Medicare 3-digit codes
When you transmit a bulk bill to Medicare, it may be rejected with an error code. Medicare's 3-digit error codes are listed below and provide guidance on what caused the error so the batch can be updated and resent.
To learn more about the codes, see the Government Services Australia website.
If the error you encountered is not listed, or if the problem persists, please contact our support team.
| 101 | More details of service required to assess benefit | |
| 102 | No amount charged is shown on account/receipt | |
| 103 | Letter of explanation is being sent separately | |
| 104 | Balance of benefit due to claimant | |
| 105 | Benefit paid to provider as requested | |
| 106 | Servicing provider unable to be identified | |
| 107 | Benefit paid on item number other than that claimed | |
| 108 | Benefit is not payable for the service claimed | |
| 111 | No benefit payable - claims/s over 2 years old | |
| 113 | Total charge shown on account apportioned over all items | |
| 115 | Benefit recommended for this item | |
| 117 | Benefit not recommended for this item | |
| 120 | Age restriction applies to this item | |
| 122 | Associated referral/request line not required | |
| 123 | Benefit paid on radiology item other than service claimed | |
| 124 | Item is restricted to persons of opposite sex to patient | |
| 125 | Not payable without associated operation/anaesthetic item | |
| 126 | Service is not payable without radiology service | |
| 127 | Maximum number of additional fields already paid s | |
| 128 | Benefit paid on associated fracture/amputation item | |
| 129 | Service is not payable without the base item/s | |
| 130 | Letter of explanation is being sent separately | |
| 131 | Date of service not supplied/invalid | |
| 134 | Single course of treatment paid as subsequent attendance | |
| 135 | Provider not a consultant physician - specialist rate paid | |
| 136 | Referral details not supplied- paid at g.p. rate | |
| 137 | Details of requesting provider not shown on account/receipt | |
| 138 | Benefit only payable when self-determined/deemed necessary | |
| 139 | Approved pathologist should not use this item number | |
| 140 | Non-specialist provider | |
| 141 | No benefit payable for services performed by this provider | |
| 142 | Letter of explanation is being sent separately | |
| 144 | Claim benefit not paid - further assessment required | |
| 150 | Member has not supplied details to permit claim payment | |
| 151 | Associated service already paid-adjustment being processed | |
| 154 | Diagnostic imaging multiple service rule applied to service | |
| 155 | Letter of explanation is being sent separately | |
| 157 | Service possibly aftercare - refer to provider | |
| 158 | Benefit paid on associated abandoned surgery/anae item | |
| 159 | Item associated with other service on which benefit payable | |
| 160 | Maximum number of services for this item already paid | |
| 161 | Adjustment to benefit previously paid | |
| 162 | Benefit has been previously paid for this service | |
| 163 | Surgical/anaesthetic item/s already paid for this date | |
| 164 | Assistant surgeon benefit not payable | |
| 166 | Letter of explanation is being sent separately | |
| 168 | Not payable without associated operation/anaesthetic item | |
| 169 | Operation/anaesthetic item not claimed | |
| 170 | Assistant anaesthetic benefit not payable | |
| 171 | Benefit not payable - provider may only act in one capacity | |
| 173 | Patient episode coning - maximum number of services paid | |
| 174 | Patient episode coning adjustment | |
| 175 | Benefit paid on associated foetal intervention item | |
| 176 | Pay each foetal intervention item as a separate item | |
| 177 | Foetal intervention item paid using derived fee item | |
| 179 | Benefit not payable - associated service already paid | |
| 184 | Benefit paid for additional time item using a derived fee | |
| 194 | Letter of explanation is being sent separately | |
| 195 | Letter of explanation is being sent separately | |
| 206 | Item number does not attract a benefit at date of service | |
| 208 | Cardnumber used has expired | |
| 209 | Claimants name stated is different to that on cardnumber | |
| 211 | Patient not covered by this cardnumber at date of service | |
| 212 | Date of service used is in the future | |
| 214 | Claim form not complete | |
| 215 | Service claimed prior 1 february 1984 | |
| 217 | Patient cannot be identified from information supplied | |
| 222 | Benefit paid on associated anaesthetic item | |
| 223 | Service not payable - specified item not claimed or present | |
| 225 | Patient contribution substantiated-additional benefit paid | |
| 226 | Date of service is prior to patients date of birth | |
| 227 | Date of service prior to date eligible for medicare benefit | |
| 228 | Date of service after benefit period for overseas visitor | |
| 229 | Benefit paid at 100% of schedule fee | |
| 230 | Combination of 85% and 100% of schedule fee paid | |
| 232 | Service claimed not covered by medicare | |
| 233 | Provider not entitled to medicare benefit at date of service | |
| 234 | Letter of explanation is being sent separately | |
| 236 | Letter of explanation is being sent separately | |
| 237 | Letter of explanation is being sent separately | |
| 238 | Not paid because all associated services rejected | |
| 240 | Gap adjustment to benefit previously paid | |
| 241 | Total charge and benefit for multiple procedure | |
| 242 | Service is part of a multiple procedure | |
| 243 | Apportioned charge and total benefit for multiple procedure | |
| 244 | Benefit not paid - service line in error | |
| 245 | Benefit paid on service other than that claimed | |
| 246 | Patient cannot be identified from information supplied | |
| 250 | Explanation/voucher will be forwarded separately | |
| 251 | Details of requesting provider not supplied | |
| 252 | Service possibly aftercare | |
| 253 | Radiotherapy assessed with other item number on statement | |
| 254 | Assessment incomplete - further advice will follow | |
| 255 | Benefit assigned has been increased | |
| 256 | Benefit not payable on this service for a hospital patient | |
| 260 | Benefit assessed with associated item on statement | |
| 261 | Associated surgical items/anaesthetic time not supplied | |
| 262 | Insufficient prolonged anaesthetic time - service not paid | |
| 264 | Benefit not payable - compensation/damages service | |
| 265 | Service not covered by reciprocal health care agreement | |
| 267 | Service not payable - associated service not present | |
| 271 | Not payable without associated ophthalmological item | |
| 272 | Benefit paid on associated ophthalmological item | |
| 274 | Provisional payment | |
| 280 | Cannot identify service. resubmit with correct mbs item | |
| 282 | Date of service outside of referral/request period | |
| 306 | Card# not valid at date of service-future claims may reject | |
| 307 | Claim not paid - cardnumber not valid for date of service | |
| 308 | Ivf service - conditions not met - no benefit payable | |
| 316 | Benefit not payable - item cannot be self-determined | |
| 317 | Benefit not payable - additional item to those requested | |
| 320 | Quoted medicare cardnumber is incorrect | |
| 322 | Provider not approved for this medicare pathology benefit | |
| 325 | Laboratory not accredited for benefits for this service | |
| 326 | Laboratory not accredited for benefits at date of service | |
| 328 | Benefit paid on associated tomography item | |
| 329 | Not payable without associated tomography item | |
| 331 | Benefit not payable - h.i. act sect 20(a)(1) | |
| 332 | Category 5 lab - benefit not payable for requested service | |
| 333 | Provider must claim time-based items | |
| 334 | Benefit not payable-associated pathology must be inpatient | |
| 335 | Service is not payable without nuclear medicine service | |
| 336 | Benefit paid on nuclear medicine item other than one claimed | |
| 337 | Provider must claim content-based items | |
| 338 | Provider not registered to claim benefit at date of service | |
| 339 | Benefit paid at the concession rate | |
| 340 | Refund of co-payment amount | |
| 341 | No referral details - details required for future claims | |
| 342 | Referral expired - paid at unreferred (gp) rate | |
| 343 | Cardnumber quoted on claim form has been cancelled | |
| 344 | Concession number invalid - benefit paid at general rate | |
| 345 | No safty net entitlement - benefit paid at general rate | |
| 346 | Co-payment not made - $2.50 credited to threshold | |
| 347 | Safety net threshold reached - benefit increased | |
| 348 | Overpayment of claim - invalid concession number | |
| 349 | Replacement for requested eft payment rejected by bank | |
| 350 | Hospital referral - paid at specialist/consultant rate | |
| 351 | Benefit not payable - lcc number incorrect or not supplied | |
| 352 | Service date outside lcc registration dates | |
| 353 | Pathology items not present - no benefit payable | |
| 356 | Documentation required to process service | |
| 358 | Documentation not received - unable to process service | |
| 359 | Documentation not received - unable to process claim | |
| 360 | No benefit payable when requested by this provider | |
| 361 | Di exemption/items not approved | |
| 364 | Items claimed must be as a combination item | |
| 367 | Service associated with mbac item in a multiple procedure | |
| 370 | Benefit paid on item number other than that claimed | |
| 371 | Future claims quoting old style card no. will be rejected | |
| 372 | Old style card number quoted - benefit not payable | |
| 373 | Expired card - benefit not payable | |
| 374 | Old card issue used - benefit not payable - also refer @ | |
| 375 | Service being processed manually | |
| 377 | Number of patients seen not indicated | |
| 378 | Provider cannot refer/request service at date of request | |
| 390 | Documentation not received | |
| 391 | Service provider on db1 differs from transmitted data | |
| 392 | Benefit amount changed | |
| 393 | No benefit payable - baby not an admitted inpatient | |
| 395 | Tac medical excess | |
| 400 | Equipment number missing or invalid | |
