Error Codes/Edit Disposition Codes
To help you understand the meaning of the more common error codes, we have developed a list of top reasons why provider claims deny and offered some solutions to correct each problem.
Please also check our mapping to HIPAA Adjustment Reason Codes and Remit/Remark Codes.
|30||0148||procedure code vs. program indicator||CPT or HCPCS code billed is not covered by this client's eligibility Program||Give the appropriate procedure code for the service provided. If you are unsure whether a service is covered, review the fee schedule or utilize the pricing reference file on the secure internet site, or call
(800) 522-0114, option 1 or (405) 522-6205, option 1 in Oklahoma City metro.
|30||0250||recipient number not on file||invalid client id number||Verify that the correct client id number is on your claim.|
|62||0527||dates of service not on PA database||there is not a prior authorization on file for the service rendered||Use the secure internet site, EVS, or call (800) 522-0114, option 1 or (405) 522-6205, option 1 in Oklahoma City metro to verify that there is a prior authorization on file.|