901 Reject Reason Code

Code assigned by issuer to identify reason for rejection

Identifier (ID)
Min 2 / Max 2
01Price Authorization Invalid
02Price Authorization Expired
03Product not on the price authorization
04Authorized Quantity Exceeded
05Zero Balance
06Special Cost Incorrect
07Catalog Cost Incorrect
08Invalid Ship Location
09No Credit Allowed
10Administrative Cancellation
11Invalid Debit Number
12Duplicate Sequence Number
13Not Valid for Price Protection
14Invalid part number
15Required application data missing
16Unit resale higher than authorized
17Negotiated price was not less than book price
18Ship date must not be after current date
19Ship date cannot be prior to price authorization issue date
20Ship date should not be before price authorization date (for rebills)
21Price authorization is a rebill type
23Price authorization has been deleted
24Price authorization used on a sales order
25Disposition pending vendor review.
26Invalid Customer Number
27Invalid Ship Date
28Duplicate Invoice Number
29Claim Submitted Past Excerise Period
30Invalid Meet Competition Cost
31Invalid Book Cost
32Input Incomplete
33Input Errors
34No Coverage
35Out of Network
36Testing not Included
37Request Forwarded To and Decision Response Forthcoming From an External Review Organization
41Authorization/Access Restrictions
42Unable to Respond at Current Time
43Invalid/Missing Provider Identification
44Invalid/Missing Provider Name
45Invalid/Missing Provider Specialty
46Invalid/Missing Provider Phone Number
47Invalid/Missing Provider State
48Invalid/Missing Referring Provider Identification Number
49Provider is Not Primary Care Physician
50Provider Ineligible for Inquiries
51Provider Not on File
52Service Dates Not Within Provider Plan Enrollment
53Inquired Benefit Inconsistent with Provider Type
54Inappropriate Product/Service ID Qualifier
55Inappropriate Product/Service ID
56Inappropriate Date
57Invalid/Missing Date(s) of Service
58Invalid/Missing Date-of-Birth
59Invalid/Missing Date-of-Death
60Date of Birth Follows Date(s) of Service
61Date of Death Precedes Date(s) of Service
62Date of Service Not Within Allowable Inquiry Period
63Date of Service in Future
64Invalid/Missing Patient ID
65Invalid/Missing Patient Name
66Invalid/Missing Patient Gender Code
67Patient Not Found
68Duplicate Patient ID Number
69Inconsistent with Patient's Age
70Inconsistent with Patient's Gender
71Patient Birth Date Does Not Match That for the Patient on the Database
72Invalid/Missing Subscriber/Insured ID
73Invalid/Missing Subscriber/Insured Name
74Invalid/Missing Subscriber/Insured Gender Code
75Subscriber/Insured Not Found
76Duplicate Subscriber/Insured ID Number
77Subscriber Found, Patient Not Found
78Subscriber/Insured Not in Group/Plan Identified
79Invalid Participant Identification
80No Response received - Transaction Terminated
81Invalid or Missing Case Number
82Not Medically Necessary
83Level of Care Not Appropriate
84Certification Not Required for this Service
85Certification Responsibility of External Review Organization
86Primary Care Service
87Exceeds Plan Maximums
88Non-covered Service
89No Prior Approval
90Requested Information Not Received
91Duplicate Request
92Service Inconsistent with Diagnosis
95Patient Not Eligible
96Pre-existing Condition
97Invalid or Missing Provider Address
98Experimental Service or Procedure
E1Requested Record Will Not Be Sent; Cannot Identify the Record
We cannot identify the record from the information you provided; please provide additional information or have the student contact us directly to make the request
E2Requested Record Will Not Be Sent; Need Student or Parent Permission
Institutional policy prohibits release without written permission of student or parent; have student or parent request record from us
E3Requested Record Will Not Be Sent
Requested record will not be sent; have student contact us to resolve a problem
E4Requested Record Will Not Be Sent; Never Enrolled
Requested record will not be sent; we have no record that the student ever enrolled
E5Requested Record Will Not Be Sent; No Degree Awarded
Requested record will not be sent; degree or diploma has not been awarded
E6Requested Record Will Not Be Sent; No Grades Posted
Requested record will not be sent; grades have not been posted for the current or most recent session
E7Requested Record Cannot Be Sent Electronically; Record Resides in Paper Format only which Will Be Sent by Mail
E8Requires Medical Review
T1Cannot Identify Provider as TPO (Third Party Organization) Participant
T2Cannot Identify Payer as TPO (Third Party Organization) Participant
T3Cannot Identify Insured as TPO (Third Party Organization) Participant
T4Payer Name or Identifier Missing
T5Certification Information Missing
T6Claim does not contain enough information for re-pricing
ZZMutually Defined

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