| 401 | Benefit not payable - charge amount missing or invalid | |
| 402 | Benefit not payable- number of patients attended required | |
| 403 | Subsequent consultation - referral details required | |
| 404 | Benefit not payable - referral/request details required | |
| 405 | Equipment number invalid for servicing provider | |
| 406 | Unable to assess claim - please forward documents | |
| 407 | Benefit not payable - overseas student | |
| 408 | Date of service prior to 29 may 1995 | |
| 409 | Cardnumber for this enrolment needs to be verified | |
| 410 | Age restriction applies for this item - verify details | |
| 411 | Mbac determination/precedent number not supplied or invalid | |
| 412 | Benefit not payable - provider unable to claim this service | |
| 413 | Benefit not payable - date of serv prior to date of request | |
| 414 | Provider practice location is closed at date of service | |
| 415 | Referral details same as rendering provider - self-deemed? | |
| 416 | Services form a composite item - composite item required | |
| 417 | Referral needed - if no referral, nr item to be transmitted | |
| 418 | Item cannot be claimed more than once in one attendance | |
| 419 | Benefit already paid on item - verify if multiple pregnancy | |
| 420 | Operation/s schedule fee does not meet item description | |
| 421 | Wrong assistant item used for the operation/s performed | |
| 422 | Benefit paid has been reduced (benefit = charge) | |
| 423 | Optical condition not specified - no benefit payable | |
| 424 | More information required - which eye was treated | |
| 425 | Benefit not payable - individual charges required | |
| 426 | Indicate whether new treatment or continuing management | |
| 427 | Compensation related services - please forward documents | |
| 428 | Date of service over 2 years - late lodgement form required | |
| 429 | Patient cannot be identified from the information supplied | |
| 430 | Conflicting referral details - please clarify | |
| 431 | Initial consultation previously paid - query subsequent con | |
| 432 | Not multi-op - more information required to pay benefit | |
| 433 | Associated referral/request line not required | |
| 434 | Expired or invalid card. benefit not payable | |
| 435 | Service for nursing home care recipient - benefit not paid | |
| 436 | Cannot claim out of hospital service through simplified bill | |
| 437 | Card details invalid. a new medicare number has been issued | |
| 449 | Held eft payment reprocessed - incorrect claimant selected | |
| 450 | Eft details invalid - cheque issued for benefit | |
| 452 | Resubmit claim for this service - image not claim related | |
| 453 | Resubmit claim for service-claim details do not match image | |
| 454 | Resubmit claim for service - some details not shown on image | |
| 455 | Resubmit claim for this service-include account and receipt | |
| 456 | No action required - line adjusted to process claim | |
| 457 | No action required - line adjusted to process claim | |
| 458 | No action required - benefit paid on adjusted claim | |
| 461 | Adjustment to benefit previously paid | |
| 475 | Patient/service details invalid or missing | |
| 500 | Rejected in association with another item in this claim | |
| 501 | Group attendance or item format invalid | |
| 502 | Patient is not eligible to claim benefit for this item | |
| 503 | Referral date format is invalid | |
| 504 | Charge amount missing/invalid - no benefit payable | |
| 505 | More information required. evidence of condition | |
| 506 | Consultation not payable on same day as surgical procedure | |
| 507 | Site not accredited for this service | |
| 509 | Service paid as item 2712/2719 | |
| 510 | Service paid as item 52-96/or similar item | |
| 511 | Emsn threshold reached - cap applied to benefit | |
| 512 | Multiple musculoskeletal mri service rule applied | |
| 513 | Multiple musculoskeletal mri and di services rules applied | |
| 514 | Required equipment type code not on lspn register | |
| 515 | Equipment is older than allowable age for this item | |
| 516 | Ben paid for base and derived radiotherapy items claimed | |
| 517 | Mpsn threshold reached - 80% out of pocket paid | |
| 518 | Benefit paid at 100% schedule fee + emsn | |
| 519 | Mpsn threshold reached - partial 80% out of pocket paid | |
| 520 | Benefit paid at 100% schedule fee + part 80% out of pocket | |
| 521 | Paid part 80% out of pocket + between 85% and 100% increase | |
| 522 | Benefit paid - emsn + between 85% and 100% schedule fee | |
| 524 | Safety net benefit adjusted | |
| 525 | Only attracts benefit when claimed via bulk billing | |
| 528 | Provider not in eligible area (incorrect rrma,ssd or state) | |
| 529 | Bulk bill additional item claimed incorrectly | |
| 530 | Patient not on concession/under 16 years at date of service | |
| 535 | Missing data | |
| 536 | Location specific practice number not supplied | |
| 537 | Location specific practice number invalid | |
| 538 | Location specific practice number not recognised | |
| 539 | Location specific practice number not valid at date of serv | |
| 540 | Enhanced primary care plan item not previously claimed | |
| 549 | Bulk bill incentive item already paid - adjustment required | |
| 550 | Associated service not claimed - no benefit payable | |
| 551 | Specimen collection point is incorrect or not supplied | |
| 552 | Specimen collection point not valid at date of service | |
| 553 | Approved collection centre number not supplied | |
| 554 | Total benefit for anaesthetic service | |
| 555 | Benefit paid on main rvg anaesthetic item | |
| 556 | Rvg time item not claimed | |
| 557 | Associated rvg anaesthetic service not claimed | |
| 558 | Rvg anaesthetic item not claimed | |
| 559 | Patient outside age range - please verify age | |
| 560 | Rvg item restriction | |
| 561 | Benefit paid on rvg item claimed | |
| 562 | Benefit paid on associated rvg anaesthetic item | |
| 563 | Associated rvg service already paid | |
| 564 | Multiple vascular ultrasound services site rule applied | |
| 565 | Multiple di and vascular ultrasound service rules applied | |
| 566 | Total benefit for diagnostic imaging service | |
| 567 | Benefit paid on main diagnostic imaging item | |
| 568 | Item cannot be substituted | |
| 569 | Provider unable to substitute | |
| 600 | Requesting/referring provider unable to be identified | |
| 601 | In hospital services cannot be claimed as out of hospital | |
| 602 | Out of hospital service cannot be claimed as in hospital | |
| 603 | Newborn not yet enrolled with medicare - no benefit payable | |
| 604 | Service over 6 months old - late lodgement form required | |
| 605 | Referral expired - no benefit payable | |
| 606 | Referring provider number not open at date of referral | |
| 607 | Referral date has been omitted | |
| 608 | Referring and servicing provider same - no benefit payable | |
| 609 | Service cancelled at providers request | |
| 610 | Provider specialty not consistent with item claimed | |
| 611 | Referral/request details not supplied - no benefit payable | |
| 612 | Date of referral after date of service - no benefit payable | |
| 613 | Card number cannot be identified from information supplied | |
| 614 | No benefit payable - please notate time of each visit | |
| 615 | Multiple procedures - notate times and area of treatment | |
| 616 | Item cannot be claimed as in hospital service | |
| 617 | Item cannot be claimed as out of hospital service | |
| 618 | No benefit if requested by this provider at date of request | |
| 619 | Servicing provider number not open at date of service | |
| 620 | Duplicate transmission - no further payment made | |
| 621 | Item not claimable electronically | |
| 622 | Pet drop-down items not claimable via edi | |
| 623 | Pet items only claimable via direct bill | |
| 624 | Pet items - payee provider required | |
| 625 | Payee provider not eligible to claim pet items | |
| 627 | Pdt statement not provided by the doctor | |
| 629 | Initial pdt therapy item not present on patient history | |
| 633 | Refer back to the specialist (referring provider is closed) | |
| 634 | Refer back to the specialist (servicing provider is closed) | |
| 635 | Late lodgement not approved - letter being sent separately | |
| 636 | Benefit reduced-dental cap broken | |
| 637 | No benefit payable-dental cap reached | |
| 638 | Derived fee and other item cannot be claimed in-hospital | |
| 639 | Provider not in an eligible area to claim this item | |
| 640 | More than one base and derived item claimed | |
| 641 | More than one base item claimed | |
| 642 | Benefit paid for derived and other item claimed | |
| 643 | Derived item assessed with other item on statement | |
| 700 | Benefit cannot be determined for this service | |
| 701 | Benefit cannot be determined due to complex assessing rules | |
| 702 | Item restrictive with another item | |
| 703 | Duplicate of item already quoted | |
| 704 | Provider not permitted to claim this item | |
| 705 | No associated pathology service | |
| 706 | Provider not associated with a pathology laboratory | |
| 707 | Pathology laboratory not registered at date of service | |
| 708 | Item cannot be claimed from this pathology laboratory | |
| 709 | Another assistant item should be claimed | |
| 710 | Associated surgical items not present | |
| 711 | Unable to determine associated surgery | |
| 712 | Base item not present or in incorrect order | |
| 713 | Radiotherapy fields greater than maximum allowable | |
| 714 | Benefit not determined - number ot time units not present | |
| 715 | Number of time units exceeded maximum allowable | |
| 716 | Service forms a composite item - composite item required | |
| 717 | Benefit not payable on this service for a hospital patient | |
| 718 | Provider location not open at date of service | |
| 719 | Benefit cannot be calculated for hyperbaric oxygen therapy | |
| 720 | Eligibility cannot be determined for this item | |
| 732 | Referral period not valid for referring provider |
Medicare 4-digit codes
When you transmit a bulk bill to Medicare, it may be rejected with an error code. Medicare's 3-digit error codes are listed below and provide guidance on what caused the error so the batch can be updated and resent.
