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Reject Error Code Descriptions


Reference for report documents beginning with "ECPAxxxx..." that include rejected claim error codes.

Quick Links to Error Code Descriptions:

  • C02 - C10
  • C11 - C20
  • C21 - C30
  • C31 - C40
  • C41 - C50
  • C51 - C60
  • C61 - C70
  • C71 - C80
  • C81 - C90
  • C91 - C99
  • CA1 - CA9
  • CAA - CAN
  • CAO - CAZ
  • CB1 - CBA
  • B01 - B12
  • F01 - F10
  • The first letter of the error code designates the level of the error.

    C Level Error:

    This is a Claim level error and the least severe. The claim in which the error occurred is rejected.

    B Level Error:

    This is a Batch level error and intermediate in severity. The entire batch in which the error occurred is rejected. Claims are generally batched by Provider. There can, however, be more than one batch for a given provider within a file of claims if the claims for each Provider are not grouped together.

    F Level Error:

    This is a File level error and the most severe. The entire file in which the error occurred is rejected.
    .

    Claim Level Error Code Descriptions (Cxx)

    C02*xx Record Sequence Error
    The code at xx is an internal designation for one of the claim records.
    This information was out of sequence or the previous required record was
    missing. Call LTC.

    C03*This field cannot be blank
    The field named under the "Field in Error" heading was blank, that is,
    there was no information entered in that field. It cannot be blank.

    C04*Can't be same as Payor or Insrd #
    The field named under the "Field in Error" heading cannot be the same as
    the Payor or Insured Number.

    C05*Length must be .... for this Payor
    The field named under the "Field in Error" heading must be within the
    limits stated at .... for this specific Payor.

    C06*Can't be same as Payor No
    The field named under the "Field in Error" heading cannot be the same as
    the Payor number.

    C07*Must be XXXXXX for this Payor
    The insured ID must contain characters as described in XXXXX for this
    payor. Alpha means the character must be a letter. Numeric means the
    character must be number. Alphanumeric means the character must be a
    number or a letter (no special characters like # or -). < means less than.
    > means greater than.

    C08*Student status req'd if age > 19
    The relationship of this patient to the insured is that of a child. The
    child must be a student if they are over the age of 19. The School and
    School City may also be required.

    C09*Modifier must be 2 characters.
    The procedure code modifier must be 2 characters in length.

    C10*Pre Auth must be paper-this Payor
    This Payor requires that pre-authorizations be submitted on paper.

    C11*Must be a number 00 through 36
    The months remaining for Orthodontic treatment can only be zero through
    36.

    C12*Must be valid Primary Tooth code
    The Primary Tooth code must be one of the ADA standard codes.

    C13*Elec PreAuth invalid-this carrier
    This Payor requires that pre-authorizations be submitted on paper.

    C14*Service charge can't be zero
    No charge for the associated procedure code was entered. This is a
    carrier specific edit.

    C15*Record Count Error-found XX
    The internal counts for the record type named under the "Field in Error"
    heading did not balance. Please call LTC for assistance.

    C16*Same day duplicate claim
    This claim occurred more that once within this file or was submitted in
    another file earlier today.

    C17*Must be same as in B0 record
    The field named under the "Field in Error" heading must be the same as
    the corresponding field in the Batch Header record.

    C18*Must be 4to6 digits for Guardian
    The Group Number must be 4 to 6 characters in length for Guardian
    insurance.

    C19*Must be numeric for Guardian
    The field named under the "Field in Error" heading must be numeric (all
    numbers) for Guardian insurance.

    C20*999999 Invalid for Delta of CA
    The Group number for Delta Dental of California cannot be all nines.

    C21*Site record not found
    The Site record for the field named under the "Field in Error" heading
    was not found on the LTC database. Pleas call LTC for assistance.

    C22*Must be 045 or 845 for Medica"
    The Plan (Group) number must be 045 or 845 for Medica.

    C23*Invalid control #, call LTC
    The Patient ID number was not consistent within the claim. Please call
    LTC for assistance.

    C24*Numeric Overflow-Call LTC
    An internal counter has exceeded the limit. Please call LTC for
    assistance.

