Section title: External Code Lists

Insurance Business Process Application Error Codes

895

These codes report application warnings and errors for insurance business processes.

Maintenance Request Status

The list below shows the status of change requests which are in process.

Each request will be in one of the following statuses:

  1. Received
    The request has been submitted but is not yet under review.
  2. Pending
    Staff has looked at the request to ensure it's a legitimate request (not spam), that it is assigned to the correct CMG, and that all required information is present.
  3. In Process
    The CMG has initiated their decision process.
  4. On Hold
    The CMG has initiated their decision process but cannot complete it at this time.
  5. CMG Approved
    The CMG has considered and approved the request, this does not mean it was approved exactly as submitted, it means maintenance related to the request was approved. Requests in this status will be applied to the next version.
  6. CMG Disapproved
    The CMG has considered and disapproved the request, no maintenance action will occur. Requests in this status are complete/final.
Num. Date Requested Description Type Code Status
2 7/13/2020 Claim rejected, attachment not accepted at this time. New code In Process

Maintenance Request Form

Fields marked with an asterisk (*) are required





*The description you are suggesting for a new code or to replace the description for a current code.

*Explain the business scenario or use case when the requested new code would be used, the reason an existing code is no longer appropriate for the code list’s business purpose, or reason the current description needs to be revised.

