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Reference > Code Lists > Health Care >

Insurance Business Process Application Error Codes • ASC X12 External Code Source 895LAST UPDATED 7/1/2016

Filter Codes by Status: Show All Current | To Be Deactivated | Deactivated

E001Missing/Invalid submitter identifier
Start: 05/01/2004
W001Missing/Invalid submitter identifier
Start: 05/01/2004
E002Missing/Invalid receiver identifier
Start: 05/01/2004
W002Missing/Invalid receiver identifier
Start: 05/01/2004
E003Missing/Invalid member identifier
Start: 05/01/2004
W003Missing/Invalid member identifier
Start: 05/01/2004
E004Missing/Invalid subscriber identifier
Start: 05/01/2004
W004Missing/Invalid subscriber identifier
Start: 05/01/2004
E005Missing/Invalid patient identifier
Start: 05/01/2004
W005Missing/Invalid patient identifier
Start: 05/01/2004
E006Missing/Invalid plan sponsor identifier
Start: 05/01/2004
W006Missing/Invalid plan sponsor identifier
Start: 05/01/2004
E007Missing/invalid payee identifier
Start: 05/01/2004
W007Missing/invalid payee identifier
Start: 05/01/2004
E008Missing/Invalid TPA/broker identifier
Start: 05/01/2004
W008Missing/Invalid TPA/broker identifier
Start: 05/01/2004
E009Missing/Invalid premium receiver identifier
Start: 05/01/2004
W009Missing/Invalid premium receiver identifier
Start: 05/01/2004
E010Missing/Invalid premium payer identifier
Start: 05/01/2004
W010Missing/Invalid premium payer identifier
Start: 05/01/2004
E011Missing/Invalid payer identifier
Start: 05/01/2004
W011Missing/Invalid payer identifier
Start: 05/01/2004
E012Missing/Invalid billing provider identifier
Start: 05/01/2004
W012Missing/Invalid billing provider identifier
Start: 05/01/2004
E013Missing/Invalid pay to provider identifier
Start: 05/01/2004
W013Missing/Invalid pay to provider identifier
Start: 05/01/2004
E014Missing/Invalid rendering provider identifier
Start: 05/01/2004
W014Missing/Invalid rendering provider identifier
Start: 05/01/2004
E015Missing/Invalid supervising provider identifier
Start: 05/01/2004
W015Missing/Invalid supervising provider identifier
Start: 05/01/2004
E016Missing/Invalid attending provider identifier
Start: 05/01/2004
W016Missing/Invalid attending provider identifier
Start: 05/01/2004
E017Missing/Invalid other provider identifier
Start: 05/01/2004
W017Missing/Invalid other provider identifier
Start: 05/01/2004
E018Missing/Invalid operating provider identifier
Start: 05/01/2004
W018Missing/Invalid operating provider identifier
Start: 05/01/2004
E019Missing/Invalid referring provider identifier
Start: 05/01/2004
W019Missing/Invalid referring provider identifier
Start: 05/01/2004
E020Missing/Invalid purchased service provider identifier
Start: 05/01/2004
W020Missing/Invalid purchased service provider identifier
Start: 05/01/2004
E021Missing/Invalid service facility identifier
Start: 05/01/2004
W021Missing/Invalid service facility identifier
Start: 05/01/2004
E022Missing/Invalid ordering provider identifier
Start: 05/01/2004
W022Missing/Invalid ordering provider identifier
Start: 05/01/2004
E023Missing/Invalid assistant surgeon identifier
Start: 05/01/2004
W023Missing/Invalid assistant surgeon identifier
Start: 05/01/2004
E024Amount/Quantity out of balance
Start: 05/01/2004
W024Amount/Quantity out of balance
Start: 05/01/2004
E025Duplicate
Start: 05/01/2004
W025Duplicate
Start: 05/01/2004
E026Billing date predates service date
Start: 05/01/2004
W026Billing date predates service date
Start: 05/01/2004
E027Business application currently not available
Start: 05/01/2004
W027Business application currently not available
Start: 05/01/2004
E028Sender not authorized for this transaction
Start: 05/01/2004
W028Sender not authorized for this transaction
Start: 05/01/2004
E029Number of errors exceeds permitted threshold
Start: 05/01/2004
W029Number of errors exceeds permitted threshold
Start: 05/01/2004
E030Required loop missing
Start: 05/01/2004
W030Required loop missing
Start: 05/01/2004
E031Required segment missing
Start: 05/01/2004
W031Required segment missing
Start: 05/01/2004
E032Required element missing
Start: 05/01/2004
W032Required element missing