    C25*Invalid Code
    The field named under the "Field in Error" heading contains and invalid
    code. See the acceptable code list for this field.

    C26*Must be a valid State code
    The field named under the "Field in Error" heading must consist of a
    valid two character State code.

    C27*Invalid Zip for State xx
    The field named under the "Field in Error" heading must consist of a
    valid zip code for the State as shown at xx. It could be that xx is the
    wrong State.

    C28*Invalid Century, must be 18 or 19
    The field named under the "Field in Error" heading must consist of a
    valid century and year, i.e., in 1997 the 19 is the century.

    C29*Invalid Year, must be 00 thru 99
    The field named under the "Field in Error" heading must consist of a
    valid century and year, i.e., in 1997 the 97 is the year.

    C30*Invalid Month, must be 01 thru 12
    The field named under the "Field in Error" heading must consist of a
    valid month number.

    C31*Day not within limits for month
    The field named under the "Field in Error" heading must consist of a
    valid day withing the month, i.e., 29 is invalid for February accept on a
    leap year.

    C32*Date later than Process Date
    The field named under the "Field in Error" heading consists of a date
    later than the date the claim was processed. The date is in the future.
    The date must be the same as the process date or earlier.

    C33*Date can't be prior to Birth Date
    The field named under the "Field in Error" heading consists of a date
    which is prior to when the person was born.

    C34*Date can't be beyond Todays Date
    The field named under the "Field in Error" heading consists of a date
    which is in the future. The date must be the same at todays date or
    earlier.

    C35*Can't be 6+ months old for DD of MN
    The date of service for this claim is more that six months back. Delta
    Dental of Minnesota will not accept claims more than six months old.

    C36*Must be valid diagnosis code
    Diagnosis codes must be one of the standard codes.

    C37*Must be numeric data only
    The field named under the "Field in Error" heading must be numeric
    (numbers only).

    C38*Must be alpha data only
    The field named under the "Field in Error" heading must be alpha
    (letters only).

    C39*Must be alpha data or ,.- only
    The field named under the "Field in Error" heading must be alpha.
    Exceptions are a comma, period and hyphen.

    C40*Must be alphanumeric data only
    The field named under the "Field in Error" heading must be alphanumeric
    (letters and numbers).

    C41*Must be A-Z, 0-9, or /- & only
    The field named under the "Field in Error" heading must be alphanumeric.
    Exceptions are a slash, hyphen, space and ampersand.

    C42*Must be A-Z, 0-9 or /- only
    The field named under the "Field in Error" heading must be alphanumeric.
    Exceptions are a slash and hyphen.

    C43*Must be A-Z, 0-9 or /-&'. only
    The field named under the "Field in Error" heading must be alphanumeric.
    Exceptions are a slash, hyphen, ampersand, apostrophe and period.

    C44*Must be A-Z, 0-9 or /&,#. only
    The field named under the "Field in Error" heading must be alphanumeric.
    Exceptions are a slash, ampersand, comma, pound sign and period.

    C45*Must be A-Z, 0-9 or /.,- only
    The field named under the "Field in Error" heading must be alphanumeric.
    Exceptions are a slash, period, comma, and hyphen.

    C46*Can't use repeating characters
    The field named under the "Field in Error" heading cannot consist of
    repeating characters, i.e., 9999999 XXXXXXX.

    C47*A valid tooth code is required
    The field named under the "Field in Error" heading must consist of a
    valid tooth number.

    C48*Tooth # req'd with tooth surface
    The field named under the "Field in Error" heading requires that a tooth
    number be supplied with this claim.

    C49*Invalid Procedure Code
    The field named under the "Field in Error" heading must consist of a
    standard ADA/AMA procedure code.

    C50*Must be paper claim for ...
    The procedure code named under the "Field Contents" heading requires
    that this claim must be submitted on paper for the Carrier shown.

    C51*Invalid Payor ID, see Payor list
    The Payor ID named under the "Field Contents" heading is not on the LTC
    Payor list. Please check or Payor list or call LTC for a more current
    list.

    C52*Blue Cross/Shield PIN required
    A Blue Cross/Blue Shield Provider ID Number is required by this claim.

    C53*Payor enrollment required
    The Payor ID named under the "Field Contents" heading requires additional
    enrollment prior to submitting claims electronically. Please call LTC.

    C54*Too Many Procedures-Maximum is 15
    A maximum of 15 procedure codes per claim is allowed for a paper claim.

    C54*Too Many Procedures-Maximum is xx
    The number at xx is the maximum number of procedure codes allowed for this
    claim. The maximum for paper dental claims is 15, paper medical is 6. The
    maximum for electronic claims varys depending on the payor.

    C55*Must be valid Perm Tooth code
    The field named under the "Field in Error" heading must consist of a
    valid permanent tooth code. They must be entered in sequence, smallest
    number to largest number.

    C56*Claim rejected due to batch error
    This claim is being rejected due to a batch error. There may be nothing
    wrong with this claim. Look at the batch reject reason. It is prefixed
    by the letter B.

    C57*Procedure Code must be 4 or 5 numbers
    The field named under the "Field in Error" heading must be a numeric
    procedure code.

    C58*3000 series codes invalid.
    The originater of this claim has opted to not allow claims with a 3000
    series procedure code to be processed electronically.

    C59*Can't be 3+ months old.
    The originater of this claim has opted to not allow claims older than 3
    months to be processed electronically.

    C60*Must be 6to9 numbers for PhxHomeLife
    Phoenix Home Life requires that the group number be 6 to 9 numeric digits.

    C61*Claim rejected due to file error.
    There was and error in the file header record or file level. All claims
    within the file are automatically rejected. Look for the reject prefixed
    bu the letter F.

    C62*Can't = Group # for WI Medicaid.
    The field described at the far left of this claim has the same value as
    the group number. Wisconsin medicaid does not allow this condition.

    C63*Must be 5 or 6 digits for NW Air.
    The patient ID for Northwest Airlines must consist of 5 or 6 numeric
    digits.

    C64*No corresponding diagnosis
    There is no diagnosis defined for the diagnosis pointer named under
    "field in error".

    C65*Clearinghouse requires enrollment.
    This claim is being routed through another clearinghouse and that
    clearinghouse requires the provider to be enrolled with them. Call LTC
    for assistance.

    C66*Invalid Name/ID for REHarrington.
    The employer name is invalid for R.E. Harrington.

    C67*Must be an A for the payor.
    This payor handles automobile accident claims only. Therefore, the
    accident indicator must be an A.

    C68*Must be filed with HealthPartners.
    This claim has a date of service prior to 2000. It must be filed with
    HealthPartners.

    C69*Must be filed with KVI.
    This claim has a date of service after to 1999. It must be filed with
    KVI.

    C70*Invalid City name.
    The data displayed under "Field Contents" heading is not a valid name for
    a city.

    C71*Only 1 pointer allowed.
    Only one diagnosis pointer per charge permitted for chiropractic claims.

    C72*Svc From Date < First Consul Date
    The start of services, or from date, cannot be prior to the first
    consultaion date. It can the same or later.

    C73*First digit of patient ID must be 8
    The first digit of the patient ID for Blue Plus must be an 8.

    C74*Invalid insured ID for this payor
    The insured ID for the payor of this claim is invalid, details follow:

    C75*Paper claims not allowed this submitter
    This client has requested that we do not print paper claims for them.

    C76*Charge can't be < 1.00 this payor
    A procedure charge can't be less than 1.00 for the carrier in question.

    C77*Invalid data
    The data in this field must consist of a real ID or number. It appears to
    be something that was "made up" such as "ABCDE" or "12345".

    C78*Units must a whole # for Envoy
    This carrier is a participating payor of Envoy Corporation. Envoy does not
    accept a decimal value in the units field. It must be a whole number only.

    C79*Discharge date < admit date
    The discharge date can't be less (earlier) than the admit date. It must
    be the same or later.

    C80*Svc From Date < First Symptom Date
    The start of services, or from date, cannot be prior to the first
    symptom date. The start of services date must be the same or later than
    the first symptom date.

    C81*Invalid referring physiciaon ID
    The referring physician's ID does not meet the edit criteria for this
    payor. Call LTC for assistance.