To learn more about the codes, see the Government Services Australia website.
If the error you encountered is not listed, or if the problem persists, please contact our support team.
| 1001 | Unable to load /connect to Java Virtual Machine. | |
| 1002 | Unable to unload Medicare Online Claiming. | |
| 1003 | Medicare Online Claiming is not operational. | |
| 1004 | A session could not be established. | |
| 1005 | No session matching the provided session ID currently exists. | |
| 1006 | PKI login failure. | |
| 1007 | Transmission failure. | |
| 1008 | Medicare Online Claiming already operational | |
| 1010 | Medicare Online Claiming session already exists | |
| 1011 | Unable to find Java Virtual machine library | |
| 1012 | The CLASSPATH environment variable cannot be found | |
| 1013 | Unable to locate the base Java Classes | |
| 1014 | Unable to locate the EasyclaimAPI class | |
| 1015 | Create Cryptostore failure | |
| 1016 | Config file not found, cannot be opened or file type incorrect. Check path. | |
| 1017 | Config file already loaded. No action taken | |
| 1018 | Config parameters does not exist or not defined for this DLL version | |
| 1019 | Config parameter cannot be set as Medicare Online Claiming already operational (ie. loadEasyclaim already called) | |
| 1701 | Sql failure | |
| 1702 | XML to JAVA classes conversion failure | |
| 1703 | Client Adaptor session does not exist | |
| 1704 | Desecure failure | |
| 1705 | Secure failure | |
| 1711 | Unexpected protocol exception | |
| 1712 | HTTP server error | |
| 1713 | Protocol error | |
| 1714 | Error occurred attempting to load logic pack | |
| 1715 | The added content was created with a LogicPack with a different major and minor version therefore it cannot be loaded | |
| 1716 | Request received, process in progress | |
| 1717 | No logic packs have been loaded | |
| 1718 | No further reports exist in session | |
| 1719 | No unloadable content exists in session | |
| 1720 | Unknown content type OR problem with configuration preventing ContentInfo lookup | |
| 1721 | Development mode not supported by this ContentInfo OR retrieval of dev content failed | |
| 1722 | Intermittent problem signing using the HCI token. Repeating the function call should be successful | |
| 1723 | The receiver has rejected this asynchronous response and won't accept it at any future time. Take whatever action is appropriate to reverse the transaction that generated the response. | |
| 1724 | The receiver is unable to accept this asynchronous response at this time - the sender should attempt to deliver the response at a later time | |
| 1725 | Inconsistent search criteria has been set | |
| 1726 | The Business Process Manager has been unable to accept the claim request due to an unknown error | |
| 1727 | Response received | |
| 1728 | An undetermined error has occurred processing the request in the BPM | |
| 1997 | An attempt to call an unsupported function was made | |
| 1998 | An undefined error has been detected in C DLL | |
| 1999 | An undefined error has been detected in Java API | |
| 2001 | A claim is in progress and cannot be modified | |
| 2002 | Missing or invalid transmission content type | |
| 2003 | No transmission exists | |
| 2004 | The element name supplied is not valid or does not apply to the current function | |
| 2005 | No authorised claim exists within the specified session | |
| 2006 | A claim or request already exists. Another claim or request cannot be created until the current claim or request is cancelled or completed. | |
| 2007 | The transmission is empty i.e. the transmission does not contain any content | |
| 2008 | No business object currently exists for the supplied Session ID | |
| 2009 | The condition name supplied is not valid | |
| 2010 | The claim type is not valid | |
| 2011 | The information being set is inconsistent with the information currently set for this claim | |
| 2012 | Transmission in progress. The requested action cannot be done until the current transmission is sent or cancelled. | |
| 2013 | A report is in use. The existing report must be cleared before a claim or transmission can be created. | |
| 2014 | The current claim has already been processed (submitted or accepted). Get details then clear the claim | |
| 2015 | No voucher exists within the session for the supplied VoucherSeqNum | |
| 2016 | No service exists in the claim for the supplied service ID | |
| 2017 | The Payee Provider specified is the same as the Servicing Provider | |
| 2018 | Data or cross-field validations or unacceptable errors have been detected and not corrected OR data was changed and not validated before submission. Correct any errors and resubmit. | |
| 2019 | An object with the supplied object ID already exists | |
| 2020 | Invalid file path type | |
| 2021 | Invalid directory or directory not found | |
| 2022 | The report name supplied is not valid | |
| 2023 | The report is not available yet or is no longer available for retrieval | |
| 2024 | A voucher with the quoted sequence number already exists in the claim/session | |
| 2025 | The maximum number of child objects for the parent business object type has been reached. Batch exceed the amount of invoices. A batch can only hold a maximum number of 80 invoices. | |
| 2026 | An out of sequence function call has occurred | |
| 2027 | The report does not exist for the given selection criteria | |
| 2028 | The requested clear would have removed the last voucher from the claim. The claim requires at least one voucher to be present. | |
| 2029 | This function does not apply to the current report | |
| 2030 | The data element being set is inconsistent with other data elements already set OR a data element has been set and a related conditionally required data element has not been set. | |
| 2031 | The claim contains an unacceptable error that must be corrected prior to submission/storage | |
| 2032 | The maximum number of services allowable for the voucher has been reached | |
| 2033 | The maximum number of services allowable for the claim has been reached | |
| 2034 | The OutputBuffer allocated is too small for the data being retrieved | |
| 2035 | The function requested is inconsistent with the current state of processing | |
| 2036 | The current claim must be completed (submitted, accepted or authorised and stored) or cancelled | |
| 2037 | An error was detected with the voucher sequencing. The sequence numbers must begin with 01 and increment by one as each voucher is added. | |
| 2038 | The referral/request type is inconsistent with the service type set for this claim | |
| 2039 | Invalid service ID | |
| 2040 | The claim or request data received by the Client Adaptor from the client system is incomplete or missing | |
| 2041 | Record Sequence Number is invalid | |
| 2050 | Unable to map specified PathOfObject to an existing business object | |
| 2051 | The position of the business object in the hierarchy of business object types is invalid | |
| 2052 | This method is not supported by the type of content you are creating | |
| 2053 | Patient contribution amount must be less than total charge | |
| 2054 | Date of service is inconsistent with other dates set | |
| 2055 | Patient contribution amount should not be set when the account is fully paid | |
| 2056 | The supplied discharge date must not be earlier than the admission date | |
| 2057 | Instances of admission date, discharge date, care plan issue date or clinical condition treated reason date cannot be earlier than date of birth. | |
| 2058 | Expected high level object missing | |
| 2059 | The part number must be less than or equal to the part total | |
| 2060 | Text for requested return code not found. Either the Medicare CA ErrorList.properties file not found or is out of date. | |
| 2064 | A CID segment must be supplied | |
| 2065 | A PAT segment must be supplied | |
| 2066 | An EPD segment must be supplied | |
| 2067 | Number of Palliative Care Days must be supplied | |
| 2068 | Where one of the conditional data elements is set then all conditional data elements in the MOR segment must be set | |
| 2069 | Required HCP data not present | |
| 2070 | The only special character allowed in ANSNAPId is a hyphen. | |
| 2071 | If PatientClassificationCode=PS then TotalPsychiatricCareDays must be set | |
| 2072 | TotalPsychiatricCareDays must be in the format NNNNN | |
| 2073 | PalliativeCareDays must be in the format NNNN | |
| 2074 | NumberOfQualifiedDaysForNewborns must be in the format NNNNN | |
| 2075 | NonCertifiedDaysOfStay must be in the format NNNNN | |
| 2076 | NumberOfHours must be in the format NNNNN | |
| 2077 | MultiDisciplinary RehabPlanDate must be in the format DDMMYYYY | |
| 2078 | DischargePlanDate must be in the format DDMMYYYY | |
| 2079 | TotalDaysPaid must be in the format NNNN | |
| 2080 | AccommodationBenefit must be in the format NNNNNNNNN | |