Start: 05/01/2004
E033Situational required loop is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
W033Situational required loop is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
E034Situational required segment is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
W034Situational required segment is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
E035Situational required element is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
W035Situational required element is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
E036Data too long
Start: 05/01/2004
W036Data too long
Start: 05/01/2004
E037Data too short
Start: 05/01/2004
W037Data too short
Start: 05/01/2004
E038Invalid external code value
Start: 05/01/2004
W038Invalid external code value
Start: 05/01/2004
E039Data value out of sequence
Start: 05/01/2004
W039Data value out of sequence
Start: 05/01/2004
E040"Not Used" data element present
Start: 05/01/2004
W040"Not Used" data element present
Start: 05/01/2004
E041Too many sub-elements in composite
Start: 05/01/2004
W041Too many sub-elements in composite
Start: 05/01/2004
E042Unexpected segment
Start: 05/01/2004
W042Unexpected segment
Start: 05/01/2004
E043Missing data
Start: 05/01/2004
W043Missing data
Start: 05/01/2004
E044Out of range
Start: 05/01/2004
W044Out of range
Start: 05/01/2004
E045Invalid date
Start: 05/01/2004
W045Invalid date
Start: 05/01/2004
E046Not matching
Start: 05/01/2004
W046Not matching
Start: 05/01/2004
E047Invalid combination
Start: 05/01/2004
W047Invalid combination
Start: 05/01/2004
E048Customer identification number does not exist
Start: 05/01/2004
W048Customer identification number does not exist
Start: 05/01/2004
E049Duplicate batch
Start: 05/01/2004
W049Duplicate batch
Start: 05/01/2004
E050Incorrect data
Start: 05/01/2004
W050Incorrect data
Start: 05/01/2004
E051Incorrect date
Start: 05/01/2004
W051Incorrect date
Start: 05/01/2004
E052Duplicate transmission
Start: 05/01/2004
W052Duplicate transmission
Start: 05/01/2004
E053Invalid claim amount
Start: 05/01/2004
W053Invalid claim amount
Start: 05/01/2004
E054Invalid identification code
Start: 05/01/2004
W054Invalid identification code
Start: 05/01/2004
E055Missing or invalid issuer identification
Start: 05/01/2004
W055Missing or invalid issuer identification
Start: 05/01/2004
E056Missing or invalid item quantity
Start: 05/01/2004
W056Missing or invalid item quantity
Start: 05/01/2004
E057Missing or invalid item identification
Start: 05/01/2004
W057Missing or invalid item identification
Start: 05/01/2004
E058Missing or unauthorized transaction type code
Start: 05/01/2004
W058Missing or unauthorized transaction type code
Start: 05/01/2004
E059Unknown claim number
Start: 05/01/2004
W059Unknown claim number
Start: 05/01/2004
E060Bin segment contentes not in MIME format
Start: 05/01/2004
W060Bin segment contents not in MIME format
Start: 05/01/2004
E061Missing/invalid MIME header
Start: 05/01/2004
W061Missing/Invalid MIME header
Start: 05/01/2004
E062Missing/Invalid MIME boundary
Start: 05/01/2004
W062Missing/Invalid MIME boundary
Start: 05/01/2004
E063Missing/Invalid MIME transfer encoding
Start: 05/01/2004
W063Missing/Invalid MIME transfer encoding
Start: 05/01/2004
E064Missing/Invalid MIME content type
Start: 05/01/2004
W064Missing/Invalid MIME content type
Start: 05/01/2004
E065Missing/Invalid MIME content disposition (filename)
Start: 05/01/2004
W065Missing/Invalid MIME content disposition (filename)
Start: 05/01/2004
E066Missing/Invalid file name extension
Start: 05/01/2004
W066Missing/Invalid file name extension
Start: 05/01/2004
E067Invalid MIME base64 encoding
Start: 05/01/2004
W067Invalid MIME base64 encoding
Start: 05/01/2004
E068Invalid MIME quoted-printable encoding
Start: 05/01/2004
W068Invalid MIME quoted-printable encoding
Start: 05/01/2004
E069Missing/Invalid MIME line terminator (should be CR+LF)
Start: 05/01/2004
W069Missing/Invalid MIME line terminator (should be CR+LF)
Start: 05/01/2004
E070Missing/Invalid "end of MIME" headers
Start: 05/01/2004
W070Missing/Invalid "end of MIME" headers
Start: 05/01/2004
E071Missing/Invalid CDA in first MIME body parts