10/1/2020
E001Missing/Invalid submitter identifier
Start: 05/01/2004
W001Missing/Invalid submitter identifier
Start: 05/01/2004
E002Missing/Invalid receiver identifier
Start: 05/01/2004
W002Missing/Invalid receiver identifier
Start: 05/01/2004
E003Missing/Invalid member identifier
Start: 05/01/2004
W003Missing/Invalid member identifier
Start: 05/01/2004
E004Missing/Invalid subscriber identifier
Start: 05/01/2004
W004Missing/Invalid subscriber identifier
Start: 05/01/2004
E005Missing/Invalid patient identifier
Start: 05/01/2004
W005Missing/Invalid patient identifier
Start: 05/01/2004
E006Missing/Invalid plan sponsor identifier
Start: 05/01/2004
W006Missing/Invalid plan sponsor identifier
Start: 05/01/2004
E007Missing/invalid payee identifier
Start: 05/01/2004
W007Missing/invalid payee identifier
Start: 05/01/2004
E008Missing/Invalid TPA/broker identifier
Start: 05/01/2004
W008Missing/Invalid TPA/broker identifier
Start: 05/01/2004
E009Missing/Invalid premium receiver identifier
Start: 05/01/2004
W009Missing/Invalid premium receiver identifier
Start: 05/01/2004
E010Missing/Invalid premium payer identifier
Start: 05/01/2004
W010Missing/Invalid premium payer identifier
Start: 05/01/2004
E011Missing/Invalid payer identifier
Start: 05/01/2004
W011Missing/Invalid payer identifier
Start: 05/01/2004
E012Missing/Invalid billing provider identifier
Start: 05/01/2004
W012Missing/Invalid billing provider identifier
Start: 05/01/2004
E013Missing/Invalid pay to provider identifier
Start: 05/01/2004
W013Missing/Invalid pay to provider identifier
Start: 05/01/2004
E014Missing/Invalid rendering provider identifier
Start: 05/01/2004
W014Missing/Invalid rendering provider identifier
Start: 05/01/2004
E015Missing/Invalid supervising provider identifier
Start: 05/01/2004
W015Missing/Invalid supervising provider identifier
Start: 05/01/2004
E016Missing/Invalid attending provider identifier
Start: 05/01/2004
W016Missing/Invalid attending provider identifier
Start: 05/01/2004
E017Missing/Invalid other provider identifier
Start: 05/01/2004
W017Missing/Invalid other provider identifier
Start: 05/01/2004
E018Missing/Invalid operating provider identifier
Start: 05/01/2004
W018Missing/Invalid operating provider identifier
Start: 05/01/2004
E019Missing/Invalid referring provider identifier
Start: 05/01/2004
W019Missing/Invalid referring provider identifier
Start: 05/01/2004
E020Missing/Invalid purchased service provider identifier
Start: 05/01/2004
W020Missing/Invalid purchased service provider identifier
Start: 05/01/2004
E021Missing/Invalid service facility identifier
Start: 05/01/2004
W021Missing/Invalid service facility identifier
Start: 05/01/2004
E022Missing/Invalid ordering provider identifier
Start: 05/01/2004
W022Missing/Invalid ordering provider identifier
Start: 05/01/2004
E023Missing/Invalid assistant surgeon identifier
Start: 05/01/2004
W023Missing/Invalid assistant surgeon identifier
Start: 05/01/2004
E024Amount/Quantity out of balance
Start: 05/01/2004
W024Amount/Quantity out of balance
Start: 05/01/2004
E025Duplicate
Start: 05/01/2004
W025Duplicate
Start: 05/01/2004
E026Billing date predates service date
Start: 05/01/2004
W026Billing date predates service date
Start: 05/01/2004
E027Business application currently not available
Start: 05/01/2004
W027Business application currently not available
Start: 05/01/2004
E028Sender not authorized for this transaction
Start: 05/01/2004
W028Sender not authorized for this transaction
Start: 05/01/2004
E029Number of errors exceeds permitted threshold
Start: 05/01/2004
W029Number of errors exceeds permitted threshold
Start: 05/01/2004
E030Required loop missing
Start: 05/01/2004
W030Required loop missing
Start: 05/01/2004
E031Required segment missing
Start: 05/01/2004
W031Required segment missing
Start: 05/01/2004
E032Required element missing
Start: 05/01/2004
W032Required element missing
Start: 05/01/2004
E033Situational required loop is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
W033Situational required loop is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
E034Situational required segment is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