| 2081 | TheatreBenefit must be in the format NNNNNNNNN | |
| 2082 | LabourWardBenefit must be in the format NNNNNNNNN | |
| 2083 | IntensiveCareUnitBenefit must be in the format NNNNNNNNN | |
| 2084 | ProsthesisBenefit must be in the format NNNNNNNNN | |
| 2085 | PharmacyBenefit must be in the format NNNNNNNNN | |
| 2086 | BundledBenefits must be in the format NNNNNNNNN | |
| 2087 | OtherBenefits must be in the format NNNNNNNNN | |
| 2088 | FrontEndDeductible must be in the format NNNNNNNNN | |
| 2089 | AncillaryCoverStatus must be in the format A or N | |
| 2090 | AncillaryCharges must be in the format NNNNNNNNN | |
| 2091 | AncillaryBenefits must be in the format NNNNNNNNN | |
| 2092 | HospitalInTheHomeCareBenefits must be in the format NNNNNNNNN | |
| 2093 | SpecialCareNurseryBenefits must be in the format NNNNNNNNN | |
| 2094 | CoronaryCareUnitBenefits must be in the format NNNNNNNNN | |
| 2095 | TotalProstheticItemBenefit must be in the format NNNNNNNNN | |
| 2096 | ProductCode must be in the format AAAAAAAA | |
| 2097 | HospitalContractStatus must be in the format A or N | |
| 2098 | PersonIdentifier must not contain any special characters | |
| 2099 | MedicalPaymentType must only be one numeric character | |
| 2999 | An error has been detected whilst executing a function within the Client Adaptor | |
| 3001 | Communication error. Check that you have a current internet session. For further assistance contact the Medicare eBusiness Service Centre. | |
| 3002 | The response from the central site was not received within the permitted response time. | |
| 3003 | The Medicare server is not operational. Try again later. If the problem persists, contact the Medicare eBusiness Service Centre. | |
| 3004 | The request cannot be dealt with at this time because real-time processing is not available or the system is down. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3005 | The message format received by the Client Adaptor was not valid (PKI) | |
| 3006 | The message could not be decrypted. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3007 | The Client Adaptor could not decrypt the return message. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3008 | The sending Location could not be identified at the Client Adaptor | |
| 3009 | The Medicare signing certificate could not be found in the JKS. If problem persists contact the Medicare eBusiness Service Centre. | |
| 3010 | The data has been corrupted in transmission | |
| 3011 | The transmission received at the Client Adaptor was not encrypted. | |
| 3012 | The message received at the Client Adaptor was not signed. Messages should be signed by the sending Location. | |
| 3013 | The signing Location is unknown. For further assistance contact the Medicare eBusiness Service Centre. | |
| 3014 | The internal message format is invalid. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3015 | The response could not be secured. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3016 | The supplied location ID does not match the HCL. For further assistance contact the Medicare eBusiness Service Centre. [No longer used] | |
| 3017 | The transmission date is not the current date. Check the system date set in the transmitting computer. | |
| 3018 | Data content of the message received by the Client Adaptor is unrecognisable | |
| 3019 | Data content of the message received by the Client Adaptor is missing or exceeds the maximum allowable size | |
| 3020 | The message format received at the Server was not valid (PKI). Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3021 | The sending Location could not be identified at the Server. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3022 | The data arriving at the Server has been corrupted in transmission. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3023 | The transmission arriving at the Server was not encrypted | |
| 3024 | The message arriving at the Server was not signed | |
| 3025 | The format of the message arriving at the Server is invalid. Possible cause: non standard characters in a patient's name. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3026 | Data content is unrecognisable at the Server. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3027 | Data content of the message arriving at the Server is missing or exceeds the maximum allowable size | |
| 3028 | HTTP 1.0 response code 202 returned | |
| 3029 | HTTP redirection attempted | |
| 3030 | HTTP client error | |
| 3031 | The server cannot fulfil this request | |
| 3032 | Bad Gateway encountered | |
| 3033 | Duplicate Claim IDs. More than two (2) claims have been submitted with the same Claim ID. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3034 | An invalid object ID has been supplied | |
| 3035 | The type of claim being transmitted or received cannot be identified | |
| 3036 | The sending Location's details failed validation against the Registration File. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3037 | The sending Individual's details failed validation against the Registration File. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 3038 | Authentication failed at proxy server. Session element AuthProxyName contains proxy name at which failure occurred. Set AuthProxyUserId and AuthProxyPasswd to provide authentication at the proxy. | |
| 3039 | An error occurred during transmission to Medicare. It is unknown whether the claim was processed. Contact the Medicare eBusiness Service Centre. | |
| 3040 | Health Fund system unavailable | |
| 3041 | Test transmissions are not supported for this business function at this time | |
| 3042 | Health Fund cannot accept this claim. Please contact the Health Fund for assistance. | |
| 3043 | The TransactionId of the submitted ERA has previously been received by the HUB | |
| 3045 | Health Fund cannot accept this transmission at this time. Please assign a new unique transaction Id and resubmit | |
| 3999 | An undefined error was detected either preparing the transmission, during transmission or at the Medicare central site | |
| 5001 | The quoted Individual Certificate RA number is registered to another individual | |
| 5002 | One or more of the Professional Number Stems quoted is registered to another individual | |
| 5003 | Professional Number Stem(s) must be supplied | |
| 5004 | Action type must be supplied | |
| 5005 | Subscription ID must be supplied | |
| 5006 | Valid state code must be supplied | |
| 5007 | The subscription ID supplied is not registered. | |
| 5008 | The Registration already exists | |
| 5009 | Name required. At least one of surname or first name must be supplied. | |
| 5010 | The subscription ID supplied has been identified as in-active | |
| 5011 | Update request received where existing record has old subscriber version (V1R0) . Need to be a insert request. | |
| 5201 | Duplicate claim at Health Fund | |
| 5202 | The Health Fund system has reached capacity | |
| 7001 | Service Rate must be supplied. | |
| 7002 | The Hospital Indicator must be set. | |
| 7003 | Pre-Existing Ailment (PEA) Indicator must be supplied. | |
| 7004 | The Funds' Universal Patient Identifier (UPI) must be supplied. | |
| 7005 | A Voucher Id is missing and must be supplied. | |
| 7006 | A ServiceId is missing and must be supplied. | |
| 7007 | Co-payment description must be set. | |
| 7008 | Excess amount description must be supplied. | |
| 7009 | Claim assessment code required. | |
| 7010 | Service Assessment Code must be supplied. | |
| 7011 | Element Name must be supplied. | |
| 7013 | Provider is not registered at the transmitting Location for IHC DVA | |
| 7014 | Service Code or Item Number for IHC DVA cannot be more than 5 characters | |
| 7017 | Accommodation Total Leave Days must equal all Leave Period Leave Days (IHC DVA) | |
| 7018 | Service or Item From Date cannot precede Accomm Summary From Date (IHC DVA) | |
| 7019 | Service or Item To Date cannot be later than Accom Summary To Date (IHC DVA) | |
| 7020 | Please split the Item into parts with less than 99 days (IHC DVA) | |
| 7022 | Certificate cannot span calendar years. Split into calendar years (IHC DVA) | |
| 7023 | Item cannot span calendar years. Split into separate calendar years (IHC DVA) | |
| 7024 | IHC DVA does not support Adjustments Items | |
| 7025 | Service or Item Charge Amounts over $99999.99 are not supported by IHC DVA. | |
| 7026 | DVA file number does not have a Gold or White card and may not be eligible for services. Please verify file number and resubmit claim. | |
| 7028 | Name does not match registered name for File Number. | |
| 7029 | IHC DVA does not support over 400 services or vouchers in a transmission | |
| 7030 | IHC DVA can't have over 80 vouchers in a transmission. Split claim and resubmit. | |
| 7031 | Transmitting Location not registered for DVA. Contact eBusiness 1800 700 199 | |