Start: 05/01/2004
W071Missing/Invalid CDA in first MIME body parts
Start: 05/01/2004
E072Missing/Invalid XML tag
Start: 05/01/2004
W072Missing/Invalid XML tag
Start: 05/01/2004
E073Unrecoverable XML error
Start: 05/01/2004
W073Unrecoverable XML error
Start: 05/01/2004
E074Invalid Data format for HL7 data type
Start: 05/01/2004
W074Invalid Data format for HL7 data type
Start: 05/01/2004
E075Missing/Invalid required LOINC answer part(s) in the CDA
Start: 05/01/2004
W075Missing/Invalid required LOINC answer part(s) in the CDA
Start: 05/01/2004
E076Missing/Invalid Provider information in the CDA
Start: 05/01/2004
W076Missing/Invalid Provider information in the CDA
Start: 05/01/2004
E077Missing/Invalid Patient information in the CDA
Start: 05/01/2004
W077Missing/Invalid Patient information in the CDA
Start: 05/01/2004
E078Missing/Invalid Attachment Control information in the CDA
Start: 05/01/2004
W078Missing/Invalid Attachment Control information in the CDA
Start: 05/01/2004
E079Missing/Invalid LOINC
Start: 05/01/2004
W079Missing/Invalid LOINC
Start: 05/01/2004
E080Missing/Invalid LOINC Modifier
Start: 05/01/2004
W080Missing/Invalid LOINC Modifier
Start: 05/01/2004
E081Missing/Invalid LOINC code for this attachment type
Start: 05/01/2004
W081Missing/Invalid LOINC code for this attachment type
Start: 05/01/2004
E082Missing/Invalid LOINC Modifier for this attachment type
Start: 05/01/2004
W082Missing/Invalid LOINC Modifier for this attachment type
Start: 05/01/2004
E083Situational prohibited element is present
Start: 05/01/2004 | Last Modified: 11/20/2008
W083Situational prohibited element is present
Start: 05/01/2004 | Last Modified: 11/20/2008
E084Duplicate qualifier value in repeated segment within a single loop
Start: 05/01/2009
W084Duplicate qualifier value in repeated segment within a single loop
Start: 05/01/2009
E085Situational required composite element is missing
Start: 05/01/2009
W085Situational required composite element is missing
Start: 05/01/2009
E086Situational required repeating element is missing
Start: 05/01/2009
W086Situational required repeating element is missing
Start: 05/01/2009
E087Situational prohibited loop is present
Start: 05/01/2009
W087Situational prohibited loop is present
Start: 05/01/2009
E088Situational prohibited segment is present
Start: 05/01/2009
W088Situational prohibited segment is present
Start: 05/01/2009
E089Situational prohibited composite element is present
Start: 05/01/2009
W089Situational prohibited composite element is present
Start: 05/01/2009
E090Situational prohibited repeating element is present
Start: 05/01/2009
W090Situational prohibited repeating element is present
Start: 05/01/2009
E091Transaction successfully received but not processed as applicable business function not performed.
Start: 01/30/2011
W091Transaction successfully received but not processed as applicable business function not performed.
Start: 01/30/2011
E092Missing/Invalid required SNOMED CT answer part(s) in the CDA
Start: 06/05/2011
W092Missing/Invalid required SNOMED CT answer part(s) in the CDA
Start: 06/05/2011
E093Matching Policy Information/Document not found.
Start: 06/01/2014
W093Matching Policy Information/Document not found.
Start: 06/01/2014
W093Matching Policy Information/Document not found.
Start: 06/01/2014
W093Matching Policy Information/Document not found.
Start: 06/01/2014
E094Financial Assistance not permitted across multiple marketplaces - Double Dip Check Edit Identified.
Start: 06/01/2014
W094Financial Assistance not permitted across multiple marketplaces - Double Dip Check Edit Identified.
Start: 06/01/2014
W094Financial Assistance not permitted across multiple marketplaces - Double Dip Check Edit Identified.
Start: 06/01/2014
E095Business Process transaction out of sequence.
Start: 01/25/2015
W095Business Process transaction out of sequence.
Start: 01/25/2015
E096Advanced Premium Tax Credit is more than Total Premium.
Start: 01/25/2015
W096Advanced Premium Tax Credit is more than Total Premium.
Start: 01/25/2015
E097Marketplace, Off Market Variant.
Start: 01/25/2015
W097Marketplace, Off Market Variant.
