive a response from the Illinois Medicaid data files within a predetermined period of time. Wait a few minutes, then retry the transaction. If the problem persists, call Emdeon Customer Support.

0304 IDPA System Not Available

Applies to Illinois Medicaid Supplemental transactions only. The Illinois system has indicated that it is temporarily unavailable. Files may be closed for maintenance. Wait briefly, then retry the transaction. If the problem persists, call Emdeon Customer Support.



0305 Range for Dates of Service Greater than nnn Months

The begin and end dates of service submitted span more than the number of months noted in the error message.

0309 Date Of Service Greater Than 8 Years From Today

Applies to Illinois Medicaid Supplemental transactions only. Your requested beginning or ending date of service extended into the past further than eight years from the current day.

0310 Invalid Document Control Number

Applies to Illinois Medicaid Supplemental transactions only. The Document Control Number (DCN) you entered is not valid. It must contain at least 13 digits.

0311 Member Not Found With This Name

The member was not found using the name submitted. Retry the transaction, using a different search type.

0314 Member Not Found With This ID#

The member was not found using the identifier submitted. Retry the transaction, using a different search type.

0315 Member Not Found With This DOB For Name

The member’s record was found using the name submitted, but the date of birth on file did not match the date of birth submitted. Verify the data and try again.

0316 Multiple Members Found For This Name And DOB

More than one member record was found using the name and date of birth submitted. Retry the transaction, using a different search type.

0317 Member Name Not Found For This Social Security Number

The member’s name submitted was found in the payer’s database, but it did not match the Social Security number in that record. Retry the transaction, using a different search type.

0318 Multiple Members Found For This Social Security Number And Name

More than one member was found using the Social Security number and name submitted. Retry the transaction, using a different search type.

0319 Member DOB Not Found For This Social Security Number

The member’s record was found in the payer’s database for the Social Security number submitted, but the date of birth you submitted did not match the date of birth in that record.

0320 Multiple Members Found For This Social Security Number And DOB

More than one member was found using the Social Security number and date of birth submitted. Retry the transaction, using a different search type.

0325 Member Files Not Available

The payer’s files were not available. Wait a short period of time, then retry the transaction. If the problem persists, call Emdeon Customer Support.

0330 Provider ID Cancelled

Your provider ID has been cancelled. Call Emdeon Customer Support.



0331 Provider Number Invalid/Not On File

Applies to BCBS of Alabama Benefits only: The Provider ID number submitted was not on file, or it was added today.

0356 Password Not Matched

The payer does not recognize the provider’s password. Call Emdeon Customer Support.

0375 Security Error

Applies to BCBS of Arizona Eligibility only: Your security registration transaction has not yet taken effect. It takes BCBS of Arizona up to 24 hours to process a registration transaction. If you have questions, call BCBS of Arizona Provider Assistance at 602-864-4320 or 800-232-2345 ext. 4320.

0392 Invalid DCN Begin Date

Applies to Illinois Medicaid Supplemental transactions only. The DCN beginning date range that you entered was in the wrong format (for example, it was only five numbers) or you entered numbers that did not represent a real date.

0393 Invalid DCN End Date

Applies to Illinois Medicaid Supplemental transactions only. The DCN ending date range that you entered was in the wrong format (for example, it was only five numbers) or you entered numbers that did not represent a real date.

0395 Beginning Document Control Number Must Be Numeric

Applies to Illinois Medicaid Supplemental transactions only. The Document Control Number contained invalid characters in inappropriate sequence. Please check the DCN carefully and retry the transaction.

0396 Invalid Document Code

Applies to Illinois Medicaid Supplemental transactions only. The two-character Document Code you entered was invalid. Please check your data and retry the transaction.

0397 Document Code Required With DCN Date Range

Applies to Illinois Medicaid Supplemental transactions only. You must enter a Document Code when also searching by DCN begin/end dates.

0399 Continue Information Not Requested Correctly. Please Call Customer Service

Applies to Illinois Medicaid Supplemental transactions only. There were more claims on IDPA’s files than can be transmitted in a single response, and the Emdeon host did not request the subsequent claims from IDPA correctly. Notify Emdeon Customer Support if you receive this message.