| 7032 | The Total Charge cannot include non Hospital Charges for IHC DVA | |
| 7033 | Invalid Provider Number for IHC DVA | |
| 7034 | IHC DVA claims are not accepted from Public Hospitals at present. | |
| 7035 | Patient gender must be Male or Female for IHC DVA. | |
| 7036 | Service or Item From Date for IHC DVA cannot be later than the Date of Lodgement | |
| 7037 | Claim Certified Ind missing (this may apply where certification details are implicitly set as part of a business object) | |
| 7038 | ClaimCertifiedDate and ClaimCertifiedInd are missing. | |
| 7039 | ADLTransferMobilityInd is missing or invalid value has been set. | |
| 7040 | AcceptedDisabilityText is missing | |
| 7041 | ReferralIssueDate is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7042 | ReferralOverrideTypeCde is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7043 | ReferringProviderNum is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7044 | RequestIssueDate is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7045 | RequestOverrideTypeCde is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7046 | RequestingProviderNum is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7047 | HospitalInd is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7048 | ReferralIssueDate is prior to patient date of birth | |
| 7049 | ReferralIssueDate is after the date of service | |
| 7050 | RequestIssueDate is prior to patient date of birth | |
| 7051 | ReferralOverrideTypeCde must be set or referral details must be set | |
| 7052 | ReferralPeriod is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7055 | TreatmentLocationCde is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7056 | CollectionDateTime is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7057 | AccessionDateTime is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7058 | AccessionDateTime is earlier than RequestIssueDate | |
| 7059 | ADLToiletingContinenceInd is missing or invalid value has been set. | |
| 7060 | AfterCareOverrideInd cannot be set when ServiceTypeCode is set as Pathology, Diagnostic or Radiotherapy | |
| 7061 | DuplicateServiceOverrideInd is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7062 | EquipmentId is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7063 | FieldQuantity is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7064 | ItemNum must be set to KM where DistanceKms is set | |
| 7065 | LSPNum is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7066 | MultipleProcedureOverrideInd is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7067 | NoOfPatientsSeen is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7068 | Rule3ExemptInd is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7069 | S4b3ExemptInd is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7070 | SCPId is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7071 | DistanceKms is missing | |
| 7072 | DistanceKms is set more than once within the voucher | |
| 7073 | DistanceKms is set where no other service exists within the voucher | |
| 7074 | DistanceKms is set and the date of service is not consistent with another service item present in the same voucher | |
| 7075 | DistanceKms is set with ChargeAmount | |
| 7076 | ItemNum = KM and ChargeAmount has been set | |
| 7077 | ItemNum = KM, DistanceKms and ChargeAmount have all been set | |
| 7078 | ItemNum is set to KM or OT80 but DistanceKms has not been set. | |
| 7080 | NumberOfServices is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 7081 | ADLPersonalHygieneInd is missing or invalid value has been set. | |
| 7082 | NumberOfServices is not a valid value | |
| 7087 | ADLEatingInd is missing or invalid value has been set. | |
| 7088 | ADLCognitiveBehaviouralInd is missing or invalid value has been set. | |
| 7093 | NoOfPatientsSeen is not a valid value for TreatmentLocationCde | |
| 7094 | RequestIssueDate a future date | |
| 7095 | DateOfService is an invalid value | |
| 7096 | ADLTool is missing or invalid value has been set. | |
| 7097 | LivesAloneInd is missing or invalid value has been set. | |
| 7098 | CarerInd is missing or invalid value has been set. | |
| 7099 | BreakInEpisodeOfCare is missing or invalid value has been set. | |
| 7100 | RestrictiveOverrideCde can only be set when ClaimTypeCde is set to PC | |
| 7101 | A minimum of 3 data elements is required for a search to be conducted. | |
| 8001 | No more claims exist within the report | |
| 8002 | No more rows exist within the report | |
| 8003 | Patient is currently ineligible for Medicare. This status can be confirmed for today only. | |
| 8004 | The report requested contains too much data to be returned. Try more specific selection criteria | |
| 8005 | The individual has been matched using the submitted data however differences were identified. Please check the information returned and update your records. | |
| 8006 | Claim accepted however Medicare patient validation outstanding. - This return code will be deleted [LW] | |
| 8007 | Membership matched. Please ask patient to contact the Fund | |
| 8008 | Membership matched but provider must contact the Fund | |
| 8009 | The name supplied for this individual differs from that held by Medicare. This individual only has one name. Please check the name and update your records. | |
| 8010 | The request has not been completed within the allocated time frame | |
| 8011 | The report contains header information only | |
| 8012 | Details for a POTENTIAL match with DVA records have been returned. Please check this information with the Veteran and, if correct, update your records | |
| 8013 | Veteran identification confirmed however their card type could not be determined. Please contact DVA. | |
| 8014 | Claim accepted for processing. Updated information has been supplied | |
| 9001 | The Location is not authorised to undertake Online Claiming transactions. The transmission has been rejected. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 9002 | The individual signing the claim or making the request is not authorised to undertake Online Claiming transactions. The claim has been rejected. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 9003 | The provider is identified as inactive for Online Claiming purposes. Contact the PKI Customer Service Centre for assistance. | |
| 9004 | Only test transmissions are acceptable from this location at this time. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 9005 | The signature (HCI) is not that of the Servicing Provider | |
| 9006 | The Provider is not authorised to participate in Online Claiming. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 9007 | The Location is not authorised to undertake the function on the date of transmission. The transmission has been rejected. Contact the Medicare eBusiness Service Centre for further assistance. | |
| 9008 | Claims from this provider must be signed using their Individual Certificate | |
| 9009 | This transaction type is not permitted from this type of client | |
| 9010 | The software product used to create the transaction is not certified for this function. Contact the Medicare eBusiness Service Centre for further assistance | |
| 9011 | Billing Agent is not recognised as belonging to the transmitting Location | |
| 9012 | The intended recipient is unable to accept this content type at this time | |
| 9013 | Hospitals can only submit eligibility checks relating to their hospital | |
| 9014 | The requestor is identified as a Billing Agent. Billing Agents can only submit eligibility checks using their Billing Agent identifier. | |
| 9015 | StartDateBreakInEpisode is missing or invalid value has been set. | |
| 9016 | StartDateBreakInEpisode cannot be set where BreakInEpisodeOfCare is set to 4 or 5. | |
| 9017 | EndDateBreakInEpisode must be set where BreakInEpisodeOfCare is set to 1, 2 or 3. | |
| 9018 | EndDateBreakInEpisode is missing or invalid value has been set. | |
| 9019 | NumberOfCNCVisits is missing or invalid value has been set. | |
| 9020 | NumberOfRNVisits is missing or invalid value has been set. | |
| 9021 | NumberOfENVisits is missing or invalid value has been set. | |
| 9022 | NumberOfNSSVisits is missing or invalid value has been set. | |
| 9023 | NumberOfCNCHours is missing or invalid value has been set. | |
| 9024 | NumberOfRNHours is missing or invalid value has been set. | |
| 9025 | NumberOfENHours is missing or invalid value has been set. | |
| 9026 | NumberOfNSSHours is missing or invalid value has been set. | |
| 9027 | Community Nursing Minimum Data Set elements cannot be set unless ServiceTypeCde is set to F | |
| 9028 | StartDateBreakInEpisode must be before or equal to EndDateBreakInEpisode. | |
| 9029 | ClaimCertifiedInd must be set to Y to submit the claim | |
| 9030 | EndDateBreakInEpisode cannot be set where BreakInEpisodeOfCare is set to 4 or 5 | |
