Electronic Claim Errors
A knowledge base of common electronic claim errors and possible solutions.
- 116 - Claim submitted to incorrect payer.
- PLEASE SUBMIT THIS CLAIM TO THE APPROPRIATE BLUE CROSS BLUE SHIELD OFFICE FOR PROCESSING. :
- 163 - Entity's policy/group number.
- CTN = Member Not Found
- CLAIM REJECTED - Resubmit claim to Regence Blue Shield for processing, patient is a Regence member, services performed in a Regence service area.
- INSURED ID IS NOT VALID
- Multiple Service Location error Multiple Service Locations Exist - the Service Location Must be Provided. :
- 252 - Entity's prior authorization/certification number. Usage: This code requires the use of an Entity Code.
- Availity has not received a status on your claim. Please contact payer for further assistance.
- 770 - Duplicate of a claim processed or in process as a crossover/coordination of benefits claim.
- A3 125 P021 SUBSCRIBER LAST NAME MISSING OR INVALID :
- FIELDNAME EZCAPMEMB---MEMBER ID NOT FOUND EMPTY :
- A3 164 HK contract-member number.
- INVALID RENDERING PROVIDER TAXONOMY CODE
- INVALID RENDERING PROVIDER TAXONOMY CODE :
- 2010BANM104 Subscriber First Name Contains Special Characters
- 93 - Entity is not selected primary care provider. Usage: This code requires use of an Entity Code.
- 400 - Claim is out of balance
- 96 - No agreement with entity. Usage: This code requires use of an Entity Code.
- 139 - Entity's health maintenance provider id (HMO). Usage: This code requires use of an Entity Code
- H51112 The last position of the Bill Type Code is not a valid NUBC Frequency code for this transaction. :
- 639 - Responsibility Amount
- A3 164 P400 INVALID FEP CONTRCT NUMBER :
- 658 - Treatment Code
- 2010BANM109 Unable To Determine Patient Eligibility - Patient Not Found On Submitted Policy :
- 2010CADMG02 Patient Date Of Birth Cannot Be Validated
- Rendering Provider Acknowledgement Rejected for Missing Information - The claim encounter is missing the information specified in the Status details and has been rejected.tax id. :
- Resubmission Code is invalid. (6) :
- 2010BANM103 Policy Found But Could Not Verify Name And Or DOB For This Person
- Value of element N402 is incorrect. Expected value is from external code list - State Code (22). Segment N4 is defined in the guideline at position 2700. Invalid data: