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edi_x12 priv element_values hipaa r5010 reject_reason_code.json
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priv/element_values/hipaa/r5010/reject_reason_code.json

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