0410 Future DCN Begin Date Not Allowed

Applies to Illinois Medicaid Supplemental transactions only. The DCN beginning date range input was greater than today’s date.

0411 Future DCN End Date Not Allowed

Applies to Illinois Medicaid Supplemental transactions only. The DCN ending date range input was greater than today’s date.



0412 DCN Date Range Cannot Be Greater Than One Month

Applies to Illinois Medicaid Supplemental transactions only. The range between the DCN beginning and ending dates was greater than one month.

0413 Card Has Been Invalidated

The hard card used for the card swipe has been invalidated.

0415 Invalid Response, Please Call Customer Service

The response sent to the payer was not in the correct format. Call Emdeon Customer Support.

0431 Invalid Relationship Code

You entered an unacceptable relationship code.

0433 Invalid Claim Type


0436 Internal Database Error. Please Contact Customer Service

Call Emdeon Customer Service.

0447 Invalid Card Issue Date

The card issue date submitted contains unacceptable characters, or it was in the wrong format.

0448 Name/SSN Not On File

The member’s record was not found in the payer’s database using the Social Security number and name submitted. Retry the transaction, using a different search type.

0449 Name/DOB Not On File

The member’s record was not found in the payer’s database using the name and

date of birth you entered. Retry the transaction, using a different search type.

0459 Inquiry Type Must Be (N)IPS Or (P)harmacy

Applies to Illinois Medicaid Supplemental transactions only. You entered an invalid Inquiry Type on a NIPS/Pharmacy Claim History inquiry. You must enter either N for a NIPS Claim or P for a Pharmacy Claim.

0476 Unidentified System Error


0491 Password Missing or Invalid


0493 No Match Found

No files were found matching the search criteria you entered.

0499 Invalid/Missing Date of Birth

Your request did not include a date of birth, or the date of birth was in the wrong format or contained unacceptable characters.



0502 Invalid/Missing Provider ID

Your request did not include a provider identifier, it is the wrong length, or it contains unacceptable characters.

0523 Medicare ID Not On File

Applies to BCBS of Alabama Medicare Part B only: The Medicare identification number submitted is not on file in the payer’s database.

0539 Transaction Error

The transaction is in the wrong format. Call Emdeon Customer Support.

0542 Provider Not Valid For Logon ID

The provider ID submitted is not on file with at the Emdeon data center as a valid provider for this payer.

0547 Subscriber or Insured Not Found

The subscriber’s or insured’s record was not found in the payer’s database.

0553 House Number Missing Or Invalid

Your request did not include a house number or address first line, the data is the wrong length, or it contains unacceptable characters.

0554 Street Name Missing Or Invalid

Your request did not include a street name, the data is the wrong length, or it contains unacceptable characters.

0555 City Name Missing Or Invalid

Your request did not include a city name, it is the wrong length, or it contains unacceptable characters.

0556 State Code Missing or Invalid

Your request did not include a state code, it is the wrong length, or it contains unacceptable characters.

0557 ZIP Code Missing or Invalid

Your request did not include a ZIP code, it is the wrong length, or it contains unacceptable characters.

0559 Middle Name Invalid

The middle name submitted contains unacceptable characters, or it is the wrong length.

0565 Family Inquiry No Longer Available. Please Call Customer Service.

The family inquiry is no longer supported by this payer. Call Emdeon Customer Support for questions.

0566 ID Card Is Invalid. Contact xxxxxx

The ID card number submitted contains unacceptable characters, or it is the wrong length. Contact the payer noted in the error message text.



0568 Member Not Eligible


0569 Multiple Members Found

More than one record was found using the search criteria submitted. Retry the transaction, using a different search method.

0571 Security Failure.~Invalid UserID and/or Password

The user ID and/or password submitted contain unacceptable characters, or the user ID and/or password is incorrect. Try again. If the problem persists, call Emdeon Customer Support.

0576 Member Not Eligible For Date Of Service

The member is not eligible for Medicaid on the requested date of service.

0577 SSN/DOB Not On File

The member’s record was not found in the payer’s database using the Social Security number and date of birth you entered. Retry the transaction, using a different search type.

0578 Multiple Members Found

More than one member was found using the data submitted. Retry the transaction, using a different search type.

0580 Provider Ineligible For Inquiries

The inquiring provider is not eligible to submit to this payer.

0581 Service Dates Not Within Provider Plan Enrollment

The dates of service submitted are not within the provider's enrollment in this plan.

0582 Patient Date Of Birth Does Not Match That For The Patient On The Database

The date of birth submitted does not match the date of birth on file for the patient.

0584 Future Date Of Birth Not Allowed

The date of birth submitted is in the future, based on the submission date.

0585 Recipient Is Inactive..Eligible But Unborn

The recipient is an unborn baby. This message will appear along with the Audit number, Recipient ID, Recipient Last Name and First Name field headings and other information.

0587 Multiple Members Found With This Date Of Service

More than one member’s file was found with the date of service submitted, or the member has multiple eligibility on the date of service.

0588 Member Not Eligible for Date of Service




0589 Search Type Not Supported – Try xxxx Search

The search type submitted is disabled at this time. Retry the transaction, using the search type noted in the error message.

0591 Subscriber Not Eligible for Date Of Service, Please Call Provider Assistance To Confirm Eligibility..

Applies to BCBS of Arizona Eligibility only: The subscriber is not eligible for coverage on the date of service submitted. Call BCBS of Arizona Provider Assistance at the number given in the error message.

0592 Provider Entry Not Found. Please Submit Registration Transaction

Applies to BCBS of Arizona Eligibility only. You must submit a registration transaction before you can submit eligibility transactions.

0593 Invalid Provider Type

Applies to BCBS of Arizona Security Registration only: The provider type submitted was not recognized. Retry the transaction; make sure you enter P as the provider type.

0594 Invalid Provider Tax ID

The provider tax ID submitted is the wrong length or contains unacceptable characters.

0595 Invalid Provider Name

The provider name submitted is the wrong length or contains unacceptable characters.

0596 Invalid Provider Contact

The provider contact name submitted is the wrong length or contains unacceptable characters.

0597 Invalid Provider Fax Number

The provider fax number submitted is the wrong length or contains unacceptable characters.

0598 Invalid Provider Email

The provider email address submitted is the wrong length, the wrong format, or contains unacceptable characters.

0599 Transaction Failed Due To Duplicate Record Already Registered

Applies to BCBS of Arizona Security Registration only: The security registration failed when it reached BCBS of Arizona because the provider is already registered.

0600 Invalid Subscriber Number

The subscriber number submitted contains unacceptable characters, or it is the wrong length.

0601 No Schedule Page

Applies to BCBS of Arizona Eligibility only: The subscriber schedule page is unavailable on the BCBS of Arizona system. Call BBS of Arizona Provider Assistance at 602-864-4320 or 800-232-2345 ext. 4320.

0605 Beginning Date Of Service Older Than mm/dd/ccyy Not Allowed

The date of service submitted is older than the date noted in the message.



0607 Member Not Eligible For Dates Of Service: Search AHCCCS

Applies to the Health Choice of Arizona eligibility transaction only. The member is not eligible for Health Choice of Arizona on the requested date of service. Run an AHCCCS Eligibility transaction.

0611 Provider Is Not Primary Care Physician

The provider submitted is not the patient’s primary care physician.

0612 Invalid/Missing Patient Name or Invalid/Missing Name

Your request did not include a patient name, or the it is the wrong length or contains unacceptable characters.

0613 Invalid/Missing Patient Gender Code

Your request did not include a gender code, it is the wrong length, or it contains unacceptable.

0614 Duplicate Patient ID Number

Duplicate members were found in the payer’s data files based on the information submitted. Retry the transaction, using a different search type.

0615 Patient Not Eligible

The patient’s record was found in the payer’s data files, but the patient is not eligible on the requested date of service.

0617 Provider Type Not On File

The provider type submitted was not found in the payer’s files.

0618 Provider ID And Provider Type Combination Is Not On File

The provider type submitted does not match that on file for the provider in the payer’s files.