| 9031 | PaymentMode cannot be set when AccountPaidInd = N. | |
| 9032 | FinancialInstitutionId supplied is not currently registered with Medicare. | |
| 9033 | FinancialInstitutionId must be set, and can only be set, where PaymentMode is equal to EFTPOS. | |
| 9034 | PaymentMode is not a valid value. | |
| 9035 | FinancialInstitutionId is not a valid value or format. | |
| 9036 | PaymentMode cannot be set where EFT details are supplied. | |
| 9101 | Invalid Passphrase. The Passphrase entered does not match the passphrase for this Location certificate. | |
| 9102 | The Location Certificate (HCL) has expired. Contact the Registration Authority. | |
| 9103 | The token relating to the individual certificate could not be found | |
| 9104 | The Individual Certificate (HCI) has expired | |
| 9105 | Invalid certificate type. The certificate type is either location or individual | |
| 9106 | Could not change passphrase. Ensure original passphrase entered is correct, the new passphrase differs from the old passphrase and that the new passphrase conforms to passphrase requirements. | |
| 9107 | The private keys specified could not be imported. Please check the input filenames. If the problem persists call the Medicare eBusiness Service Centre | |
| 9108 | The Medicare Public Certificates could not be imported. Please check the input filenames. If the problem persists call the Medicare eBusiness Service Centre. | |
| 9109 | One or more of the specified files could not be accessed. Please ensure the filenames are correct, and you have read access to them | |
| 9110 | Could not create one or more destination files. Please ensure you have write access to the destination directory and sufficient space available | |
| 9111 | If createCryptoStore - a JKS already exists in the nominated folder. Otherwise a problem has been encountered using PKI services. Repeating the function call should be successful | |
| 9112 | Location signing Certificate not found in the PSI Store. | |
| 9113 | Individual signature not required | |
| 9114 | Individual signature is optional | |
| 9115 | The Location Certificate used has been revoked by the Registration Authority. Please contact the PKI Customer Service Centre | |
| 9116 | The Location Certificate used differs from the Certificate recorded for this Location. Contact the Medicare eBusiness Service Centre for assistance. | |
| 9117 | The Location Certificate used cannot be used for the requested function. Contact the Medicare eBusiness Service Centre for assistance. | |
| 9118 | The Location has been identified as inactive. Contact the Medicare eBusiness Service Centre for assistance. | |
| 9119 | The provider is identified as inactive for Online Claiming purposes. Contact the PKI Customer Service Centre for assistance. | |
| 9120 | The Individual Certificate used has been revoked by the Registration Authority. Contact PKI Customer Service Centre for assistance. | |
| 9121 | Desecure failure at Medicare. Contact the PKI Customer Service Centre for assistance | |
| 9122 | Location Id missing from transmission | |
| 9123 | The HCL Certificate used to sign the transmission is not the Certificate currently registered against the Location Id | |
| 9124 | Unable to determine the Location Id from the submitted data. Please contact the Medicare eBusiness Service Centre for assistance. | |
| 9125 | Cannot register Location based on transaction type | |
| 9126 | No current Location Certificate exists in the nominated PSI Store | |
| 9127 | Requested Location Encryption Certificate not found in the PSI Store. | |
| 9128 | MultipleProcedureOverrideInd is an invalid value | |
| 9129 | NoOfPatientsSeen is not a valid value | |
| 9130 | NumberOfPatientsSeen cannot be set when MultipleProcedureOverrideInd is set | |
| 9131 | NoOfPatientsSeen is not a valid value if the RequestOverrideTypeCde is set | |
| 9132 | Rule3ExemptInd is an invalid value | |
| 9133 | S4b3ExemptInd/S4B3ExemptInd is an invalid value | |
| 9134 | SCPId is an invalid value | |
| 9135 | ServiceId is an invalid value | |
| 9136 | TimeOfService is an invalid value | |
| 9137 | DateOfService is a date in the future | |
| 9139 | CollectionDateTime is later than RequestIssueDate | |
| 9140 | SelfDeemedCde is an invalid value | |
| 9141 | SelfDeemedCde is inconsistent with the ServiceTypeCde and/or other data elements set | |
| 9142 | The value in the Restrictive Override Code is invalid, please check and resubmit your claim. | |
| 9144 | TimeOfService must be set if either DuplicateServiceOverrideInd or MultipleProcedureOverrideInd or both are set to Y | |
| 9145 | DistanceKMS is inconsistent with ServiceTypeCde and/or can't be set with MultipleProcedureOverrideInd, DuplicateServiceOverrideInd, Rule3ExemptInd, S4B3ExemptInd, TimeOfService, SCPId, CollectionDateTime,AccessionDateTime, FieldQuantity,LSPNum,EquipmentId | |
| 9146 | Authorisation is missing | |
| 9147 | Distance KMs cannot be set when TreatmentLocationCde is set to R | |
| 9193 | CollectionDateTime is earlier than RequestIssueDate | |
| 9201 | Invalid format for data item | |
| 9202 | Invalid value for data item. The data element does not comply with the values permitted or has failed a check digit check. | |
| 9203 | Date of service must be no more than six (6) months in the past | |
| 9204 | Date in future. The date supplied must not be in the future | |
| 9205 | Requested data item is empty. | |
| 9206 | Date must be in the future. The date supplied is expected to be a future date | |
| 9207 | An item cannot be self deemed or substituted when a referral or request override has been set | |
| 9208 | Date supplied too old | |
| 9209 | Date supplied is greater than 12 months in the future | |
| 9210 | Date of service must be no more than two years in the past | |
| 9211 | Future date-time. Date-time cannot be in the future | |
| 9212 | ServiceId is not set | |
| 9215 | Authorisation date is an invalid value (this may apply where Authorisation date is explicitly set) | |
| 9217 | Authorisation date is a date in the future | |
| 9218 | Authorisation date more than 2 years past | |
| 9219 | VeteranFileNum is a mandatory field and must be provided | |
| 9220 | Payee Provider Number is not a valid value | |
| 9221 | Claim Certified Ind not a valid value (this may apply where Authorisation date explicitly set) | |
| 9222 | Claim Certified date is an invalid format. (this may apply where Authorisation date explicitly set) | |
| 9223 | Claim Certified date is an invalid value (this may apply where Authorisation date explicitly set) | |
| 9224 | Claim Certified date must not be a future date (this may apply where Authorisation date explicitly set) | |
| 9225 | Claim Certified date more than 2 years past | |
| 9226 | PatientDateOfBirth more than 130 years ago | |
| 9227 | PatientDateOfBirth is later than Date of Service | |
| 9228 | AcceptedDisabilityInd is an invalid value | |
| 9229 | AcceptedDisabilityText set but AcceptedDisabilityInd not set to Y | |
| 9230 | AcceptedDisabilityText is an invalid value | |
| 9231 | PatientAddressLocality is an invalid value | |
| 9233 | PatientAliasFamilyName is an invalid value | |
| 9234 | PatientAliasFirstName is an invalid value | |
| 9236 | PatientFamilyName is an invalid value | |
| 9237 | PatientFirstName is an invalid value | |
| 9244 | PatientAddressLocality is an invalid value | |
| 9245 | PatientAddressPostcode is an invalid value | |
| 9246 | PatientDateOfBirth is an invalid value | |
| 9247 | PatientGender is an invalid value | |
| 9248 | ReferralIssueDate is an invalid value | |
| 9249 | ReferralPeriodTypeCde is an invalid value | |
| 9250 | ReferralOverrideTypeCde is an invalid value | |
| 9251 | ReferringProviderNum is an invalid value | |
| 9252 | RequestingProviderNum is an invalid value | |
| 9253 | RequestIssueDate is an invalid value | |
| 9254 | RequestOverrideTypeCde is an invalid value | |
| 9255 | ServiceTypeCde is an invalid value | |
| 9256 | ServicingProviderNum is an invalid value | |
| 9257 | HospitalInd is an invalid value | |
| 9258 | VeteranFileNum is an invalid value | |
| 9259 | VoucherId is an invalid value | |
| 9260 | PatientDateOfBirth in the future | |
| 9263 | ReferralPeriod is an invalid value | |
| 9270 | HospitalInd is not a valid value for TreatmentLocationCde | |
| 9271 | TreatmentLocationCde is an invalid value | |
| 9273 | AccessionDateTime is a future date-time | |
| 9274 | CollectionDateTime is a date-time in the future. | |
| 9275 | AccessionDateTime is an invalid value | |
| 9277 | AfterCareOverrideInd is an invalid value | |
| 9278 | ChargeAmount cannot be set where DistanceKms is set | |
| 9279 | PatientDateOfBirth is an invalid value | |
| 9280 | ReferralIssueDate is an invalid value | |
| 9283 | RequestIssueDate is an invalid value | |
| 9286 | TimeOfService is an invalid value | |
