Line Adjudication Information. Usage: At least one other status code is required to identify the data element in error. Entity not eligible/not approved for dates of service. Usage: This code requires use of an Entity Code. Information submitted inconsistent with billing guidelines. Usage: At least one other status code is required to identify the inconsistent information. Entity's preferred provider organization id (PPO). Usage: This code requires use of an Entity Code. TPO rejected claim/line because certification information is missing. (Use status code 21 and status code 252)

Processed according to contract provisions (Contract refers to provisions that exist between the Health Plan and a Provider of Health Care Services) Entity was unable to respond within the expected time frame. Usage: This code requires use of an Entity Code. Real-Time requests not supported by the information holder, do not resubmit This change effective September 1, 2017: Real-time requests not supported by the information holder, do not resubmit Services/charges related to the treatment of a hospital-acquired condition or preventable medical error. Entity not eligible for benefits for submitted dates of service. Usage: This code requires use of an Entity Code.

Amount must be greater than or equal to zero. Usage: At least one other status code is required to identify which amount element is in error. Information was requested by a non-electronic method. Usage: At least one other status code is required to identify the requested information. Identifier Qualifier Usage: At least one other status code is required to identify the specific identifier qualifier in error.

Claim not found, claim should have been submitted to/through 'entity'. Usage: This code requires use of an Entity Code. Processed according to plan provisions (Plan refers to provisions that exist between the Health Plan and the Consumer or Patient)

Officers

Entity's qualification degree/designation (e.g. RN,PhD,MD). Usage: This code requires use of an Entity Code. When multiplying decimals, say, 0.2 0.2 0.2 and 1.25 1.25 1.25, we can begin by forgetting the dots. That means that to find 0.2 × 1.25 0.2 \times 1.25 0.2 × 1.25, we start by finding 2 × 125 2 \times 125 2 × 125, which is 250 250 250. Then we count how many digits to the right of the dots we had in total in the numbers we started with (in this case, it's three: one in 0.2 0.2 0.2 and two in 1.25 1.25 1.25). We then write the dot that many digits from the right in what we obtained. For us, this translates to putting the dot to the left of 2 2 2, which gives 0.250 = 0.25 0.250 = 0.25 0.250 = 0.25 (we write 0 0 0 if we have no number in front of the dot). Entity not eligible for dental benefits for submitted dates of service. Usage: This code requires use of an Entity Code.

Amount must be greater than zero. Usage: At least one other status code is required to identify which amount element is in error. Real-Time requests not supported by the information holder, resubmit as batch request This change effective September 1, 2017: Real-time requests not supported by the information holder, resubmit as batch request Entity's prior authorization/certification number. Usage: This code requires the use of an Entity Code. No rate on file with the payer for this service for this entity Usage: This code requires use of an Entity Code. Notes: If known, the payer must report a second claim status code identifying the requested information.

More information available than can be returned in real time mode. Narrow your current search criteria. This change effective September 1, 2017: More information available than can be returned in real-time mode. Narrow your current search criteria. Future date. Usage: At least one other status code is required to identify the data element in error. Multiple claim status requests cannot be processed in real time. This change effective September 1, 2017: Multiple claim status requests cannot be processed in real-time. TPO rejected claim/line because payer name is missing. (Use status code 21 and status code 125 with entity code IN) Invalid Decimal Precision. Usage: At least one other status code is required to identify the data element in error.

Submit these services to the patient's Pharmacy Plan for further consideration. This definition will change on 7/1/2023 to: Submit these services to the Pharmacy plan/processor for further consideration/adjudication. Information was requested by an electronic method. Usage: At least one other status code is required to identify the requested information. Entity is changing processor/clearinghouse. This claim must be submitted to the new processor/clearinghouse. Usage: This code requires use of an Entity Code. Claim estimation can not be completed in real time. Do not resubmit. This change effective September 1, 2017: Claim predetermination/estimation could not be completed in real-time. Do not resubmit.ICD10. Usage: At least one other status code is required to identify the related procedure code or diagnosis code. Entity's required reporting was accepted by the jurisdiction. Usage: This code requires use of an Entity Code. To be used for Property and Casualty only. Entity not referred by selected primary care provider. Usage: This code requires use of an Entity Code.