    C82*No payor marked to be billed
    No payor in this claim has been marked to be billed. At least one payor
    must be billed. Call LTC for assistance.

    C83*Facility name can not be office
    You have stated the services were performed outside of the office or
    home. Therefore, the facility name cannot be the same as the office name.

    C84*Facility address can not be office
    You have stated the services were performed outside of the office or
    home. Therefore, the facility address cannot be the same as the office
    address.

    C85*Invalid state code for this payor
    This carrier does not have an address in the State code that you entered.
    Either the State code is incorrect, or the payor does not operate in this
    State.

    C86*Invalid zip code for this payor
    This carrier does not have an address at the zip code that you entered.
    Either the zip code is incorrect, or the payor does not operate in this
    zip code.

    C87*Name length must be > one letter
    The name must be at least 2 letters in length.

    C88*Anesthesia minutes must be > zero
    There must be a value in the anesthsia minutes field for an anesthesia
    claim.

    C89*Referring Provider Name Required
    If a referring provider ID is present, a referring provider name must
    be present also.

    C90*Referring Provider ID Required
    If a referring provider name is present, a referring provider ID must
    be present also.

    C91*Tooth # and Quadrant not allowed
    Delta Dental of MN does not allow a tooth number and quadrant code to
    be present in the same claim.

    C92*Must be combinations of .....
    The data must be some combination of any of the characters listed.

    C93*Medicaid PIN required
    A Medicaid Provider ID Number is required with this claim.

    C94*Svc From Date <> Hospital Dates
    When there are hospitalized dates on the claim, the start date of
    service must be within the range of the hospitalized dates.

    C95*Svc To Date <> Hospital Dates
    When there are hospitalized dates on the claim, the end date of
    service must be within the range of the hospitalized dates.

    C96*Place of Service info required
    If the place of service was not in the office or home, the place of
    service info is required.

    C97*Hospital Admit Date Required
    If the service was for a hospitalized patient, the date the patient was
    admitted to the hospital is required.

    C98*Relate must be Self for this Payor
    The relationship between the patient and insured must be self for this
    payor. The relationship cannot be spouse, child, etc. This is probably a
    Medicaid or Medicare payor.

    C99*Svc From Date > Provider Sig Date
    The start date of services is greater (later) than the provider
    signature date. The provider cannot authorize the claim before it exists.

    CA1*Paper claims not allowed
    This submitter has requested that claims with no payor ID be rejected.
    Normally they are printed to paper and mailed.

    CA2*Service Dates Can't Span Years
    The dates of service in the claim must all be within the same year.

    CA3*Teeth must be listed in sequence
    The tooth numbers must appear in order from lowest to highest.

    CA4*Svc To Date < Svc From Date
    The service end date (if present) must be equal to or greater than the
    service start date.

    CA5*Units must be > zero
    There must be a value in the units field that is greater than zero.

    CA6*Svc To Date > Provider Sig Date
    The end date of services is greater (later) than the provider
    signature date. The provider cannot sign a claim before it exists.

    CA7*Secondary Payor not Allowed
    LA Medicaid does not want secondary payor information sent on a claim.

    CA8*Sim Symp Date > Accd/Symp Date
    The similar symptom date is greater (later) than the accident symptom
    date. The similar symptom date must always be prior to the accident date.

    CA9*Special Program Reqd with EPSDT
    When the EPSDT indicator is set, a special program code must be sent
    as well.

    CAA*Prior Auth and Acutal Charges Mix
    Prior authorization (Pre-Dermination) requests can't be mixed with
    actual charges. File in separate claims. A charge with no date of
    service is assumed to be a pre-determination. You have charges with
    and without a date of service.

    CAB*Invalid NPI, must be 10 digits
    The NPI must consist of 10 numeric digits.

    CAC*Charge Amount Err-found XX
    The internal charge amounts for the record type named under the
    "Field in Error" heading did not balance. Please call LTC for assistance.

    CAD*NPI Required for this Carrier
    An NPI is required effective 03/01/2008. There was no NPI in the input
    file and we do not have one on our database.

