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Entity's required reporting has been forwarded to the jurisdiction. Usage: This code requires use of an Entity Code. To be used for Property and Casualty only. Claim submitted prematurely. Please resubmit after crossover/payer to payer COB allotted waiting period.
Entity received claim/encounter, but returned invalid status. Usage: This code requires use of an Entity Code. Entity does not meet dependent or student qualification. Usage: This code requires use of an Entity Code.Claim could not complete adjudication in real time. Claim will continue processing in a batch mode. Do not resubmit. This change effective September 1, 2017: Claim could not complete adjudication in real-time. Claim will continue processing in a batch mode. Do not resubmit. No rate on file with the payer for this service for this entity Usage: This code requires use of an Entity Code. ICD9 Usage: At least one other status code is required to identify the related procedure code or diagnosis code. Claim not found, claim should have been submitted to/through 'entity'. Usage: This code requires use of an Entity Code. Claim estimation can not be completed in real time. Do not resubmit. This change effective September 1, 2017: Claim predetermination/estimation could not be completed in real-time. Do not resubmit.
Funds applied from a consumer spending account such as consumer directed/driven health plan (CDHP), Health savings account (H S A) and or other similar accountsEntity's qualification degree/designation (e.g. RN,PhD,MD). Usage: This code requires use of an Entity Code.