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Edit / Error Knowledge Base > Select Edit Range >


Edits

Edit Range Edits
00501 to 00600
00503 - CLAIM OVER 90 DAYS/PRIOR APPROVAL REQUIRED
00507 - RATE CODE INVALID FOR OUTPATIENT CLINIC CLAIM.
00510 - INVALID CHAP REFERRAL CODE BY PRACTITIONER
00511 - INVALID CHAP REFERRAL CODE BY CLINIC
00519 - ORDERING/REFERRING/PRESCRIBING PROVIDER LICENSE NUMBER INVALID
00525 - PRESCRIBER LICENSE NUMBER IS MISSING
00526 - PRESCRIPTION / ORDER NUMBER IS MISSING
00528 - MISSING OR INVALID QUANTITY DISPENSED
00530 - NEW / REFILL NUMBER INVALID
00531 - AUTHORIZED REFILLS NUMBER INVALID
00532 - DISPENSE AS WRITTEN CODE INVALID
00534 - DATE ORDERED INVALID
00536 - FILL DATE GREATER THAN 60 DAYS FROM PRESCRIPTION ORDER DATE
00538 - ORDERING/REFERRING PROVIDER PROFESSION CODE INVALID
00539 - REFILL EXCEEDS MAXIMUM NUMBER AUTHORIZED
00540 - NUMBER OF DAYS SUPPLY INVALID
00544 - NDC CODE NON-NUMERIC
00547 - RECIPIENT INELIGIBLE (COVERAGE CODE IS EQUAL TO 07)
00548 - FILL DATE PRECEDES ORDER DATE
00549 - REFILL DATE GREATER THAN 180 DAYS FROM ORDER DATE
00550 - MAXIMUM QUANTITY EXCEEDED
00551 - ITEM NOT ELIGIBLE FOR PAYMENT ON FILL DATE
00552 - CLAIM REQUIRES PRIOR APPROVAL
00553 - DRUG INVALID FOR RECIPIENT SEX
00556 - REFILL NUMBER EXCEEDS MAXIMUM MAX
00558 - RECIPIENT AGE GREATER THAN ALLOWED
00559 - RECIPIENT AGE LESS THAN ALLOWED
00561 - NDC CODE NOT ON FILE
00562 - DRUG PRICE NOT AVAILABLE ON FILL DATE
00563 - DAYS SUPPLY LESS THAN MINIMUM
00568 - PRESCRIBING PROVIDER PROFESSION CODE INVALID FOR ISSUING PRESCRIPTION
00570 - NO PRICE ON DRUG FILE
00572 - ITEM REQUIRES MANUAL REVIEW
00598 - CATEGORY OF SERVICE INVALID FOR NDC CODE
00600 - ADMISSION DATE INVALID
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