OA Rejections

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Ambulance dropoff address state code invalid (FE446)

Ambulance dropoff address ZipCode (FE448)

CPT code not in Payers allowed code list

Diagnosis code __ not valid for patient gender

Diagnosis code __ not valid for patient age.

Diagnosis code ___ not effective for this DOS

Invalid Facility Zip (FE114)

Duplicate claim (within 90 days) (RC07)

Line Item Charge Amount (FE212)

Common ICD-9/ICD-10 Rejections

Diagnosis code ___ is not billable (further specification required)

Patient Zip Invalid For State (FE358)

Unknown/Invalid Payer (RC51)

Subscriber Zip Invalid For State (FE357)

24.(F)(1) $ CHARGES (RC27)

24.(G)(1) DAYS OR UNITS (RC28)

24.(D)(1) CPT/HCPCS (RC25)

3. PATIENT BIRTH DATE (RC21)

Accommodation rate FE75

4010 payers -Error Code FE213

8 diagnosis codes (RC149)

Ambulance PickUp Location Invalid (FE371)

Anesthesia CPT (RC172)

Attachment Report Type Code (AT001)

Attachment Control Number (AT003)

Attachment Transmission Code (AT002)

BCBS IA BCSIA - Initial Treatment Date (FE397)

BSCA Encounters BS003 - E code (RC162)

Bad Address

Billing Provider ID (FV30)

Billing Provider Name is missing (FE89)

Billing Provider Required

Billing Provider Zip Code Invalid or Doesnt Match State Code (FE120)

Billing or Pay-To Provider - Incomplete Address (FE55)

CODE (Invalid Type / Missing Value) (RC22)

CPT cannot be used with modifier 50 (FE403)

CMS - Custody Medical Services AMM03 - Box 11c (SBR04) (RC124)

CPT code, on line __ is invalid.

CalOptima CALOP - HEALTH NETWORKS (FE99)

CHAMPVA-HAC (84146) - CPT 90791 (FE459)

Claim DOS Beyond one year timely filing period (FE94)

Claim DOS Beyond two year timely filing period (FE97)

DIAGNOSIS Code 1 Required (FE73)

DMERC 16003, 17003, 00885, 05655 - Referring Provider (FV26)

Date cannot be in the future

Diagnosis Codes must not contain gaps (LC171)

Diagnosis code ___ is invalid

Diagnosis code reference, on line __ is invalid

Duplicate Diagnosis Code. (LC1718)

Duplicate Procedure Modifier (LC1717)

ER Not Supported (RC143)

Element SV111 is used

Error in Processing-Please Resubmit (FE230)

Facility NPI (Box 32A) Is Required (RC136)

Facility NPI when place of service is (1,2,21,22,23) (RC90)

Future Dates are not allowed (FP01)

H10005 Value is too short for N402

H20203 Element HI02

INSURED I.D. Number (RC20)

ICD9 NOTE: procedure code or diagnosis code

H10005 Value is too short for N401

Insured Date of Birth (RC170)

Insured Gender (RC171)

Insured Last Name (RC169)

Invalid Claim Frequency Code

Invalid Claim Frequency Code 6 (RC159)

Insufficient Bad Address

Invalid Clia Number (FE405)

Invalid Data Diagnosis code

Invalid Data H51112 - Bill Type Code

Invalid Date of Service (DE110)

Invalid Diagnosis Code References (RC66)

Invalid Drug Qualifier (LIN02) (RC125)

Invalid Facility NPI (RC81)

Invalid NDC Code (FE115)

Invalid Ordering Physician NPI (RC84)

Invalid Provider Accept Assignment Code (RC105)

Invalid Patient Name (DE200)

Invalid Referring Physician NPI (RC80)

Invalid Referring Name Format RC113

Invalid Secondary Insured Address: SAME

Invalid Secondary Insured City: SAME

Invalid Subscriber Name (DE210)

Invalid/Missing Patient Gender Code (FE68)

LINE ITEM CHARGES DO NOT MATCH TOTAL CHARGE (RC73)

Line Adjudication Date FE312

Line Item Control Number

LineItem CAS Invalid (FE384)

Lineitem Service Id Qualifier

LineItem Must Have a dollar amount (FE64/FE238)

Invalid UNIT value(s) (RC64)

Lineitem Service Id Qualifier Unknown (RC146)

Lineitem Service Id ZZ

Invalid Claim Frequency Code 7 (RC137)

Medi-Cal MC051 - Payer Amount Due (RC174)

Member ID (FE329)

Missing Primary Insureds First Name (FE61)

Missing Primary Insureds Last Name (FE60)

Modifier , on line is invalid

More than 22 line items (FE119)