W034Situational required segment is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
E035Situational required element is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
W035Situational required element is missing
Start: 05/01/2004 | Last Modified: 11/20/2008
E036Data too long
Start: 05/01/2004
W036Data too long
Start: 05/01/2004
E037Data too short
Start: 05/01/2004
W037Data too short
Start: 05/01/2004
E038Invalid external code value
Start: 05/01/2004
W038Invalid external code value
Start: 05/01/2004
E039Data value out of sequence
Start: 05/01/2004
W039Data value out of sequence
Start: 05/01/2004
E040"Not Used" data element present
Start: 05/01/2004
W040"Not Used" data element present
Start: 05/01/2004
E041Too many sub-elements in composite
Start: 05/01/2004
W041Too many sub-elements in composite
Start: 05/01/2004
E042Unexpected segment
Start: 05/01/2004
W042Unexpected segment
Start: 05/01/2004
E043Missing data
Start: 05/01/2004
W043Missing data
Start: 05/01/2004
E044Out of range
Start: 05/01/2004
W044Out of range
Start: 05/01/2004
E045Invalid date
Start: 05/01/2004
W045Invalid date
Start: 05/01/2004
E046Not matching
Start: 05/01/2004
W046Not matching
Start: 05/01/2004
E047Invalid combination
Start: 05/01/2004
W047Invalid combination
Start: 05/01/2004
E048Customer identification number does not exist
Start: 05/01/2004
W048Customer identification number does not exist
Start: 05/01/2004
E049Duplicate batch
Start: 05/01/2004
W049Duplicate batch
Start: 05/01/2004
E050Incorrect data
Start: 05/01/2004
W050Incorrect data
Start: 05/01/2004
E051Incorrect date
Start: 05/01/2004
W051Incorrect date
Start: 05/01/2004
E052Duplicate transmission
Start: 05/01/2004
W052Duplicate transmission
Start: 05/01/2004
E053Invalid claim amount
Start: 05/01/2004
W053Invalid claim amount
Start: 05/01/2004
E054Invalid identification code
Start: 05/01/2004
W054Invalid identification code
Start: 05/01/2004
E055Missing or invalid issuer identification
Start: 05/01/2004
W055Missing or invalid issuer identification
Start: 05/01/2004
E056Missing or invalid item quantity
Start: 05/01/2004
W056Missing or invalid item quantity
Start: 05/01/2004
E057Missing or invalid item identification
Start: 05/01/2004
W057Missing or invalid item identification
Start: 05/01/2004
E058Missing or unauthorized transaction type code
Start: 05/01/2004
W058Missing or unauthorized transaction type code
Start: 05/01/2004
E059Unknown claim number
Start: 05/01/2004
W059Unknown claim number
Start: 05/01/2004
E060Bin segment contentes not in MIME format
Start: 05/01/2004
W060Bin segment contents not in MIME format
Start: 05/01/2004
E061Missing/invalid MIME header
Start: 05/01/2004
W061Missing/Invalid MIME header
Start: 05/01/2004
E062Missing/Invalid MIME boundary
Start: 05/01/2004
W062Missing/Invalid MIME boundary
Start: 05/01/2004
E063Missing/Invalid MIME transfer encoding
Start: 05/01/2004
W063Missing/Invalid MIME transfer encoding
Start: 05/01/2004
E064Missing/Invalid MIME content type
Start: 05/01/2004
W064Missing/Invalid MIME content type
Start: 05/01/2004
E065Missing/Invalid MIME content disposition (filename)
Start: 05/01/2004
W065Missing/Invalid MIME content disposition (filename)
Start: 05/01/2004
E066Missing/Invalid file name extension
Start: 05/01/2004
W066Missing/Invalid file name extension
Start: 05/01/2004
E067Invalid MIME base64 encoding
Start: 05/01/2004
W067Invalid MIME base64 encoding
Start: 05/01/2004
E068Invalid MIME quoted-printable encoding
Start: 05/01/2004
W068Invalid MIME quoted-printable encoding
Start: 05/01/2004
E069Missing/Invalid MIME line terminator (should be CR+LF)
Start: 05/01/2004
W069Missing/Invalid MIME line terminator (should be CR+LF)
Start: 05/01/2004
E070Missing/Invalid "end of MIME" headers
Start: 05/01/2004
W070Missing/Invalid "end of MIME" headers
Start: 05/01/2004
E071Missing/Invalid CDA in first MIME body parts
Start: 05/01/2004
W071Missing/Invalid CDA in first MIME body parts
Start: 05/01/2004
E072Missing/Invalid XML tag
Start: 05/01/2004
W072Missing/Invalid XML tag
Start: 05/01/2004
E073Unrecoverable XML error
Start: 05/01/2004
W073Unrecoverable XML error
Start: 05/01/2004
E074Invalid Data format for HL7 data type
Start: 05/01/2004
