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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.

HIPAA Code
(Remittance Advice)		 EOB Code
(Website)		 Error Explanation Resolution
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.

 

Last Modified on Dec 03, 2020
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Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.