0619 Recipient Not Eligible. If Recipient Regains Eligibility For DOS, Then Recipient May Be Enrolled In QHP:

The recipient is not eligible for Medicaid on the dates of service submitted, but if the recipient regains eligibility for the date of service, then the recipient may be enrolled in QHP (Qualified Health Plan).

0620 Invalid Provider Type

The provider type submitted contains unacceptable characters, or it is the wrong length.

0621 Future Beginning Date Of Service Beyond 1 Year

The date of service submitted is more than one year in the future, based on the submission date.

0629 Date of Service Not Within Allowable Inquiry Period

The date(s) of service submitted are not within the dates in which the payer allows you to search. See your transaction guides for date of service restrictions.

0640 Invalid Contract#

The contract number submitted contains unacceptable characters, or it is the wrong length.



0641 Group Number Invalid

The group number submitted contains unacceptable characters, or it is the wrong length.

0644 Invalid/Missing Provider Specialty

Your request did not include a provider specialty, it is the wrong length, or it contains unacceptable characters.

0645 Invalid/Missing Procedure Code

Your request did not include a procedure code, it is the wrong length, or it contains unacceptable characters.

0648 Invalid Employee ID

The employee ID entered contained unacceptable characters, or it is the wrong length.

0657 Contract Number Not On File

Applies to BCBS of Alabama Benefits only: The member is not eligible. If in question, verify the contract number submitted.

0658 Contract Number Changed

Applies to BCBS of Alabama Benefits only: The member’s contract number has changed. Call BCBS of Alabama Customer Service.

0659 Contract Number Cancelled

Applies to BCBS of Alabama Benefits only: The member’s contract number has been cancelled. Call BCBS of Alabama Customer Service.

0660 Only Physician Benefits Available

Applies to BCBS of Alabama Benefits only: Only physician benefits are available.

0661 Dentist ID Required

Applies to BCBS of Alabama Benefits only: The provider ID submitted must be a dental provider ID.

0662 Only Dental Benefits Can Be Requested

Applies to BCBS of Alabama Benefits only: Only dental benefits can be requested.

0663 Problem With Dental Benefits Found

Applies to BCBS of Alabama Benefits only: There is a problem with the dental benefits information on file. Call BCBS of Alabama Customer Service.

0667 Authorized Quantity Exceeded

The number of requests submitted exceeds the number authorized.

0668 Required Application Data Missing

The application data required for this transaction was missing. Call Emdeon Customer Support.

0669 Invalid/Missing Provider Address

Your request did not include a provider address, it is the wrong length, or it contains unacceptable characters.



0671 Invalid Coverage Type

The coverage type submitted contains unacceptable characters, or it is the wrong length.

0673 Terminal Number Not Set Up Correctly


0674 Valid Physician ID Required

Applies to BCBS Alabama Medicare Part B only: The provider identification number submitted is not on file as an authorized provider.

0675 Search Type Not Supported. Try Another Search Type

The search type submitted is not supported by this payer. Retry the transaction, using a supported search type.

0676 Member Not Eligible For Date Of Service Entered – Patient Covered By AHCCCS As Of Date Of Inquiry

Applies to Maricopa Integrated Health System inquiries: the member is not eligible for services on the date of service submitted, but is covered by AHCCCS as of the submission date.

0677 Member Not Eligible For Date Of Service Entered – Patient Covered By KidsCare As Of Date Of Inquiry

Applies to Maricopa Integrated Health System inquiries: the member is not eligible for services on the date of service submitted, but is covered by KidsCare as of the submission date.

0678 Member Not Eligible For Date Of Service Entered – Patient Has Private Insurance As Of Date Of Inquiry

Applies to Maricopa Integrated Health System inquiries: the member was not eligible for services on the date of service submitted, but had private insurance as of the submission date.

0679 Member Not Eligible For Date Of Service Entered – Patient On Medicare As Of Date Of Inquiry

Applies to Maricopa Integrated Health System inquiries: the member is not eligible for services on the date of service submitted, but has Medicare coverage as of the submission date.