W074Invalid Data format for HL7 data type
Start: 05/01/2004
E075Missing/Invalid required LOINC answer part(s) in the CDA
Start: 05/01/2004
W075Missing/Invalid required LOINC answer part(s) in the CDA
Start: 05/01/2004
E076Missing/Invalid Provider information in the CDA
Start: 05/01/2004
W076Missing/Invalid Provider information in the CDA
Start: 05/01/2004
E077Missing/Invalid Patient information in the CDA
Start: 05/01/2004
W077Missing/Invalid Patient information in the CDA
Start: 05/01/2004
E078Missing/Invalid Attachment Control information in the CDA
Start: 05/01/2004
W078Missing/Invalid Attachment Control information in the CDA
Start: 05/01/2004
E079Missing/Invalid LOINC
Start: 05/01/2004
W079Missing/Invalid LOINC
Start: 05/01/2004
E080Missing/Invalid LOINC Modifier
Start: 05/01/2004
W080Missing/Invalid LOINC Modifier
Start: 05/01/2004
E081Missing/Invalid LOINC code for this attachment type
Start: 05/01/2004
W081Missing/Invalid LOINC code for this attachment type
Start: 05/01/2004
E082Missing/Invalid LOINC Modifier for this attachment type
Start: 05/01/2004
W082Missing/Invalid LOINC Modifier for this attachment type
Start: 05/01/2004
E083Situational prohibited element is present
Start: 05/01/2004 | Last Modified: 11/20/2008
W083Situational prohibited element is present
Start: 05/01/2004 | Last Modified: 11/20/2008
E084Duplicate qualifier value in repeated segment within a single loop
Start: 05/01/2009
W084Duplicate qualifier value in repeated segment within a single loop
Start: 05/01/2009
E085Situational required composite element is missing
Start: 05/01/2009
W085Situational required composite element is missing
Start: 05/01/2009
E086Situational required repeating element is missing
Start: 05/01/2009
W086Situational required repeating element is missing
Start: 05/01/2009
E087Situational prohibited loop is present
Start: 05/01/2009
W087Situational prohibited loop is present
Start: 05/01/2009
E088Situational prohibited segment is present
Start: 05/01/2009
W088Situational prohibited segment is present
Start: 05/01/2009
E089Situational prohibited composite element is present
Start: 05/01/2009
W089Situational prohibited composite element is present
Start: 05/01/2009
E090Situational prohibited repeating element is present
Start: 05/01/2009
W090Situational prohibited repeating element is present
Start: 05/01/2009
E091Transaction successfully received but not processed as applicable business function not performed.
Start: 01/30/2011
W091Transaction successfully received but not processed as applicable business function not performed.
Start: 01/30/2011
E092Missing/Invalid required SNOMED CT answer part(s) in the CDA
Start: 06/05/2011
W092Missing/Invalid required SNOMED CT answer part(s) in the CDA
Start: 06/05/2011
E093Matching Policy Information/Document not found.
Start: 06/01/2014
W093Matching Policy Information/Document not found.
Start: 06/01/2014
E094Financial Assistance not permitted across multiple marketplaces - Double Dip Check Edit Identified.
Start: 06/01/2014
W094Financial Assistance not permitted across multiple marketplaces - Double Dip Check Edit Identified.
Start: 06/01/2014
E095Business Process transaction out of sequence.
Start: 01/25/2015
W095Business Process transaction out of sequence.
Start: 01/25/2015
E096Advanced Premium Tax Credit is more than Total Premium.
Start: 01/25/2015
W096Advanced Premium Tax Credit is more than Total Premium.
Start: 01/25/2015
E097Marketplace, Off Market Variant.
Start: 01/25/2015
W097Marketplace, Off Market Variant.
Start: 01/25/2015
E098Maintenance Type Code
Start: 07/01/2015
W098Maintenance Type Code
Start: 07/01/2015
E099Maintenance Reason Code
Start: 07/01/2015
W099Maintenance Reason Code
Start: 07/01/2015
E100Additional Maintenance Reason Code
Start: 07/01/2015
W100Additional Maintenance Reason Code
Start: 07/01/2015
E101Enrollment Group member(s) count on transaction does not match Enrollment Group member(s) count found on file of record
Start: 07/01/2015
W101Enrollment Group member(s) count on transaction does not match Enrollment Group member(s) count found on file of record
Start: 07/01/2015
E102Effective Start Date
Start: 07/01/2015
W102Effective Start Date
