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Edit / Error Knowledge Base > Select Edit Range >


Edits

Edit Range Edits
00101 to 00200
00102 - SERVICE DATE PRIOR TO BIRTH DATE
00103 - ADJUSTMENT/VOID FIELDS ARE INCOMPLETE
00110 - MEDICARE DATA INCONSISTENT
00123 - AMOUNT CHARGED IS LESS THAN MEDICARE APPROVED AMOUNT
00125 - PROV CATEG OF SVCE NOT ON FILE
00126 - MANUAL REVIEW CODE 6 MANUAL PRICE EXCLUDES DME EQUIPMENT SERVICE AREA CD C & E
00127 - MEDICARE PAID AMOUNT REPORTED LESS THAN REASONABLE
00129 - RATE CODE NOT ON RATE FILE
00131 - THIRD PARTY INDICATED/OTHER INSURANCE AMT NOT SUBMITTED
00132 - PROVIDER ID NO NOT ON FILE
00135 - PROVIDER SPECIALTY INVALID FOR PROCEDURE
00136 - GROUP ID NUMBER NOT ON NYS MASTER FILE
00137 - PROVIDER INACTIVE OR TERMINATED
00139 - GROUP/SERVICE PROVIDER NOT ELIGIBLE ON DATE OF SERVICE
00140 - RECIPIENT ID NUMBER NOT ON FILE
00141 - GROUP PROVIDER INELIGIBLE ON DATE OF SERVICE / PROVIDER ID IS ACTIVE DURING THE ENROLLMENT PERIOD
00142 - RECIPIENT BIRTH DATE NOT EQUAL FILE
00144 - RECIPIENT SEX NOT EQUAL FILE
00146 - PRIMARY/PRINCIPAL DIAGNOSIS NOT ON FILE
00147 - GROUP ID NUMBER NOT ON NYS MASTER FILE AS A GROUP ID
00148 - SECONDARY DIAGNOSIS NOT ON FILE
00152 - RECIPIENT FILE INDICATES MEDICARE/NO MEDICARE PRESENT
00154 - RECIPIENT AGE IS GREATER THAN MAXIMUM PRIMARY DIAGNOSIS
00155 - RECIPIENT AGE LESS THAN MINIMUM PRIMARY DIAGNOSIS
00156 - PRIMARY/PRINCIPAL DIAGNOSIS INVALID FOR SEX OF RECIPIENT
00160 - SECONDARY DIAGNOSIS INVALID FOR SEX OF RECIPIENT
00162 - RECIPIENT INELIGIBLE ON SERVICE DATE
00164 - PROVIDER NOT MEMBER OF GROUP
00165 - RECIPIENT AGE GREATER THAN MAXIMUM FOR PROCEDURE (PEND)
00166 - PROVIDER INELIGIBLE SERVICE ON DATE PERFORMED
00167 - RECIPIENT AGE LESS THAN MINIMUM FOR PROCEDURE (PEND)
00170 - PROCEDURE CODE NOT ON FILE
00172 - PROC REQUIRES MANUAL PRICING
00174 - PROC INVLD FOR PLC SERV (PEND)
00175 - SERVICE PROVIDER ID NUMBER NOT ON NYS MASTER FILE
00178 - PROCEDURE INVALID FOR RECIPIENT SEX (PEND)
00180 - UNITS GREATER THAN MAXIMUM
00186 - REQ PA FOR PROCEDURE NOT FOUND
00190 - PROVIDER EXCEPTION CODE 02 REQUIRES MANUAL PRICING (0-0-S PROVIDER)
00198 - LOCATION OF SERVICE INVALID FOR PROVIDER
00199 - MODIFIER REQUIRES MANUAL PRICE
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