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Edit / Error Knowledge Base > Select Edit Range >

Edits
Edit Range	Edits

01101 to 01200
	01107 - MEDICAID COVERAGE CODE 09, TITLE XIX DAYS PRESENT 01109 - MEDICAID COVERAGE CODE 09, BOX M NOT EQUAL 2 01116 - PRIOR APPROVAL REQUIRED FOR AMBULATORY SURGERY 01119 - INVALID OFFICE ACCOUNT NUMBER FOR ICM CLAIM 01121 - MEDICAID COVERAGE CODE 15 - RECIPIENT INELIGIBLE FOR THIS SERVICE 01122 - MEDICAID COVERAGE CODE 14 - RECIPIENT INELIGIBLE FOR THIS SERVICE 01123 - MEDICAID COVERAGE CODE 13 - RECIPIENT INELIGIBLE FOR THIS SERVICE 01127 - NURSE PRACTITIONER/MIDWIFE NOT QUALIFIED TO PRESCRIBE LEGEND DRUGS 01129 - PART A DEDUCTIBLE PREVIOUSLY PAID FOR THIS SPELL OF ILLNESS 01131 - PAYMENT NOT ALLOWED UNTIL MEDICARE INSURANCE IS MAXIMIZED 01136 - RATE CODE INVALID FOR CLINIC 01137 - SCHOOL SUPPORTIVE HEALTH SERVICE SPECIALTY CODE REQUIRES SSHS RATE CODE 01138 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PODIATRIST 01139 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY DENTIST 01140 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY DME PROVIDER 01141 - PROVIDER EXCEPTION IND REQUIRES PEND (DOH) 01143 - DIAGNOSIS DOES NOT INDICATE ALCOHOL REHAB. BILL DRG FOR DETOX. 01144 - DIAGNOSIS DOES NOT INDICATE DRUG REHAB. BILL DRG FOR DETOX. 01145 - PRINCIPAL DIAGNOSIS INCONSISTENT WITH PSYCH EXEMPT UNIT CLAIM 01146 - DX INDICATES ALCOHOL REHAB. BILL EXEMPT UNIT RATE 01147 - DX INDICATES DRUG REHAB. BILL EXEMPT UNIT RATE 01148 - PRIN DX IND PSYCH BILL UNIT RT 01149 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PODIATRIST/ATTACHMENT 01150 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY DENTIST/ATTACHMENT 01151 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/ REFERRED BY PRIMARY DME PROVIDER/ATTACHMENT 01152 - RESTRICTED RECIPIENT/MANAGED CARE COORDINATION PROGRAM SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PROVIDER 01153 - ONLY PRIMARY PHYSICIAN MAY BILL RESTRICTED RECIPIENT/MANAGED CARE COORDINATION PROGRAM PROCEDURE CODE 01154 - NO UTILIZATION THRESHOLD SERVICE AUTHORIZATION RECORD ON FILE 01155 - UTILIZATION THRESHOLD SERVICE AUTHORIZATION EXHAUSTED 01157 - RESTRICTED RECIPIENT/MANAGED CARE COORDINATION PROGRAM SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PROVIDER/ATTACHMENT 01158 - ENHANCED FEE PROCEDURE CODE USED FOR NON-QUALIFIED RECIPIENT OR PROVIDER 01160 - INAPPROPRIATE PROCEDURE CODE FOR HIV DIAGNOSIS 01161 - PLACE OF SERVICE INVALID FOR OMH SPECIALTY CODE 01162 - INVALID OMH SPEC/RATE CODE 01163 - TECHNICAL COMPONENT NOT APPROPRIATE FOR PRACTITIONER CLAIM 01164 - RECIP NOT QMB - SVCS NOT REIMBURSABLE FOR COS 01165 - CHIROPRACTIC ORDER/REFERRAL INVALID FOR SERVICE 01166 - CHIROPRACTIC ORDER/REFERRAL INVALID - RECIPIENT NOT QUALIFIED MEDICARE BENEFICIARY 01167 - CHIROPRACTIC ORDER/REFERRAL INVALID - MEDICARE APPROVED AMOUNT NOT GREATER THAN ZERO 01168 - SERVICE WAS PREVIOUSLY PAID AT100% 01169 - PROCEDURE REQUIRES APPROPRIATE COMPONENT MODIFIER 01171 - PREPAID CAPITATION RECIPIENT-SERVICE INAPPROPRIATE FOR ENROLLEE 01172 - PREPAID CAPITATION RECIPIENT - SERVICE COVERED WITHIN PLAN (DENY) 01173 - PREPAID CAPITATION RECIPIENT-REFERRAL OR SPECIALIST ID INVALID 01174 - PEND FOR STATE REVIEW - PCP PLAN CODE NOT ON CONTRACT FILE 01175 - PREPAID CAPITATION RECIPIENT - MULTIPLE COVERAGE 01178 - DUPLICATE PRINCIPAL PAS CLAIM ON HISTORY FILE 01180 - ABORTION CODE INVALID FOR RECIPIENTS AGE 01182 - RATE CODE NOT BILLABLE 01183 - REFERRAL INVALID FOR SERVICE 01191 - OUTPATIENT PSYCHIATRIC RATE BILLED FOR RECIPIENT IN A RESIDENTIAL HEALTH CARE FACILITY 01193 - RATE CODE INVALID FOR CLIENT AGE 01194 - RATE CODE INVALID FOR CLIENT AGE 01197 - SERVICE CONFLICT IN COMBO PRIOR SERVICE/CLAIM; PAY/RECORD FOR NOW 01198 - MANAGED CARE COORDINATION PROGRAM SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PHARMACY 01199 - MANAGED CARE COORDINATION PROGRAM SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PHARMACY/ATTACHMENT 01200 - MANAGED CARE COORDINATION SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PHYSICIAN

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