Start: 07/01/2015
E103Advanced Payment for Tax Credit (APTC)
Start: 07/01/2015
W103Advanced Payment for Tax Credit (APTC)
Start: 07/01/2015
E104Total Individual Responsibility Amount
Start: 07/01/2015
W104Total Individual Responsibility Amount
Start: 07/01/2015
E105Other Payment Amount 1
Start: 07/01/2015
W105Other Payment Amount 1
Start: 07/01/2015
E106Other Payment Amount 2
Start: 07/01/2015
W106Other Payment Amount 2
Start: 07/01/2015
E107Total Premium Amount
Start: 07/01/2015
W107Total Premium Amount
Start: 07/01/2015
E108Individual Premium Amount
Start: 07/01/2015
W108Individual Premium Amount
Start: 07/01/2015
E109Total Employer Responsibility Amount
Start: 07/01/2015
W109Total Employer Responsibility Amount
Start: 07/01/2015
E110Financial Date Precedes Premium Date
Start: 07/01/2015
W110Financial Date Precedes Premium Date
Start: 07/01/2015
E111Exceeds Unique Start Date(s)
Start: 07/01/2015
W111Exceeds Unique Start Date(s)
Start: 07/01/2015
E112Exceeds Allowable Changes
Start: 07/01/2015
W112Exceeds Allowable Changes
Start: 07/01/2015
E113Cost Sharing Reduction (CSR) Date precedes the Total Premium Amount Effective Start Date
Start: 07/01/2015
W113Cost Sharing Reduction (CSR) Date precedes the Total Premium Amount Effective Start Date
Start: 07/01/2015
E114Renewal Transaction cannot be processed as it is outside of allocated time period
Start: 07/01/2015
W114Renewal Transaction cannot be processed as it is outside of allocated time period
Start: 07/01/2015
E115Financial Amounts Unchanged by newly reported data
Start: 07/01/2015
W115Financial Amounts Unchanged by newly reported data
Start: 07/01/2015
E116Effective Start Date does not align with Previous Effective End Date
Start: 07/01/2015
W116Effective Start Date does not align with Previous Effective End Date
Start: 07/01/2015
E117Duplicate Payment of Advanced Premium Tax Credit
Start: 08/24/2015
W117Duplicate Payment of Advanced Premium Tax Credit
Start: 08/24/2015
E118Duplicate Payment of Cost Sharing Reduction
Start: 08/24/2015
W118Duplicate Payment of Cost Sharing Reduction
Start: 08/24/2015
E119Duplicate Payment of User Fee
Start: 08/24/2015
W119Duplicate Payment of User Fee
Start: 08/24/2015
E120Missing Payment of Advanced Premium Tax Credit
Start: 08/24/2015
W120Missing Payment of Advanced Premium Tax Credit
Start: 08/24/2015
E121Missing Payment of Cost Sharing Reduction
Start: 08/24/2015
W121Missing Payment of Cost Sharing Reduction
Start: 08/24/2015
E122Missing Payment of User Fee
Start: 08/24/2015
W122Missing Payment of User Fee
Start: 08/24/2015
E123Advanced Premium Tax Credit (APTC) Payment Mismatch - The Federally Facilitated Marketplace (FFM) or State Based Marketplace (SBM) APTC amount and the Health Plan APTC amount are equal but do not match the APTC payment amount received
Start: 08/24/2015
W123Advanced Premium Tax Credit (APTC) Payment Mismatch - The Federally Facilitated Marketplace (FFM) or State Based Marketplace (SBM) APTC amount and the Health Plan APTC amount are equal but do not match the APTC payment amount received
Start: 08/24/2015
E124Cost Shared Reduction (CSR) Payment Mismatch - The Federally Facilitated Marketplace (FFM) or State Based Marketplace (SBM) CSR amount and the Health Plan CSR amount are equal but do not match the CSR payment amount received
Start: 08/24/2015
W124Cost Shared Reduction (CSR) Payment Mismatch - The Federally Facilitated Marketplace (FFM) or State Based Marketplace (SBM) CSR amount and the Health Plan CSR amount are equal but do not match the CSR payment amount received
Start: 08/24/2015
E125User Fee Payment Mismatch - The calculated Federally Facilitated Marketplace (FFM) User Fee amount and the calculated Health Plan User Fee amount are equal but do not match the User Fee payment amount received
Start: 08/24/2015
W125User Fee Payment Mismatch - The calculated Federally Facilitated Marketplace (FFM) User Fee amount and the calculated Health Plan User Fee amount are equal but do not match the User Fee payment amount received
Start: 08/24/2015
E126Effectuation Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
W126Effectuation Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