0680 Member Not Eligible For Date Of Service Entered – Presumptive Eligibility Expired As Of Date Of Inquiry – Refer To Eligibility Specialist

Applies to Maricopa Integrated Health System inquiries: the member is not eligible for services on the date of service submitted. Presumptive eligibility has expired, as of the submission date. The patient should be referred to their Eligibility Specialist.

0681 Member Not Eligible For Date Of Service Entered – Temporary Eligibility Expired As Of Date Of Inquiry – Refer To Eligibility Specialist

Applies to Maricopa Integrated Health System inquiries: the member is not eligible for services on the date of service submitted. Temporary eligibility has expired, as of the submission date. The patient should be referred to their Eligibility Specialist.

0709 Call BC/BS Alabama (nnn-nnn-nnnn) Due To Grp Benefit Coordination Issue

Applies to BCBS of Alabama Benefits only: Call BCBS Alabama at the number given for benefit information, due to the host group benefit coordination.



0710 Recipient Not Eligible. No Medicaid — Low Income Medicare

The recipient is not eligible for Medicaid, but the recipient has Low Income Medicare coverage.

0711 Invalid Place of Service Code

The place of service code submitted contains unacceptable characters, or it is the wrong length.

0714 Recipient Not Eligible. No Medicaid - Medicare CoIns/Ded Only

The recipient is not eligible for Medicaid coverage on the requested date of service, but the recipient is eligible for Medicare coinsurance and deductible only.

0715 Recipient Not Eligible Because Spenddown Has Not Been Met For The Month Of Service. Medicare CoIns/Ded only

The recipient is not eligible for Medicaid coverage on the requested date of service because the spenddown requirements have not been met for the month of service. The recipient has Medicare coinsurance and a deductible.

0716 Recipient Not Eligible. Medicare Part B Only

The recipient is not eligible for Medicaid on the requested date of service, but has Medicare Part B coverage.

0717 Recipient Not Eligible Because the Spenddown Has Not Been Met For The Month Of Service. Medicare Part B only

The recipient is not eligible for Medicaid coverage on the requested date of service because the spenddown requirements have not been met for the month of service. The recipient has Medicare Part B coverage.

0745 Recipient Not Eligible. No Medicaid – Medicare CoIns/Ded Only

The recipient was not eligible for Medicaid on the requested date of service, but had Medicare coinsurance and a deductible.

0747 Recipient Not Eligible. Medicare Part B Only

The recipient is not eligible for Medicaid on the requested date of service, but has Medicare Part B coverage.

0823 Invalid Procedure Quantity nnn

The procedure quantity noted in the error message contains unacceptable characters, is the wrong length, or is not greater than one.

0834 Invalid Service Provider ID

The service provider ID submitted contains unacceptable characters, or it is the wrong length.

0836 Service Provider ID Or Service Provider Tax Code Is Required

The transaction submitted contains neither the service provider’s provider ID nor the service provider’s federal tax ID; one of these values is required.

0853 Invalid Service Provider Last Name

The service provider last name submitted contains unacceptable characters, or it is the wrong length.

0854 Missing Service Provider Last Name

Your request did not include a service provider last name.



0855 Invalid Service Provider First Name

The service provider first name submitted contains unacceptable characters, or it is the wrong length.

0856 Missing Service Provider First Name

Your request did not include a service provider first name.

0857 Invalid Service Provider Middle Name

The service provider middle name submitted contains unacceptable characters, or it is the wrong length.

0858 Missing Service Provider Middle Name

Your request did not include a service provider middle name.

0861 Invalid Payer Claim ID

The payer claim ID submitted contains unacceptable characters, or it is the wrong length.

0862 Invalid Claim Charge Amount

The total claim charge amount submitted contains unacceptable characters, or it was in the wrong format.

0867 Database Is No Longer Available. Call xxxxxx If You Have Questions

The transaction is no longer supported by the payer. Call the number noted in the error message if you have questions.

0872 Invalid/Missing Provider Identification

Your request did not include a provider identification number, it is the wrong length or contains unacceptable characters.

0874 Invalid/Missing Date(s) of Service

Your request did not include a date of service, it is the wrong length, or it contains unacceptable characters.