    CAE*Invalid Place of Service Code
    The place of service code is not an accepted code. Contact LTC for a
    complete list of accepted codes.

    CAF*Invalid Secondary Segment Name
    The name of the secondary segment is not a valid segment name.

    CAG*Invalid Procedure Code Qualifier
    The SVD procedure code quailifier must be one of the following:
    AD, HC, IV, N1, N2, N3, N4 or ZZ

    CAH*Invalid CAS Group Code
    The CAS group code must be CO or PR

    CAI*DTP Qualifier must be 573
    The Secondary DTP segment qualifier must be 573.

    CAJ*DTP Date Format must be D8
    The Secondary DTP date/time format must be yyyymmdd/hhmmss.

    CAK*Patient & Insured Names Different
    The relationship between the patient and insured is Self, but the
    names are different.

    CAL*Invalid CAS Reason Code
    The CAS reason code must be one from the list of valid codes.

    CAM*Zip Code must be 5 or 9 digits
    The Zip code must consist of either 5 or 9 numeric digits.

    CAN*Patient release (box 12) requird
    The patient release of information to process the claim is blank (box 12)
    or set to no. The claim cannot be processed without the patients
    authorization.

    CAO*Invalid Document Contro #
    The document control number is invalid. It must be in the format of
    ADC#XXX.... where XXX is the document control number consisting of at
    least 3 characters. There can be no imbedded spaces.

    CAP*Paper not Allowed for this Payor
    This payor will not accept paper claims. Must be submitted electronically

    CAQ*Prior Authorization Required by BHP
    BHP requires a authorization ID for every claim. This is to be sent in the
    Prior Authorization field.

    CAR*Secondary File not Found-Call LTC
    The name of the file containing the secondary insurance information is not
    found. This is an LTC internal error, please call LTC for assistance.

    CAS*Facilty ID must be an NPI
    The ID of the facility were services were performed must by an NPI.

    CAT*Invalid Facility ID
    The ID of the facility were services were performed must be an NPI or a
    Tax ID

    CAU*Facility ID Required
    This claim requires the ID of the facility were services were performed

    CAV*Invalid Primary Paid Amount
    The amount paid by the primary must be in the format of:
    PAMT:xxxxx.xx where xxxxx.xx is the amount paid by the primary. Leading
    zeros are not required. You may enter a comma if the amount is over
    999.99.

    CAW*Referring Provider and ID Required
    A referring provider and ID are required by this payor.

    CAX*Patient & Insured Births Different
    The relationship between the patient and insured is Self, but the
    birth dates are different.

    CAY*Original Reference Number Missing
    When sending a claim which is a correction, replacement or void, the
    original reference number (carrier assigned claim number) must also be
    sent.

    CAZ*Invalid Frequency Type Code
    The frequency type code (claim submission reason) must be 1 (original), 7 (replacement) or 8 (void).

    CB1*SVD PayorID Must Match Primary PayorID
    The payor ID in the SVD segment (amount paid by primary) must be the same
    as the payor ID of the primary payor.

    CB2*No Primary Paid Date
    The date the primary paid their portion of the charge must be present,
    even if nothing was paid.

    CB3*No Primary Paid Amount
    The amount the primary paid for their portion of the charge must be
    present, even if nothing was paid.

    CB4*Only 4 Pointers Allowed
    There is a limit of only 4 diagnosis pointers per charge.

    CB5*Zip code must be 9 numeric digits
    Billing and Place of Service zip codes must include the zip + 4.

    CB6*Invalid Pointer Value
    There can be only 4 pointers with values of 1 through 8

    CB7*Invalid Taxonomy Code
    Invalid taxonomy code. Check both billing and rendering taxonomy codes.

    CB8*Claim Ctl # Required
    When sending a resubmission code, the claim control # issued by the payor
    is also required.

    CB9*Resub Code Required
    When sending a claim control #, a resubmission code is also required.

    CBA*Can't Mix Place of Svc Codes
    Only one place of service code per claim allowed. e is also required.

    .

    Batch Level Error Code Descriptions (Bxx)

    B01*Invld Org Name >>BATCH REJECTED<<
    The name for this organization contains invalid characters. Please call
    LTC for assistance.

