{"aaData": [["04", "
Authorized Quantity Exceeded
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["48", "
Invalid/Missing Referring Provider Identification Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["49", "
Provider is Not Primary Care Physician
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["50", "
Provider Ineligible for Inquiries
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["51", "
Provider Not on File
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["52", "
Service Dates Not Within Provider Plan Enrollment
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["53", "
Inquired Benefit Inconsistent with Provider Type
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["54", "
Inappropriate Product/Service ID Qualifier
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["55", "
Inappropriate Product/Service ID
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["56", "
Inappropriate Date
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["57", "
Invalid/Missing Date(s) of Service
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["15", "
Required Application Data Missing
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["58", "
Invalid/Missing Date-of-Birth
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["60", "
Date of Birth Follows Date(s) of Service
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["61", "
Date of Death Precedes Date(s) of Service
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["62", "
Date of Service Not Within Allowable Inquiry Period
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["63", "
Date of Service in Future
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["64", "
Invalid/Missing Patient ID
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["65", "
Invalid/Missing Patient Name
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["66", "
Invalid/Missing Patient Gender Code
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["67", "
Patient Not Found
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["68", "
Duplicate Patient ID Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["41", "
Authorization/Access Restrictions
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["69", "
Inconsistent with Patient\"s Age
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["70", "
Inconsistent with Patient\"s Gender
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["71", "
Patient Birth Date Does Not Match that for the Patient on the Database
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["72", "
Invalid/Missing Subscriber/Insured ID
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["73", "
Invalid/Missing Subscriber/Insured Name
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["74", "
Invalid/Missing Subscriber/Insured Gender Code
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["75", "
Subscriber/Insured Not Found
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["76", "
Duplicate Subscriber/Insured ID Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["77", "
Subscriber Found, Patient Not Found
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["78", "
Subscriber/Insured Not in Group/Plan Identified
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["42", "
Unable to Respond at Current Time
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["79", "
Invalid Participant Identification
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["80", "
No Response received - Transaction Terminated
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["T4", "
Payer Name or Identifier Missing
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["33", "
Input Errors
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["35", "
Out of Network
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["98", "
Experimental Service or Procedure
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AA", "
Authorization Number Not Found
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AE", "
Requires Primary Care Physician Authorization
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AF", "
Invalid/Missing Diagnosis Code(s)
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AG", "
Invalid/Missing Procedure Code(s)
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["43", "
Invalid/Missing Provider Identification
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AO", "
Additional Patient Condition Information Required
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["CI", "
Certification Information Does Not Match Patient
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["E8", "
Requires Medical Review
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["IA", "
Invalid Authorization Number Format
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["MA", "
Missing Authorization Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["97", "
Invalid or Missing Provider Address
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["95", "
Patient Not Eligible
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AH", "
Invalid/Missing Onset of Current Condition or Illness Date
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AI", "
Invalid/Missing Accident Date
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AJ", "
Invalid/Missing Last Menstrual Period Date
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["44", "
Invalid/Missing Provider Name
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AK", "
Invalid/Missing Expected Date of Birth
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AM", "
Invalid/Missing Admission Date
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["AN", "
Invalid/Missing Discharge Date
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["T5", "
Certification Information Missing
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["IP", "
Inappropriate Provider Role
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["NC", "
No Certification Information Found
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["ZZ", "
Mutually Defined
\n", "
NO
\n", "
2023-09-19 11:16:11
\n", "
0
\n"], ["45", "
Invalid/Missing Provider Specialty
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["46", "
Invalid/Missing Provider Phone Number
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["47", "
Invalid/Missing Provider State
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"]]}