Edits

02001 - CLAIM PAYER PD AMT NOT EQUAL TO SUM OF LINE PAYER PD AMT
02002 - PRESCRIPTION SERIAL NUMBER MISSING
02003 - PROVIDER NOT CERTIFIED FOR THIS PROCEDURE
02004 - RECIPIENT HAS MEDICARE PART D
02005 - NURSING HOME TRANSITION AND DIVERSION MEDICAID WAIVER (NHTD) PROGRAM RATE CODE REQUIRES RECEIPT WITH EXCEPTION CODE 60
02006 - PROCEDURE MANUAL REVIEW CODE 6 REQUIRES MANUAL PRICING - INCLUDES DME EQUIPMENT SERVICE C & E
02007 - OMH PROS RATE MUST BE BILLED ON LAST DAY OF MONTH
02008 - RECIP EXCP CODE MUST = 84 TO BILL THIS RATE CODE
02009 - RECIP EXCP CODE MUST = 84 OR 85 TO BILL THIS RATE CODE
02010 - RECIP EXCP CODE MUST = 86 TO BILL THIS RATE CODE
02011 - INVALID RATE CODE BILLED FOR RECIP EXCP CODE 84
02012 - INVALID RATE CODE BILLED FOR RECIP EXCP CODE 85
02013 - INVALID RATE CODE BILLED FOR RECIP EXCP CODE 86
02014 - CLAIM UNDER REVIEW BY THE OFFICE OF THE STATE COMPTROLLER
02015 - MEDICARE COINSURANCE > 0 AND MEDICARE PAYMENT = 0
02016 - MEDICARE MANAGED CARE (MCO) QUALIFIER 16 CONFLICTS WITH MEDICARE PART A OR PART B QUALIFIERS
02020 - MISSING THE BILLING PROVIDER NPI
02021 - GROUP NPI MISSING
02022 - THE REFERRING NPI IS MISSING
02023 - ATTENDING PROVIDER NPI MISSING
02024 - OPERATING PROVIDER NPI MISSING
02025 - MISSING RENDERING NPI
02026 - MISSING SUPERVISING NPI
02027 - MISSING OTHER NPI
02028 - MISSING ASSISTANT SURGEON NPI
02030 - INVALID BILLING PROVIDER NPI
02031 - INVALID GROUP PROVIDER NPI
02032 - INVALID REFERRING PROVIDER NPI
02033 - INVALID ATTENDING PROVIDER NPI
02034 - INVALID OPERATING PROVIDER NPI
02035 - INVALID RENDERING PROVIDER NPI
02036 - INVALID SUPERVISING PROVIDER NPI
02037 - INVALID OTHER PROVIDER NPI
02038 - INVALID ASSISTANT SURGEON PROVIDER NPI
02040 - BILLING MMIS PROVIDER ID CANNOT BE DERIVED
02041 - GROUP MMIS PROVIDER ID CANNOT BE DERIVED
02042 - REFERRING MMIS PROVIDER ID CANNOT BE DERIVED
02043 - ATTENDING MMIS PROVIDER ID CANNOT BE DERIVED
02044 - OPERATING MMIS PROVIDER ID CANNOT BE DERIVED
02045 - RENDERING MMIS PROVIDER ID CANNOT BE DERIVED
02046 - SUPERVISING MMIS PROVIDER ID CANNOT BE DERIVED
02047 - OTHER MMIS PROVIDER ID CANNOT BE DERIVED
02048 - ASSISTANT SURGEON MMIS PROVIDER ID CANNOT BE DERIVED
02049 - PRESCRIBING MMIS PROVIDER ID CAN NOT BE DERIVED
02050 - INVALID NPI AND MMIS BILLING PROVIDER ID COMBINATION
02051 - INVALID NPI AND MMIS GROUP PROVIDER ID COMBINATION
02052 - INVALID NPI AND MMIS REFERRING PROVIDER ID COMBINATION
02053 - INVALID NPI AND MMIS ATTENDING PROVIDER ID COMBINATION
02054 - INVALID NPI AND MMIS OPERATING PROVIDER ID COMBINATION
02055 - INVALID NPI AND MMIS RENDERING PROVIDER ID COMBINATION
02056 - INVALID NPI AND MMIS SUPERVISING PROVIDER ID COMBINATION
02057 - INVALID NPI AND MMIS OTHER PROVIDER ID COMBINATION
02058 - INVALID NPI AND MMIS ASSISTANT SURGEON PROVIDER ID
02059 - MEDICAID DAYS INVALID ON CLAIMS WITH MEDICARE HMO DAYS, REBILL SEPARATELY
02062 - TRANSPORTATION SERVICE PERFORMED DURING INPATIENT STAY
02063 - TRANSPORTATION SERVICE PAID DURING THIS INPATIENT ADMISSION PERIOD
02066 - DRUG CODE MISSING
02067 - ATTENDING PROVIDER NOT LINKED TO BILLING PROVIDER
02068 - PROVIDER RATE FOUND WITHOUT MATCHING ZIP CODE OR LOCATOR CODE
02069 - MISSING ORDERING NPI
02070 - INVALID ORDERING NPI
02071 - ORDERING MMIS PROVIDER ID CANNOT BE DERIVED
02072 - INVALID NPI AND MMIS ORDERING PROVIDER ID COMBINATION
02074 - UNITS GREATER THAN MAXIMUM
02077 - MORE LINES ON ADJUSTMENT THAN ORIGINAL
02078 - DRUG SUBMITTED NOT REBATEABLE
02079 - MISSING OR INVALID POA CODE
02080 - APG CLAIM DOCUMENT LIMIT REACHED
02081 - ALL APG LINES PAID ZERO
02085 - AFTER HOUR PROCEDURE REQUIRES SECOND SERVICE LINE ON CLAIM
02097 - GROUP OR INDIVIDUAL DAY HABILITATION BILLED ON WEEKEND