Eligibility AAA segment (loop/level 2100C) Reject Codes

Reject CodeDescription
15Required Application Data Missing
42Unable to Respond at Current Time
43Invalid/Missing Provider Identification
45Invalid/Missing Provider Specialty
47Invalid/Missing Provider State
48Invalid/Missing Referring Provider Identification Number
49Provider is Not Primary Care Physician
51Provider Not on File
52Service Dates Not Within Provider Plan Enrollment
56Inappropriate Date
57Invalid/Missing Date(s) of Service
58Invalid/Missing Date of birth
60Date of Birth Follows Date(s) of Service
61Date of Death Precedes Date(s) of Service
62Date of Service Not Within Allowable Inquiry Period
63Date of Service in Future
64Invalid/Missing Patient ID
65Invalid/Missing Patient Name
66Invalid/Missing Patient Gender Code
67Patient Not Found
68Duplicate Patient ID Number
71Patient Birth Date Does Not Match That for the Patient on the Database
72Invalid/Missing Subscriber/Insured ID
73Invalid/Missing Subscriber/Insured Name
74Invalid/Missing Subscriber/Insured Gender Code
75Subscriber/Insured Not Found
76Duplicate Subscriber/Insured ID Number
77Subscriber Found, Patient Not Found
78Subscriber/Insured Not in Group/Plan Identified

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