List of EDI Error Codes
Issue:
A list of EDI error messages.
Explanation:
| Error Code | Message |
| 001 | Missing/Invalid Transaction Prefix |
| 002 | Missing/Invalid Dental Claim # or Office Sequence # |
| 003 | Missing/Invalid Version Number |
| 004 | Missing/Invalid Transaction Code |
| 005 | Missing/Invalid Carrier Identification Number |
| 006 | Missing/Invalid Software System ID |
| 007 | Missing/Invalid Dentist Unique ID (Provider Number) |
| 008 | Missing/Invalid Dental Office Number |
| 009 | Missing/Invalid Primary Policy/Plan Number |
| 010 | Missing/Invalid Division/Section Number |
| 011 | Missing/Invalid Subscriber Identification Number |
| 012 | Missing/Invalid Relationship Code |
| 013 | Missing/Invalid Patient's Sex |
| 014 | Missing/Invalid Patient's Birthday |
| 015 | Missing Patient's Last Name |
| 016 | Missing Patient's First Name |
| 017 | Missing/Invalid Eligibility Exception Code |
| 018 | Missing Name of School |
| 019 | Missing Subscriber's Last Name or Name did not match to the one on file |
| 020 | Missing Subscriber's First Name or Name did not match to the one on file |
| 021 | Missing Subscriber's Address |
| 022 | Missing Subscriber's City |
| 023 | Missing/Invalid Subscriber's Postal Code |
| 024 | Invalid Language of Insured |
| 025 | Missing/Invalid Subscriber's Birthday |
| 026 | Invalid Secondary Carrier ID Number |
| 027 | Missing/Invalid Secondary Policy/Plan Number |
| 028 | Missing/Invalid Secondary Division/Section Number |
| 029 | Missing/Invalid Secondary Plan Subscriber Number |
| 030 | Missing/Invalid Secondary Subscriber's Birthday |
| 031 | Claim should be submitted to secondary carrier first(secondary is the primary carrier) |
| 032 | Missing/Invalid Payee |
| 033 | Invalid Accident Date |
| 034 | Missing/Invalid Number of Procedures Performed |
| 035 | Missing/Invalid Procedure Code |
| 036 | Missing/Invalid Date of Service |
| 037 | Missing/Invalid International Tooth or Sextant, Quadrant Arch Designation |
| 038 | Missing/Invalid Tooth Surface |
| 039 | Invalid Date of Initial Placement (Upper) |
| 040 | Missing/Invalid Response re: Treatment Required for Orthodontic Purposes |
| 041 | Missing/Invalid Dentist's Fee Claimed |
| 042 | Missing/Invalid Lab Fee |
| 043 | Missing/Invalid Unit of Time |
| 044 | Message Length Field did not match length of message received |
| 045 | Missing/Invalid E-Mail / Materials Forwarded Flag |
| 046 | Missing/Invalid Claim Reference Number |
| 047 | Provider is not Authorized to Access CDAnet |
| 048 | Please Submit Claim Manually |
| 049 | No outstanding responses from the network requested |
| 050 | Missing/Invalid Procedure Line Number |
| 051 | Predetermination number not found |
| 052 | At least one service must be entered for a claim/predetermination |
| 053 | Missing/Invalid Subscriber's province |
| 054 | Subscriber ID on reversal did not match that on file |
| 055 | Reversal not for today's transaction |
| 056 | Provider's specialty code does not match that on file |
| 057 | Missing/Invalid response to Question "Is this an initial placement (Upper)" |
| 058 | Number of procedures found did not match with number indicated |
| 059 | Dental Office Software is not certified to submit transactions to CDAnet and Réseau ACDQ/CDAnet. |
| 060 | Claim Reversal Transaction cannot be accepted now, please try again later today. |
| 061 | Network Error, please re-submit transaction |