E127Cancel Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
W127Cancel Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
E128Termination Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
W128Termination Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
E129Maintenance Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
W129Maintenance Transaction cannot be processed as it is outside of allocated time period
Start: 03/01/2016
E130Policy level cancel/terminations shall not contain health coverage information
Start: 03/01/2016
W130Policy level cancel/terminations shall not contain health coverage information
Start: 03/01/2016
E131Dependent/Member not included in current coverage
Start: 07/01/2016
W131Dependent/Member not included in current coverage
Start: 07/01/2016
E132The data in the transaction does not match the exchange/marketplace type
Start: 07/01/2017
W132The data in the transaction does not match the exchange/marketplace type
Start: 07/01/2017
E133Policy Cancelled - cannot be processed
Start: 07/01/2017
W133Policy Cancelled - cannot be processed
Start: 07/01/2017
E134Policy Non-Effectuated - cannot be processed
Start: 07/01/2017
W134Policy Non-Effectuated - cannot be processed
Start: 07/01/2017
E135Policy ID
Start: 07/01/2017
W135Policy ID
Start: 07/01/2017
E136Subscriber ID
Start: 07/01/2017
W136Subscriber ID
Start: 07/01/2017
E137Member ID
Start: 07/01/2017
W137Member ID
Start: 07/01/2017
E138No Longer Eligible (NLE)
Start: 07/01/2017
W138No Longer Eligible (NLE)
Start: 07/01/2017
E139Exchange Assigned
Start: 07/01/2017
W139Exchange Assigned
Start: 07/01/2017
E140Issuer Assigned
Start: 07/01/2017
W140Issuer Assigned
Start: 07/01/2017
E141Issuer Prior Assigned
Start: 07/01/2017
W141Issuer Prior Assigned
Start: 07/01/2017
E142Action results already match current information on file
Start: 07/01/2017
W142Action results already match current information on file
Start: 07/01/2017
E143Action results do not match current information on file
Start: 07/01/2017
W143Action results do not match current information on file
Start: 07/01/2017
E144Cancellation Transaction
Start: 07/01/2017
W144Cancellation Transaction
Start: 07/01/2017
E145Initial Enrollment Transaction
Start: 07/01/2017
W145Initial Enrollment Transaction
Start: 07/01/2017
E146Maintenance Transaction
Start: 07/01/2017
W146Maintenance Transaction
Start: 07/01/2017
E147Reinstatement Transaction
Start: 07/01/2017
W147Reinstatement Transaction
Start: 07/01/2017
E148Termination Transaction
Start: 07/01/2017
W148Termination Transaction
Start: 07/01/2017
E149Email Address
Start: 07/01/2017
W149Email Address
Start: 07/01/2017
E150Mailing Address
Start: 07/01/2017
W150Mailing Address
Start: 07/01/2017
E151Telephone Number
Start: 07/01/2017
W151Telephone Number
Start: 07/01/2017
E152Consumer executed voluntary withdrawal of coverage
Start: 11/01/2017
W152Consumer executed voluntary withdrawal of coverage
Start: 11/01/2017
E153Unable to be processed causing a gap or overlap in coverage dates
Start: 11/01/2017
W153Unable to be processed causing a gap or overlap in coverage dates
Start: 11/01/2017
E154Invoke the Enrollment Resolution and Reconciliation (ER&R) manual process
Start: 11/01/2017
W154Invoke the Enrollment Resolution and Reconciliation (ER&R) manual process
Start: 11/01/2017
E155Marketplace Coverage in Effect
Start: 11/01/2017
W155Marketplace Coverage in Effect
Start: 11/01/2017
E156Reinstatement transaction cannot be processed as it is outside of the allocated time period
Start: 11/01/2017
W156Reinstatement transaction cannot be processed as it is outside of the allocated time period
Start: 11/01/2017
E157Coverage Start Date
Start: 11/01/2017
W157Coverage Start Date
Start: 11/01/2017
E158Coverage End Date
Start: 11/01/2017
W158Coverage End Date
Start: 11/01/2017
E159Dependent/Member shall not be included in Policy Level
Start: 03/01/2018
W159Dependent/Member shall not be included in Policy Level
Start: 03/01/2018
E160One day coverage
Start: 07/01/2018
W160One day coverage
Start: 07/01/2018
E161Invalid
Start: 07/01/2018
W161Invalid
Start: 07/01/2018
E162Eligibility Begin Date
Start: 06/02/2019
W162Eligibility Begin Date
Start: 06/02/2019