0879 Invalid/Missing Date-Of-Birth

Your request did not include a date of birth, it is the wrong length, or it contains unacceptable characters.

0880 Date of Service in Future


0881 Duplicate Patient ID Number

More than one record was found using the patient identifier submitted. Retry the transaction, using a different search type.

0888 Inconsistent with Patient Age

The benefit or service submitted is not suitable for the patient's age.

0889 Inconsistent with Patient Gender

The benefit or service submitted is not suitable for the patient's gender.



0892 Invalid/Missing Procedure Modifier

Your request did not include a procedure modifier, or it is the wrong length or contained unacceptable characters.

0893 Invalid/Missing Family Unit Number

Your request did not include a family unit number, it is the wrong length, or it contains unacceptable characters.

0894 Invalid/Missing Medical Record Number

Your request did not include a medical record number, or it is the wrong length, or it contains unacceptable characters.

0895 Invalid/Missing ID Card Serial #

Your request did not include an ID card serial number, it is the wrong length, or it contains unacceptable characters.

0896 Invalid/Missing Insurance Policy #

Your request did not include an insurance policy number, it is the wrong length, or it contains unacceptable characters.

0897 Invalid/Missing Plan Network ID

Your request did not include a payer plan network ID, it is the wrong length, or it contains unacceptable characters.

0898 Invalid Recipient Suffix

Your request did not include a recipient suffix, it is the wrong length, or it contains unacceptable characters.

0899 Invalid/Missing Street Address

Your request did not include a street address, it is the wrong length or contains unacceptable characters.

0900 Invalid Country Abbreviation

Your request did not include a country abbreviation, it is the wrong length, or it contains unacceptable characters.

0901 Invalid/Missing Coverage Level

Your request did not include a coverage level, it is the wrong length, or it contains unacceptable characters.

0902 Invalid/Missing Insurance Type

Your request did not include an insurance type, it is the wrong length, or it contains unacceptable characters.

0903 Invalid/Missing Spenddown Amount

Your request did not include a spenddown amount, it is the wrong length, or it contains unacceptable characters.

0904 Invalid/Missing Diagnosis/Principal Diagnosis/Facility Code

Your request did not include one of the following: diagnosis code, principal diagnosis code, or facility code, it is the wrong length, or it contains unacceptable characters.



0905 Invalid/Missing Referral/Authorization Number

Your request did not include a referral or authorization number, it is the wrong length, or it contains unacceptable characters.

0906 Invalid Birth Sequence Number

The birth sequence number submitted contains unacceptable characters, or it is the wrong length.

0907 Invalid/Missing Service Type/Product ID

Your request did not include a either a service type or product ID, or the service type or product ID is the wrong length or contains unacceptable characters.

0908 Invalid/Missing Service Type/Product ID Qualifier

Your request did not include a qualifier for either the service type or product ID, or the qualifier is the wrong length or contains unacceptable characters.

0909 Invalid/Missing Procedure Modifier

Your request did not include a procedure modifier, it is the wrong length, or it contains unacceptable characters.

0918 Unknown X12 response version returned by payer

The payer returned an incorrect version in the response. Call Emdeon Customer Support.

0920 Invalid/Missing Bill Type Indicator

Your request did not include a bill type indicator, it is the wrong length, or it contains unacceptable characters.

0921 Invalid/Missing Line Item Number

Your request did not include a line item number, it is the wrong length, or it contains unacceptable characters.

0923 Unable to Process Response

Retry the transaction. If the problem persists, call Emdeon Customer Support.

0924 Call for Eligibility Verification

Call the payer for eligibility information.

0925 Invalid nnn Response returned by Payer

The payer returned an invalid response of the type noted in the message text. Call Emdeon Customer Support.

0926 Search Type Not Supported By Payer At Current Time. Please Try Another Search Type Until This One Becomes Available

Applies to the APIPA Eligibility transaction only. Social Security number searches are not currently supported. Try again using a different search method.

0929 Invalid/Missing Taxonomy Code

Your request did not include a taxonomy code, it is the wrong length, or it contains unacceptable characters.



0930 Invalid/Missing Procedure Code Qualifier

Your request did not include a procedure code qualifier, it is the wrong length, or it contains unacceptable characters.

0931 Invalid/Missing Lab Units

Your request did not include a number of lab units, or the entry contains unacceptable characters.

0932 Invalid/Missing Prescription Units

Your request did not include a number of prescription units, or the entry contains unacceptable characters.

0933 Invalid/Missing Claim Period Date

Your request did not include claim period dates, they are in the wrong format, or they contain unacceptable characters.

0934 Invalid/Missing Patient Account Number

Your request did not include a patient account number, it is the wrong length, or it contains unacceptable characters.

0937 Missing or invalid transaction set identifier from Payer

The payer returned an unacceptable data element in the response, or the data was missing. Call Emdeon Customer Support.

0938 Charge and Prod/Svc ID Must Be Entered If Inquiring Using Line Item Details

Your request did not include charge and product/service ID information, which is required when using line item details.

0939 Unmatched Response From Payer

The Emdeon data center received a response from the payer that did not match the request. Call Emdeon Customer Support.

0975 Invalid Ref/Precert Type

The referral or precertification type submitted contains unacceptable characters, or it is the wrong length.

0976 Invalid Procedure Code Source

The procedure code source (qualifier) submitted contains unacceptable characters, or it is the wrong length.

0977 Division Number Invalid

The division number submitted contains unacceptable characters, or it is the wrong length.

997 Please Call 1-800-333-0263


1001 Invalid Group Number/Division

The group/division number combination submitted is not a valid combination.



1005 Invalid Requestor's Role

The requester’s role submitted contains unacceptable characters, or it is the wrong length.

1006 Missing Requestor's Role

Your request did not include a requester’s role.

1007 The Accident Date, Accident State, And Accident Country Are Required If Auto Accident Is "Y"

The auto accident value submitted was Y, but your request did not include the accident date, accident state, or accident country.

1008 The Accident Date Entered Is Invalid

The accident date submitted contains unacceptable characters, it is the wrong length, or it is in the wrong format.

1009 Invalid Release of Information Code

The release of information code submitted contains unacceptable characters, or it is the wrong length.

1010 Missing Release of Information Code

Your request did not include a release of information code.

1011 Invalid Prognosis Code

The prognosis code submitted contains unacceptable characters, or it is the wrong length.

1012 Missing Prognosis Code

Your request did not include a prognosis code.

1013 Invalid Requestor's Telephone

The requester’s telephone number submitted contains unacceptable characters, or it is the wrong length.

1014 Missing Requestor's Telephone

Your request did not include a requester’s telephone number.

1015 Invalid Requestor's Specialty

The requester’s specialty submitted contains unacceptable characters, or it is the wrong length.

1016 Missing Requestor's Specialty

Your request did not include a requester’s specialty.

1017 Invalid Service Provider's Specialty

The service provider’s specialty submitted contains unacceptable characters, or it is the wrong length.

1018 Missing Service Provider's Specialty

Your request did not include a service provider’s specialty.



1019 Invalid Admission Date

The admission date submitted contains unacceptable characters, it is the wrong length, or it is in the wrong format.

1020 Missing Admission Date

Your request did not include an admission date.

1021 Invalid Request Type

The request type submitted contains unacceptable characters, it is the wrong length, or it is not a valid value.

1022 Missing Procedure Code With Procedure Date Submitted

Your request included a procedure date without a corresponding procedure code.

1025 Network Busy. Please Try Again Later

The communications network (NetX) is busy. Wait briefly, then retry the transaction. If the problem persists, call Emdeon Customer Support.

1026 Invalid/Missing Referring Provider Name

Your request did not include a referring provider name, it is the wrong length, or it contains unacceptable characters.

1027 Invalid/Missing Referring Provider Specialty

Your request did not include a referring provider specialty, it is the wrong length, or it contains unacceptable characters.

1028 Invalid/Missing Referring Provider Phone Number

Your request did not include a referring provider phone number, it is the wrong length, or it contains unacceptable characters.

1029 Invalid/Missing Referring Provider State

Your request did not include a referring provider state, it is the wrong length, or it contains unacceptable characters.

