{"aaData": [["1", "NOT INSURED", "
YES
\n", "
NO
\n", "
CV01
\n", ""], ["10", "INVALID PRESCRIPTION ENTRY", "
YES
\n", "
NO
\n", "
RX01
\n", ""], ["100", "CHAMPVA INPATIENT/DISCHARGE", "", "", "
RX17
\n", ""], ["101", "INPATIENT RX AUTO-REVERSAL", "
YES
\n", "
NO
\n", "
RX18
\n", ""], ["102", "CAMP LEJEUNE TREATMENT", "
YES
\n", "
NO
\n", "
VA11
\n", ""], ["103", "APPT CANCELLED/PT NOT SEEN", "", "", "
MC20
\n", ""], ["104", "SEEN BY PROVIDER ON SAME DAY", "", "", "
MC21
\n", ""], ["105", "NON-BILLABLE DME/PROSTHETIC", "", "", "
MC22
\n", ""], ["106", "NON-BILLABLE PROCEDURE", "", "", "
MC23
\n", "
INACTIVE
\n"], ["107", "EMPLOYEE HEALTH", "
YES
\n", "
NO
\n", "
MC24
\n", ""], ["108", "ENCOUNTER DURING INPT STAY", "", "", "
MC25
\n", "
INACTIVE
\n"], ["109", "NO PROSTHETIC COVERAGE", "", "", "
CV22
\n", ""], ["11", "REFILL ON VISIT DATE", "", "", "
RX02
\n", "
INACTIVE
\n"], ["110", "NON-COVERED DIAGNOSIS", "", "", "
CV23
\n", ""], ["111", "NON-COVERED ROUTINE CARE", "", "", "
CV24
\n", ""], ["112", "HDHP PLAN NOT BILLED", "", "", "
CV25
\n", "
INACTIVE
\n"], ["113", "NOT RELATED TO WC/TORT/NF", "", "", "
CV26
\n", ""], ["114", "TRICARE PT SEEN AS VETERAN", "
YES
\n", "
NO
\n", "
CV27
\n", ""], ["115", "COMBINED CHARGES", "", "", "
BL08
\n", ""], ["116", "UNBUNDLED SERVICE", "", "", "
BL09
\n", ""], ["117", "CHAMPVA PT SEEN AS VETERAN", "
YES
\n", "
NO
\n", "
CV28
\n", ""], ["118", "LOD NOT OBTAINED", "", "", "
MC26
\n", ""], ["119", "BILLING LIMITATIONS", "
NO
\n", "
NO
\n", "
BL10
\n", "
INACTIVE
\n"], ["12", "PRESCRIPTION DELETED", "
YES
\n", "
NO
\n", "
RX03
\n", ""], ["120", "NO COVERAGE", "
YES
\n", "
NO
\n", "
CV30
\n", "
INACTIVE
\n"], ["121", "POLICY LIMITATIONS", "
YES
\n", "
NO
\n", "
CV31
\n", ""], ["122", "DOCUMENTATION DOES NOT SUPPORT", "
NO
\n", "
NO
\n", "
DC20
\n", ""], ["123", "NON-BILLABLE SERVICE", "
NO
\n", "
NO
\n", "
MC30
\n", ""], ["124", "MEDICAL NECESSITY", "
YES
\n", "
NO
\n", "
MN05
\n", ""], ["125", "RX LIMITATIONS", "
YES
\n", "
NO
\n", "
RX20
\n", ""], ["126", "MISSING NDC", "
NO
\n", "
NO
\n", "
RX28
\n", ""], ["127", "RX BILLED PAPER CLAIM", "
YES
\n", "
YES
\n", "
B99
\n", ""], ["128", "PACT ACT 103", "
YES
\n", "
NO
\n", "
VA12
\n", ""], ["129", "DOD PROVIDER TX DOD PT AT VA", "
NO
\n", "
NO
\n", "
B11
\n", ""], ["13", "PRESCRIPTION NOT RELEASED", "
YES
\n", "
NO
\n", "
RX04
\n", ""], ["14", "DRUG NOT BILLABLE", "
YES
\n", "
NO
\n", "
RX05
\n", ""], ["15", "HMO POLICY", "", "", "
CV03
\n", ""], ["16", "REFUSES TO SIGN RELEASE (ROI)", "", "", "
MC02
\n", ""], ["17", "NON-BILLABLE STOP CODE", "", "", "
MC03
\n", ""], ["18", "RESEARCH VISIT", "", "", "
MC04
\n", ""], ["19", "BILL PURGED", "", "", "", "
INACTIVE
\n"], ["2", "SC TREATMENT", "
YES