    B02*Invald Code >>>BATCH REJECTED<<<
    The field named under the "Field in Error" heading and the field shown
    under the "Field Contents" heading is invalid. Please call LTC for
    assistance.

    B03*Provider Name or Tax ID not Found
    The Rendering Provider Name or Tax ID was not found on the LTC Database.
    The provider name is spelled wrong or the tax ID is wrong. Also, a
    middle intial may or may not be required.

    B04*Not on File >>>BATCH REJECTED<<<
    The field named under the "Field in Error" heading and the field shown
    under the "Field Contents" heading is not on the LTC database. Please
    call LTC for assistance.

    B05*Invld Spec Code>>BATCH REJECTED<<
    The specialty code for this Provider is invalid. Pleas call LTC for
    assistance.

    B06*Record Count Err>>BATCH REJECTED<<
    The internal counts for the record type named under the "Field in Error"
    heading did not balance. Please call LTC for assistance.

    B07*Unkn Provider >provider name
    The provider name for this claim was not found on our datebase. This is
    usually caused by 1 of 4 conditions:
    1.) Provider name is spelled wrong.
    2.) Provider name sent with a middle initial but we do not have the
    middle initial on our database or vice versa.
    3.) The credentials behind the provider name are unknown to us.
    4.) The tax ID is missing or not found on our database.

    B08*>>BATCH REJECTED<< See Reason Above
    There is a problem in the batch header record. The reason is given in the
    batch reject message a few lines above or below this on. Correct the batch
    level problem and resbumit or call LTC for assistance.

    B09*Invalid Zip Code for State xx
    The field named under the "Field in Error" heading must consist of a
    valid zip code for the State as shown at xx. This error is the same as
    C27, but at the batch level. The State code me be wrong.

    B10*Tax ID not Found
    The Tax ID for this site was not found on the LTC database. Check the
    tax ID your are sending. If correct, call LTC for assistance.

    B11*Invalid Tax ID-Batch Rejected
    The Tax ID for this site is not a valid tax ID. The tax ID must be 9
    numeric digits. The entire batch of claims with this ID will be rejected.

    B12*No Tax ID-Batch Rejected
    The Tax ID for this site was not sent on the claim. The entire batch of
    claims will be rejected.

    B13*PO BOX Adress not Allowed
    The billing address cannot contain a PO Box.
    All claims attached to this billing provider will be rejected.


    File Level Error Code Descriptions (Fxx)

    F01*Invalid Code >>FILE REJECTED<<
    The field named under the "Field in Error" heading and the field shown
    under the "Field Contents" heading is invalid. Please call LTC for
    assistance.

    F02*Truncated File >>FILE REJECTED<<
    The file appears to have been truncated in transmission or by the
    generating software. Please call LTC for assistance.

    F03*Invalid name must be LTCCLAIMS
    The internal name of this file must be LTCCLAIMS. Please call LTC for
    assistance.

    F04*Invalid data, must be 03 or 04
    The revision number of this file must be 03 or 04. Please call LTC for
    assistance.

    F05*Invalid or missing claim data
    An invalid record type has been encountered. Please call LTC for
    assistance.

    F06*Invalid Code >>>FILE REJECTED<<<
    The field named under the "Field in Error" heading and the data shown
    under the "Field Contents" heading is invalid. Please call LTC for
    assistance.

    F07*Out of Balance >>FILE REJECTED<<
    The field named under the "Field in Error" heading and the data shown
    under the "Field Contents" heading is out of balance. This could be
    record, claim or batch counts. Please call LTC for assistance.

    F08*Out of Balance >>FILE REJECTED<<
    The field named under the "Field in Error" heading and the data shown
    under the "Field Contents" heading is out of balance. This could be
    record, claim or batch counts. Please call LTC for assistance.

    F09*File Header Err >>FILE REJECTED<<
    The header record for the file failed at least one edit. The entire file
    is being rejected. Call LTC for assistance.

    F10*Secondary File Error-Call LTC<<
    The secondary work file for this file was not found. This is an internal
    error at LTC. Call LTC for assistance.




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