Views:

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 RĂ©seau 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