| 062 | Missing/Invalid Payee CDA Provider Number |
| 063 | Missing/Invalid Payee Provider Office Number |
| 064 | Missing/Invalid Referring Provider |
| 065 | Missing/Invalid Referral Reason Code |
| 066 | Missing/Invalid Plan Flag |
| 067 | Missing NIHB Plan fields |
| 068 | Missing/Invalid Band Number |
| 069 | Missing/Invalid Family Number |
| 070 | Missing/Invalid Missing Teeth Map |
| 071 | Missing/Invalid Secondary Relationship Code |
| 072 | Missing/Invalid Procedure Type Codes |
| 073 | For Future Use |
| 074 | Date of Service is a future date |
| 075 | Date of Service is more than one year old |
| 076 | Group not acceptable through EDI |
| 077 | Procedure Type not supported by carrier |
| 078 | Please submit pre-authorization manually |
| 079 | Duplicate claim |
| 080 | Missing/Invalid Carrier Transaction Counter |
| 081 | Invalid Eligibility Date |
| 082 | Invalid Card Sequence/Version Number |
| 083 | Missing/Invalid Secondary Subscriber's Last Name |
| 084 | Missing/Invalid Secondary Subscriber's First Name |
| 085 | Invalid Secondary Subscriber's Middle Initial |
| 086 | Missing Secondary Subscriber's Address Line 1 |
| 087 | Missing Secondary Subscriber's City |
| 088 | Missing Secondary Subscriber's Province/State Code |
| 089 | Invalid Secondary Subscriber's Postal/Zip Code |
| 090 | Missing/Invalid response to Question: Is this an Initial Placement Lower |
| 091 | Missing/Invalid Date of Initial Placement Lower |
| 092 | Missing/Invalid Maxillary Prosthesis Material |
| 093 | Missing/Invalid Mandibular Prosthesis Material |
| 094 | Missing/Invalid Extracted Teeth Count |
| 095 | Missing/Invalid Extracted Tooth Number |
| 096 | Missing/Invalid Extraction Date |
| 097 | Invalid Reconciliation Date |
| 098 | Missing/Invalid Lab Procedure Code |
| 099 | Invalid Encryption Code |
| 100 | Invalid Encryption |
| 101 | Invalid Subscriber's Middle Initial |
| 102 | Invalid Patient's Middle Initial |
| 103 | Missing/Invalid Primary Dependent Code |
| 104 | Missing/Invalid Secondary Dependent Code |
| 105 | Missing/Invalid Secondary Card Sequence/Version Number |
| 106 | Missing/Invalid Secondary Language |
| 107 | Missing/Invalid Secondary Coverage Flag |
| 108 | Secondary Coverage Fields Missing |
| 109 | Missing/Invalid Secondary Sequence Number |
| 110 | Missing/Invalid Orthodontic Record Flag |
| 111 | Missing/Invalid First Examination Fee |
| 112 | Missing/Invalid Diagnostic Phase Fee |
| 113 | Missing/Invalid Initial Payment |
| 114 | Missing/Invalid Payment Mode |
| 115 | Missing/Invalid Treatment Duration |
| 116 | Missing/Invalid Number of Anticipated Payments |
| 117 | Missing/Invalid Anticipated Payment Amount |
| 118 | Missing/Invalid Lab Procedure Code #2 |
| 119 | Missing/Invalid Lab Procedure Fee #2 |
| 120 | Missing/Invalid Estimated Treatment Starting Date |
| 121 | Primary EOB Altered from the Original |
| 122 | Data no longer available |
| 123 | Missing/Invalid Reconciliation Page Number |
| 124 | Transaction Type not supported by the carrier |
| 125 | Transaction Version not supported |
| 997 | Last Transaction Unreadable |
| 998 | Reserved by CDAnet for future use |
| 999 | Host Processing Error - Resubmit Claim Manually |
Note: Not all error codes will apply to your version of CDAnet; this list is intended for reference only.
References
Product (s): ABELDent
Category: Insurance
Classification: Public
Date Created: March 25, 1998
Created by: GM/AM