1030 Invalid/Missing Referring Provider Address

Your request did not include a referring provider address, it is the wrong length, or it contains unacceptable characters.

1031 Invalid/Missing Service Provider Phone Number

Your request did not include a service provider phone number, it is the wrong length, or it contains unacceptable characters.

1032 Invalid/Missing Service Provider State

Your request did not include a service provider address, it is the wrong length, or it contains unacceptable characters.

1033 Invalid/Missing Service Provider Address

Your request did not include a service provider address, it is the wrong length, or it contains unacceptable characters.



1034 APIPA Medicaid/Medicare Dual Coverage. Medicaid Number: nnnnnnnnnn; Medicare Number: nnnnnnnnnnn. Please Use Medicaid Or Medicare Number Search For More Information

Applies to the APIPA Eligibility transaction only. The recipient has both Medicare and Medicaid information on file. Search again using the Medicaid number to receive Medicaid information or the Medicare number to receive Medicare information. The n’s in the error message will be replaced by the recipient’s Medicaid and Medicare numbers.

1035 Missing Payer Claim ID

Your request did not include a payer claim ID, it is the wrong length, or it contains unacceptable characters.

1052 Member Not Eligible For Date Of Service Entered -– Patient Is Eligible For Other Insurance As Of Date Of Inquiry

Applies to Maricopa Integrated Health System inquiries: the member is not eligible for services on the date of service that you entered because the patient is eligible for other insurance.

1053 Member Not Eligible For Date Of Service Entered – Patient Is Overdue for Renewal -– Refer To Eligibility Specialist

Applies to Maricopa Integrated Health System inquiries: the member is not eligible for services on the date of service that you entered because the patient is overdue for renewal. The patient should be referred to their Eligibility Specialist.

1054 Member Not Eligible For Date Of Service Entered – Patient Is Covered By Veterans Administration

Applies to Maricopa Integrated Health System inquiries: the member is not eligible for services on the date of service that you entered because the patient is covered by the Veterans Administration.

1055 FL Medicaid Name/DOB and SSN/Name searches are no longer available on this product due to the HIPAA remediation process. If you would like to update your product, please call Customer Service - 800-333-0263.

Applies to legacy Florida Medicaid Eligibility transactions only. The name/date of birth and Social Security number/name searches are no longer available for legacy Florida Medicaid Eligibility transactions. If you would like to update your product, call Emdeon Customer Support.

1056 FL Medicaid Span transactions are no longer available on this product due to the HIPAA remediation process. If you would like to update your product, please call Customer Service - 800-333-0263.

Applies to legacy Florida Medicaid Eligibility transactions only. The span transactions are no longer available for legacy Florida Medicaid Eligibility. If you would like to update your product, call Emdeon Customer Support.

1057 Medicaid Claim Status transactions are no longer available on this product due to the HIPAA remediation process. If you would like to update your product, please call Customer Service - 800-333-0263.

Applies to legacy Florida Medicaid Claim Status transactions only. The Claim Status transactions are no longer available for legacy Florida Medicaid. If you would like to update your product, call Emdeon Customer Support.



1058 National Provider ID Not On File

Pertains to Aetna only: Aetna has determined that the NPI sent by the provider is not on Aetna’s files.

1059 Service Provider ID Cannot Be The Same As Requestor ID

The service provider ID entered cannot be the same as the provider ID for the requesting provider. The requesting provider cannot create a referral to him/herself.

1066 Invalid/Missing Procedure Code(s)

The procedure code(s) submitted is either missing or invalid.

3055 Lebanon Pike, Suite 1000 Nashville, TN 37214-2230

877.EMDEON.6 (877.363.3666) www.emdeon.com

Emdeon is a leading provider of revenue and payment cycle solutions that connect payers, providers, and patients to improve the healthcare business processes. To learn more about our company, our services, and our commitment to improving healthcare, visit our website at www.emdeon.com.

© 2012 Emdeon Business Services LLC. All rights reserved.

Documents

Dictionary of Transaction Error Messages - Emdeon Dictionary of Transaction Error Messages contains a composite list of all transaction error messages that can be returned from the