Start: 01/25/2015
E098Maintenance Type Code
Start: 07/01/2015
W098Maintenance Type Code
Start: 07/01/2015
E099Maintenance Reason Code
Start: 07/01/2015
W099Maintenance Reason Code
Start: 07/01/2015
E100Additional Maintenance Reason Code
Start: 07/01/2015
W100Additional Maintenance Reason Code
Start: 07/01/2015
E101Enrollment Group member(s) count on transaction does not match Enrollment Group member(s) count found on file of record
Start: 07/01/2015
W101Enrollment Group member(s) count on transaction does not match Enrollment Group member(s) count found on file of record
Start: 07/01/2015
E102Effective Start Date
Start: 07/01/2015
W102Effective Start Date
Start: 07/01/2015
E103Advanced Payment for Tax Credit (APTC)
Start: 07/01/2015
W103Advanced Payment for Tax Credit (APTC)
Start: 07/01/2015
E104Total Individual Responsibility Amount
Start: 07/01/2015
W104Total Individual Responsibility Amount
Start: 07/01/2015
E105Other Payment Amount 1
Start: 07/01/2015
W105Other Payment Amount 1
Start: 07/01/2015
E106Other Payment Amount 2
Start: 07/01/2015
W106Other Payment Amount 2
Start: 07/01/2015
E107Total Premium Amount
Start: 07/01/2015
W107Total Premium Amount
Start: 07/01/2015
E108Individual Premium Amount
Start: 07/01/2015
W108Individual Premium Amount
Start: 07/01/2015
E109Total Employer Responsibility Amount
Start: 07/01/2015
W109Total Employer Responsibility Amount
Start: 07/01/2015
E110Financial Date Precedes Premium Date
Start: 07/01/2015
W110Financial Date Precedes Premium Date
Start: 07/01/2015
E111Exceeds Unique Start Date(s)
Start: 07/01/2015
W111Exceeds Unique Start Date(s)
Start: 07/01/2015
E112Exceeds Allowable Changes
Start: 07/01/2015
W112Exceeds Allowable Changes
Start: 07/01/2015
E113Cost Sharing Reduction (CSR) Date precedes the Total Premium Amount Effective Start Date
Start: 07/01/2015
W113Cost Sharing Reduction (CSR) Date precedes the Total Premium Amount Effective Start Date
Start: 07/01/2015
E114Renewal Transaction cannot be processed as it is outside of allocated time period
Start: 07/01/2015
W114Renewal Transaction cannot be processed as it is outside of allocated time period
Start: 07/01/2015
E115Financial Amounts Unchanged by newly reported data
Start: 07/01/2015
W115Financial Amounts Unchanged by newly reported data
Start: 07/01/2015
E116Effective Start Date does not align with Previous Effective End Date
Start: 07/01/2015
W116Effective Start Date does not align with Previous Effective End Date
Start: 07/01/2015
E117Duplicate Payment of Advanced Premium Tax Credit
Start: 08/24/2015
W117Duplicate Payment of Advanced Premium Tax Credit
Start: 08/24/2015
E118Duplicate Payment of Cost Sharing Reduction
Start: 08/24/2015
W118Duplicate Payment of Cost Sharing Reduction
Start: 08/24/2015
E119Duplicate Payment of User Fee
Start: 08/24/2015
W119Duplicate Payment of User Fee
Start: 08/24/2015
E120Missing Payment of Advanced Premium Tax Credit
Start: 08/24/2015
W120Missing Payment of Advanced Premium Tax Credit
Start: 08/24/2015
E121Missing Payment of Cost Sharing Reduction
Start: 08/24/2015
W121Missing Payment of Cost Sharing Reduction
Start: 08/24/2015
E122Missing Payment of User Fee
Start: 08/24/2015
W122Missing Payment of User Fee
Start: 08/24/2015
E123Advanced Premium Tax Credit (APTC) Payment Mismatch - The Federally Facilitated Marketplace (FFM) or State Based Marketplace (SBM) APTC amount and the Health Plan APTC amount are equal but do not match the APTC payment amount received
Start: 08/24/2015
W123Advanced Premium Tax Credit (APTC) Payment Mismatch - The Federally Facilitated Marketplace (FFM) or State Based Marketplace (SBM) APTC amount and the Health Plan APTC amount are equal but do not match the APTC payment amount received
Start: 08/24/2015
E124Cost Shared Reduction (CSR) Payment Mismatch - The Federally Facilitated Marketplace (FFM) or State Based Marketplace (SBM) CSR amount and the Health Plan CSR amount are equal but do not match the CSR payment amount received
Start: 08/24/2015
W124Cost Shared Reduction (CSR) Payment Mismatch - The Federally Facilitated Marketplace (FFM) or State Based Marketplace (SBM) CSR amount and the Health Plan CSR amount are equal but do not match the CSR payment amount received
Start: 08/24/2015
E125User Fee Payment Mismatch - The calculated Federally Facilitated Marketplace (FFM) User Fee amount and the calculated Health Plan User Fee amount are equal but do not match the User Fee payment amount received
Start: 08/24/2015
W125User Fee Payment Mismatch - The calculated Federally Facilitated Marketplace (FFM) User Fee amount and the calculated Health Plan User Fee amount are equal but do not match the User Fee payment amount received
Start: 08/24/2015
E126Effectuation Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
W126Effectuation Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
E127Cancel Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
W127Cancel Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
E128Termination Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
W128Termination Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
E129Maintenance Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
W129Maintenance Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
E130Policy level cancel/terminations shall not contain health coverage information
Start: 03/01/2016
W130Policy level cancel/terminations shall not contain health coverage information
Start: 03/01/2016
E131Dependent/Member not included in current coverage
Start: 07/01/2016
W131Dependent/Member not included in current coverage
Start: 07/01/2016