| 9288 | ServiceText is an invalid value | |
| 9290 | AccountReferenceNum is an invalid value | |
| 9291 | ChargeAmount is an invalid value | |
| 9292 | CollectionDateTime is an invalid value | |
| 9293 | DateOfService is an invalid value | |
| 9294 | DistanceKms is an invalid value | |
| 9295 | DuplicateServiceOverrideInd is an invalid value | |
| 9296 | EquipmentId is an invalid value | |
| 9297 | FieldQuantity is an invalid value | |
| 9298 | ItemNum is an invalid value | |
| 9299 | LSPNum is an invalid value | |
| 9301 | Patient's Medicare card number must be supplied | |
| 9302 | Patient's reference number must be supplied | |
| 9303 | Patient's first name must be supplied | |
| 9304 | Patient's family name must be supplied | |
| 9305 | Servicing Practitioner's Provider Number must be supplied | |
| 9306 | Date of service must be supplied | |
| 9307 | An item number must be supplied for each service | |
| 9308 | Referring Practitioner's Provider Number must be supplied | |
| 9309 | Referral issue date must be supplied, and must be prior to, or the same as, the date of the medical service, cannot be before the date of birth, nor after the referral start date | |
| 9310 | Requesting Practitioner's Provider Number must be supplied | |
| 9311 | Request issue date must be supplied, and must be prior to, or the same as, the date of the medical service and cannot be before the date of birth | |
| 9312 | Claimant first name, family name, date of birth, claimant Medicare card number and reference number must be supplied. If any one data element is supplied, then all five (5) must be supplied. | |
| 9313 | Patient/Claimant address line 1 must be supplied or all claimant address elements removed. | |
| 9314 | Patient/Claimant locality must be supplied or all claimant address elements removed | |
| 9315 | Patient/Claimant postcode must be supplied or all claimant address elements removed | |
| 9316 | The Referring/Requesting Provider cannot be the Servicing or Principal Provider | |
| 9317 | Account payment status required. Must be paid or unpaid. | |
| 9318 | Non standard referral has been set without the referral period | |
| 9319 | Date of lodgement not supplied | |
| 9320 | Time of lodgement not supplied | |
| 9321 | Location ID not supplied | |
| 9322 | Referral period details must be supplied | |
| 9323 | Incomplete banking details. BSB code, account number and account name must all be supplied. | |
| 9324 | Claim ID not supplied or invalid | |
| 9325 | Service type not supplied | |
| 9326 | At least one voucher must be included in the claim | |
| 9327 | Claim type must be consistent with the transmission type set by the createTransmission function | |
| 9328 | The maximum number of contents allowable in this transmission has been reached | |
| 9329 | The data element being set is not relevant to this claim type | |
| 9330 | The data appears to be other than a stored patient claim | |
| 9331 | The data appears to be other than a stored bulk bill claim. | |
| 9332 | Voucher must contain at least one (1) service | |
| 9333 | Assignment/submission authorisation not supplied | |
| 9335 | Bank account details supplied for unpaid claim | |
| 9336 | Hospital details must be supplied in the text field | |
| 9337 | At least one service in the voucher must have a non zero charge amount | |
| 9338 | A required charge amount has not been supplied or is inconsistent with other data supplied. | |
| 9339 | Transmission date missing or invalid | |
| 9340 | Transmission time missing or invalid | |
| 9341 | More information required. Either text must be keyed against a service or a time supplied for the voucher. | |
| 9342 | The Payee Practitioner supplied is the same as the Servicing Provider. If both are the same, only one of the Servicing Provider should be completed | |
| 9343 | Veterans File Number/patient details incomplete | |
| 9345 | Patient's Date of Birth not supplied | |
| 9346 | Patient's gender not supplied | |
| 9347 | Request type code must be set when a request exists | |
| 9348 | Batch Identifier missing or invalid | |
| 9349 | Immunisation Date invalid or missing | |
| 9350 | Next Due Date for immunisation invalid or missing | |
| 9351 | Medicare Card Issue Number missing or invalid | |
| 9352 | Provider Child ID missing or invalid | |
| 9353 | Information Provider Number missing or invalid | |
| 9354 | ATSI Indicator missing | |
| 9355 | Contact phone number missing or invalid | |
| 9356 | Vaccine code missing or invalid | |
| 9357 | Vaccine dose missing or invalid | |
| 9358 | Clinic Code missing or invalid | |
| 9359 | Vaccine Batch Number missing or invalid | |
| 9360 | HepB Birth Dose Flag invalid or missing | |
| 9361 | Encounter details do not contain an allowable combination of the minimum required fields | |
| 9362 | The encounter must contain at least one (1) episode | |
| 9363 | Encounter already contains equivalent antigen(s) | |
| 9364 | Patient information provided is insufficient | |
| 9365 | Referral period or referral date to must be supplied | |
| 9366 | Referral Date From must be supplied | |
| 9367 | Referral Date From is later than Referral Date To | |
| 9368 | Hep B Birth Dose Date is prior to Patient's Birth Date or prior to 1 January 1996 | |
| 9369 | The patient Fund membership number must be supplied | |
| 9370 | The Fund brand Id must be supplied | |
| 9371 | OPV type must be supplied | |
| 9372 | The claim type for the claim must be supplied | |
| 9373 | Discharge date supplied therefore admission date must also be supplied | |
| 9374 | Both product name and version must be supplied | |
| 9375 | All vouchers within the claim must have the same service type code | |
| 9376 | Facility Id or Treatment Location Provider Number must be supplied | |
| 9378 | Claim Type has been identified as an Agreement, the Facility Identifier must also be supplied | |
| 9379 | Claim Type has been identified as an Agreement, Informed Financial Consent must also have been identified as being verbally given or supplied in writing for the patient or indicated as not obtained | |
| 9380 | Claim Type has been identified as a Gap Cover scheme, Informed Financial Consent must also be identified as being supplied in writing for the patient or indicated as not obtained | |
| 9381 | Claim Type has been identified as a Gap Cover Scheme, Financial Interest Disclosure must have been given | |
| 9382 | Conflicting selection criteria supplied. When TransactionId supplied no other criteria can be supplied. | |
| 9383 | If either ReceivedFromDateTime or ReceivedToDateTime set both must be set | |
| 9384 | ReceivedFromDateTime must be prior or equal to ReceivedToDateTime | |
| 9385 | RequestContentType must be supplied | |
| 9386 | Maximum request period cannot exceed 31 days | |
| 9387 | Request must specify either one or more transaction Ids or a received date time range | |
| 9388 | Request must specify one or more Transaction Ids | |
| 9389 | The account reference Id must be supplied | |
| 9390 | The Billing Agent Id must be supplied | |
| 9391 | Payer name, payment run date, payment reference, deposit amount, payee Location Id, part number and part total must be supplied | |
| 9392 | Benefit amount, Date of lodgement and Account Reference Id must be supplied for each claim | |
| 9393 | The Transaction Id must be supplied for each claim where the claim channel code is SB3 or SB4 | |
| 9394 | The number of items exceeds the maximum allowable for this content type | |
| 9395 | Fund claim explanation code must be supplied as the claim has been rejected by the Fund | |
| 9396 | Incomplete data in outbound transmission | |
| 9397 | Principal Provider Number must be supplied | |
| 9398 | OEC type must be supplied | |
| 9399 | Accident indicator must be supplied | |
| 9400 | Length of stay must be supplied and cannot exceed the number of days from the date of admission to date of discharge inclusive. | |
| 9401 | Presenting Illness Code must be supplied. | |
| 9402 | Same day indicator / code must be supplied. | |
| 9403 | Admission date must be supplied | |
| 9404 | Date of admission and date of discharge must be consistent for all vouchers | |
| 9405 | FundReferenceId must be supplied | |
| 9406 | Table name, description and scale must be supplied | |
| 9407 | The financial status of the member must be supplied | |
| 9408 | Benefit must be supplied for each service | |
| 9409 | Fund explanation code and explanation text must be supplied | |
| 9410 | If service explanation code or service explanation text is supplied both must be supplied | |
| 9411 | The compensation claim indicator must be consistent across all vouchers within the claim | |
| 9412 | Collection date time and accession date time must be supplied for all services in the voucher where S4B3 exemption is indicated against any service in the voucher | |