\n", "
NO
\n", "
VA01
\n", ""], ["20", "NON-BILLABLE CLINIC", "", "", "
MC05
\n", ""], ["21", "MILITARY SEXUAL TRAUMA", "
YES
\n", "
NO
\n", "
VA06
\n", ""], ["22", "CREDENTIALING ISSUE", "", "", "
MC06
\n", ""], ["23", "INSUFFICIENT DOCUMENTATION", "", "", "", "
INACTIVE
\n"], ["24", "NO DOCUMENTATION", "", "", "
DC01
\n", ""], ["25", "NON-BILLABLE PROVIDER (RESID.)", "", "", "", "
INACTIVE
\n"], ["26", "NON-BILLABLE PROVIDER (OTHER)", "", "", "", "
INACTIVE
\n"], ["27", "OTHER COMPLIANCE", "", "", "
MC07
\n", ""], ["28", "OUT OF NETWORK (PPO)", "", "", "
CV04
\n", "
INACTIVE
\n"], ["29", "HEAD/NECK CANCER", "
YES
\n", "
NO
\n", "
VA07
\n", ""], ["3", "AGENT ORANGE", "
YES
\n", "
NO
\n", "
VA02
\n", ""], ["30", "COMBAT VETERAN", "
YES
\n", "
NO
\n", "
VA08
\n", ""], ["31", "MRA REC'D. NO SEC RESP EXISTS", "", "", "
CV05
\n", ""], ["32", "MRA REC'D. SEC NOT BILLED", "", "", "
CV06
\n", ""], ["33", "90 DAY RX FILL NOT COVERED", "
YES
\n", "
NO
\n", "
RX06
\n", ""], ["34", "NOT A CONTRACTED PROVIDER", "
YES
\n", "
NO
\n", "
RX07
\n", ""], ["35", "INVALID MULTIPLES PER DAY SUPP", "
YES
\n", "
NO
\n", "
RX08
\n", ""], ["36", "REFILL TOO SOON", "
YES
\n", "
NO
\n", "
RX09
\n", ""], ["37", "INVALID NDC FROM CMOP", "
YES
\n", "
NO
\n", "
RX10
\n", ""], ["38", "PROJECT 112/SHAD", "
YES
\n", "
NO
\n", "
VA09
\n", ""], ["39", "NON COVERED DRUG PER PLAN", "", "", "
RX11
\n", ""], ["4", "IONIZING RADIATION", "
YES
\n", "
NO
\n", "
VA03
\n", ""], ["40", "FILING TIMEFRAME NOT MET", "
YES
\n", "
NO
\n", "
CV07
\n", ""], ["41", "GLOBAL SURGERY", "", "", "
MC08
\n", ""], ["42", "CHARGES SPLIT", "", "", "
BL01
\n", ""], ["43", "PRE-CERT NOT OBTAINED", "", "", "
MC09
\n", ""], ["44", "DUPLICATE ENCOUNTER", "", "", "
MC10
\n", ""], ["45", "MEDICARE REPLACEMENT POLICY", "", "", "
CV08
\n", ""], ["46", "COVERED BY MEDICARE AT 100%", "", "", "
CV09
\n", ""], ["47", "BENEFITS MAXED", "", "", "
CV10
\n", ""], ["48", "C&P EXAM/REGISTRY EXAM", "", "", "
VA10
\n", ""], ["49", "TELEPHONE ENCOUNTER", "", "", "
MC11
\n", "
INACTIVE
\n"], ["5", "SOUTHWEST ASIA", "
YES
\n", "
NO
\n", "
VA04
\n", ""], ["50", "NO TX PROVIDED/ADVICE ONLY", "", "", "
DC02
\n", ""], ["51", "ROI NOT OBTAINED", "", "", "
MC12
\n", ""], ["52", "UNSIGNED DOCUMENT", "", "", "
DC03
\n", "
INACTIVE
\n"], ["53", "CONCURRENT CARE", "", "", "
CV11
\n", "
INACTIVE
\n"], ["54", "72 HOUR RULE", "", "", "
MC13
\n", ""], ["55", "CUSTODIAL/RESIDENTIAL CARE", "", "", "
CV12
\n", ""], ["56", "OBSERVATION-OP BILLED", "", "", "
BL02
\n", ""], ["57", "BILLED INSTITUTIONAL ONLY", "", "", "
BL03
\n", ""], ["58", "BILLED PROFESSIONAL ONLY", "", "", "
BL04
\n", ""], ["59", "NO OUTPATIENT COVERAGE", "", "", "
CV13
\n", ""], ["6", "SERVICE NOT COVERED", "", "", "", "
