| A | B |
|---|
| AA | AUTHORIZED UNITS EXCEEDED |
| AB | SERVICE OUTSIDE OF AUTHORIZED DATE SPAN |
| AC | NO AUTHORIZATION FOUND FOR SERVICE RENDERED |
| AD | PROCEDURE CODE BILLED DOES NOT MATCH THE AUTHORIZED SERVICE |
| BF | NON-CONTRACTED PROCEDURE FOR DATE OF SERVICE |
| BG | PRIMARY DIAGNOSIS IS NOT WITHIN THE BEHAVIORAL HEALTH RANGE |
| BI | PROCEDURE CODE NOT ON FEE SCHEDULE |
| CD | PRIMARY DENIED - SERVICE RENDERED REQUIRED AN AUTHORIZATION AND NONE WAS OBTAINED |
| CG | PRIMARY EOB DID NOT INCLUDE THE DENIAL CODE DEFINITIONS |
| CH | COMMERCIAL INSURANCE PRIMARY - PLEASE RESUBMIT WITH EOB |
| CI | MEDICARE IS PRIMARY - PLEASE RESUBMIT WITH EOB |
| CJ | PRIMARY PAID CLAIM IN FULL - THERE IS NO COMMUNITY CARE LIABILITY |
| CL | PRIMARY INSURANCE DENIED - OUT OF NETWORK |
| CM | PRIMARY INSURANCE DENIED - NO RESPONSE TO REQUEST FOR ADDITIONAL INFORMATION |
| CO | THERE IS NOT PATIENT LIABILITY INDICATED O THE PRIMARY EOB |
| FA | INVALID SERVICE CODE SUBMITTED FOR SERVICE RENDERED |
| FB | A FRACTION OF A UNIT IS NOT VALID |
| FC | CLAIM HAS DATES WHICH ARE INVALID OR FUTURE DATES |
| FD | PLEASE SUBMIT PLACE OF SERVICE FOR THE SERVICE RENDERED |
| FE | INVALID PLACE OF SERVICE SUBMITTED FOR SERVICE RENDERED |
| FF | PLEASE SUBMIT A VALID DIAGNOSIS CODE FOR SERVICE RENDERED |
| FG | PLEASE SUBMIT DIAGNOSIS FOR THE SERVICE RENDERED |
| FH | DUPLICATE - CHARGE WAS PREVIOUSLY PROCESSED |
| FI | PLEASE SUBMIT A PROCEDURE CODE FOR SERVICE RENDERED |
| FJ | PLEASE SUBMIT A VALID PROCEDURE CODE FOR SERVICE RENDERED |
| NA | SERVICE RENDERED REQUIRES A NEGOTIATED RATE |
| NB | PROVIDER NOT CONTRACTED FOR SERVICE RENDERED |
| NC | PLEASE RESUBMIT CLAIM WITH CORRECT TAX ID NUMBER |
| ND | PROVIDER IS INACTIVE UNDER TAX ID NUMBER |
| SA | DUE TO DPW REQUIREMENTS, E-CODES CANNOT BE BILLED AS PRIMARY |
| SB | PLEASE RESUBMIT WITH THE COMPLETE ICD9 CODE |
| TA | INITIAL CLAIM NOT RECEIVED WITHIN 60 DAYS FROM DATE OF SERVICE |
| TB | INITIAL CLAIM NOT RECEIVED WITHIN 90 DAYS FROM DATE OF SERVICE |
| TC | EOB WAS NOT SUBMITTED TIMELY FOR A CLAIM OUTSIDE OF THE INITIAL TIMELY FILE GUIDELINE. MUST BE RECEIVED WITHIN 30 DAYS FROM DATE ON EOB |
| TD | CORRECTED CLAIM EXCEEDS TIMELY FILING LIMIT - 120 DAYS FROM DATE OF SERVICE |
| TE | CORRECTED CLAIM EXCEEDS TIMELY FILING LIMIT - 180 DAYS FROM DATE OF SERVICE |
| TG | THE COUNTY DENIED THE TIMELY FILING EXCEPTION REQUEST FOR THE SERVICE RENDERED |
| TJ | CORRECTED CLAIM EXCEEDS TIMELY FILING LIMIT - 240 DYAS FROM DATE OF SERVICE |