INACTIVE
\n"], ["60", "NO INPATIENT COVERAGE", "", "", "
CV14
\n", ""], ["61", "NO PHARMACY COVERAGE", "
YES
\n", "
NO
\n", "
CV15
\n", ""], ["62", "NO DENTAL COVERAGE", "", "", "
CV16
\n", ""], ["63", "NO MENTAL HEALTH COVERAGE", "", "", "
CV17
\n", ""], ["64", "NO LTC COVERAGE", "", "", "
CV18
\n", ""], ["65", "MED NEC-DX NOT COVERED", "", "", "
MN01
\n", "
INACTIVE
\n"], ["66", "MED NEC-CPT NOT COVERED", "", "", "
MN02
\n", "
INACTIVE
\n"], ["67", "MED NEC-LCD EDIT", "", "", "
MN03
\n", "
INACTIVE
\n"], ["68", "MED NEC-OTHER", "", "", "
MN04
\n", "
INACTIVE
\n"], ["69", "MEDICARE EXCLUDED SERVICE", "", "", "
CV19
\n", ""], ["7", "COVERAGE CANCELED", "
YES
\n", "
NO
\n", "
CV02
\n", "
INACTIVE
\n"], ["70", "RESIDENT SUPERVISION NOT MET", "", "", "
MC14
\n", ""], ["71", "ANCILLARY PROVIDER AT CBOC", "", "", "
MC15
\n", "
INACTIVE
\n"], ["73", "NON-COVERED PROVIDER", "", "", "
CV20
\n", ""], ["74", "NO DIAGNOSIS/SYMPTOMS IN NOTE", "", "", "
DC04
\n", "
INACTIVE
\n"], ["75", "NO CHIEF COMPLAINT", "", "", "
DC05
\n", "
INACTIVE
\n"], ["76", "NOTE NOT WRITTEN TIMELY", "", "", "
DC06
\n", "
INACTIVE
\n"], ["77", "NO PHYSICIAN ORDER", "", "", "
DC07
\n", "
INACTIVE
\n"], ["78", "NO PLAN OF CARE", "", "", "
DC08
\n", "
INACTIVE
\n"], ["79", "STUDENT NOTE ONLY", "", "", "
DC09
\n", "
INACTIVE
\n"], ["8", "NEEDS SC DETERMINATION", "", "", "
VA05
\n", ""], ["80", "ALL BILLABLE CPT CODES BILLED", "", "", "
BL05
\n", ""], ["81", "NO INPT PROF FEES BILLED", "", "", "
BL06
\n", ""], ["82", "REPETITIVE SERVICES", "", "", "
BL07
\n", ""], ["83", "PENDING CODE SET UPDATE", "", "", "
MC16
\n", ""], ["84", "PENDING RC CHARGE UPDATE", "", "", "
MC17
\n", ""], ["85", "NPI/TAXONOMY/PPN ISSUES", "
YES
\n", "
NO
\n", "
MC18
\n", ""], ["86", "RX DUR REJECT", "
YES
\n", "
NO
\n", "
RX12
\n", ""], ["87", "RX PRIOR AUTH NOT OBTAINED", "
YES
\n", "
NO
\n", "
RX13
\n", ""], ["88", "RX MEDICARE PART D", "
YES
\n", "
NO
\n", "
RX14
\n", ""], ["89", "RX DISCOUNT CARD", "
YES
\n", "
NO
\n", "
RX15
\n", ""], ["9", "NON-BILLABLE APPOINTMENT TYPE", "", "", "
MC01
\n", ""], ["91", "DATE OF BIRTH MISMATCH", "
YES
\n", "
NO
\n", "
MC19
\n", ""], ["92", "NEW PT/NO HX", "", "", "
DC10
\n", "
INACTIVE
\n"], ["93", "NEW PT/NO EXAM", "", "", "
DC11
\n", "
INACTIVE
\n"], ["94", "NEW PT/NO COMPLEXITY", "", "", "
DC12
\n", "
INACTIVE
\n"], ["95", "EST PT/NO HX/NO EXAM", "", "", "
DC13
\n", "
INACTIVE
\n"], ["96", "EST PT/NO HX/NO COMPLEXITY", "", "", "
DC14
\n", "
INACTIVE
\n"], ["97", "EST PT/NO EXAM/NO COMPLEXITY", "", "", "
DC15
\n", "
INACTIVE
\n"], ["98", "NO VISION COVERAGE", "", "", "
CV21
\n", ""], ["99", "TRICARE INPATIENT/DISCHARGE", "", "", "
RX16
\n", ""], ["999", "OTHER", "
YES
\n", "
YES
\n", "", ""]]}