| 9413 | Collection date time must be prior to accession. Date of service must be on or after the date of accession. Collection date must be on or after date of birth and the date of the request. | |
| 9414 | If collection date time or accession date time is present both must be present | |
| 9415 | Date of service cannot be prior to the accident date | |
| 9416 | The service must have been rendered in hospital where S4B3 exemption is indicated against the service | |
| 9417 | Service must have been requested, self deemed or a request override set | |
| 9418 | Payee Provider Number must be supplied | |
| 9419 | Both the concomitant provider number and role must be set. The concomitant provider can only undertake a single role and cannot be the servicing provider. | |
| 9420 | The Servicing provider must be the same for all vouchers within the claim | |
| 9421 | Benefit assignment authorisation details must be supplied or are incomplete | |
| 9422 | Clinical condition information missing or incomplete | |
| 9423 | Clinical indicators, request/referral details and/or results and related information is missing or incomplete | |
| 9424 | Health Care Plan details (type, issue date) incomplete | |
| 9425 | Dates of service within the voucher must be consistent | |
| 9426 | Check KMs. Only one km entry permitted per voucher and the voucher must contain another item with the same Date of Service. | |
| 9427 | Service start date must be on or after the patient's date of birth and on or before the date of service and service end date. | |
| 9428 | The service end date must be on or after the date of service and the service start date and supplied where number of services is greater than one. | |
| 9429 | When duplicate service override requested or supporting details supplied both must be present | |
| 9430 | When multiple procedure override requested or supporting details supplied both must be present | |
| 9431 | The original procedure date must be on or after the patient's date of birth and on or before the date of service | |
| 9432 | Item Start Date Time must be supplied. It must be on or after the patient's Date of Birth and the Date of Service, and prior to the Item End Date Time. | |
| 9433 | Item End Date Time must be supplied. It must be on or after the Date of Service, and after Item Start Date Time. | |
| 9434 | Time in future. The date and time supplied must not be in the future. | |
| 9435 | Time of service must be set against all items within the voucher if set against any item within the voucher, except where DistanceKms is set | |
| 9436 | Anaesthetic type code must be supplied | |
| 9437 | When AfterCareOverrideInd or AfterCareExplanationText present both must be present. Both may be present when AfterCareApportionedPercentage or AfterCareProviderNum present | |
| 9438 | Aftercare provider number required and must not be the same as the servicing provider. | |
| 9439 | Either the service has been flagged as having been self deemed or the reason for the service being self deemed has been supplied. If one is present both must be present. | |
| 9440 | The appliance order date must be greater than or equal to the patient's date of birth and equal to or less than the date of service and delivery date. Supporting details must be supplied where an appliance has been ordered. | |
| 9441 | When intensive care override requested or supporting details supplied both must be present | |
| 9442 | A service cannot be substituted without request details also being present | |
| 9443 | Original procedure details (date, item number and supporting details) are missing or incomplete | |
| 9444 | Anatomical details (region and description) are missing or incomplete | |
| 9445 | Where item is set to KM or the distance travelled is stated, both must be present without a charge amount | |
| 9446 | Fund Payee Id must be consistent across all vouchers. | |
| 9447 | A Segment Identifier is missing or invalid | |
| 9448 | A TFR segment must be supplied | |
| 9449 | ACS segment must be supplied and can only be supplied, if any of ACD, CCG or LPD segments are also supplied | |
| 9450 | Leave period must be supplied when the leave days indicated in the Accommodation Summary is greater than 0 | |
| 9451 | A PSG segment must be supplied | |
| 9452 | An MSG segment must be supplied | |
| 9453 | A DMG or PSG segment must be supplied | |
| 9454 | A DMG segment must be supplied | |
| 9455 | A MED segment must be supplied | |
| 9456 | Urgency code must be supplied | |
| 9457 | Compensation code must be supplied | |
| 9458 | Contiguous claim code must be supplied | |
| 9459 | Facility Type Code must be supplied | |
| 9460 | Transaction Id of claim to be adjusted must be supplied. | |
| 9461 | Patients’ Medical record number must be supplied | |
| 9462 | Patient Admission Weight can only be set if the patient is less than 365 days old. | |
| 9463 | Accommodation status must be supplied | |
| 9464 | Facility Contract Status Code must be supplied. | |
| 9465 | Episode Id must be supplied | |
| 9466 | Episode Type Code must be supplied | |
| 9467 | Patient Classification Code must be supplied | |
| 9468 | Referral Source Code must be supplied | |
| 9469 | Charge Raised Code must be supplied | |
| 9470 | Service Code must be supplied | |
| 9471 | Service Code Type Code must be supplied | |
| 9472 | From Date is either missing or after To Date | |
| 9473 | ANB segments must contain Baby Date of Birth, Family Name, First Name, Gender and Number. | |
| 9474 | Transfer Code must be supplied | |
| 9475 | Accommodation Day must be supplied | |
| 9476 | To Date must be supplied | |
| 9477 | Number Of Days must be supplied | |
| 9478 | Leave Days must be supplied | |
| 9479 | An ACD Segment must contain Bed Level Add On Indicator and Bed Level Code | |
| 9480 | Day Rate must be supplied | |
| 9482 | A CCG segment must contain a Critical Care Type Code and Critical Care Add On Indicator must be set. | |
| 9483 | Service Time must be set for all PSG segments with the same Date of Service. | |
| 9484 | A TRG segment must contain Distance Kms, Transport Hours Minutes, From Locality, To Locality, Start Time and Transport TypeCode. | |
| 9485 | An MIG segment must contain both a Service Quantity and Service Rate. | |
| 9486 | Principal Diagnosis must be supplied | |
| 9487 | Ventilation Hours Minutes must be supplied | |
| 9488 | Only 49 additional diagnoses and 50 procedures can be set within a DMG segment. | |
| 9489 | Casemix Code Type Code must be supplied | |
| 9490 | Issue Date must be supplied | |
| 9491 | Certificate Type Code must be supplied | |
| 9492 | Text must be supplied | |
| 9493 | Either CertifyingProviderNum or CertifyingProviderName must be supplied | |
| 9494 | Admission time must be supplied. | |
| 9495 | Previous Transaction Id and Previous Account Reference cannot be set when Claim Channel Code is SB3 or SB4. | |
| 9496 | Benefit Amount cannot be negative when Claim Channel Code is SB3 or SB4. | |
| 9497 | Either Presenting Illness Item Number or Presenting Illness Code must be set, but not both. | |
| 9498 | Cannot submit fully paid accounts for this claim type. | |
| 9499 | Service Quantity must be supplied. | |
| 9500 | Patient Admission Weight can only be set if the patient is less than 365days old. | |
| 9501 | A submission response report is available | |
| 9502 | Multiple reports are included in the response | |
| 9503 | More reports meeting the criteria are available for retrieval | |
| 9504 | More rows for this report are available for retrieval | |
| 9601 | Claim successfully transmitted and pended for further assessment by a Customer Support Officer. Claimant will be advised of outcome by mail. | |
| 9602 | This claim cannot be lodged through this channel. Please submit the claim via an alternative Medicare claiming channel. | |
| 9603 | Check location. The location entered for the address is invalid. | |
| 9604 | Check bank account name. The name supplied is not a valid account name. | |
| 9605 | Another Medicare Card may have been issued to the patient or the details you entered do not match those held by Medicare. Please update your records and resubmit the claim. | |
| 9606 | Another Medicare Card may have been issued to the claimant or the details you entered do not match those held by Medicare. Please update your records and resubmit the claim. | |
| 9607 | This item is only claimable via Bulk Bill | |
| 9608 | The service requires confirmation that an operative procedure from groups 03 - 09 has been performed subsequent to the attendance. | |
| 9609 | Time (duration) required for the item | |
| 9610 | Equipment number required | |
| 9611 | Check item. The item claimed is either unknown or invalid at the date of service. Eg Misc, incorrect alpha included | |
| 9612 | This service is normally only performed in a hospital | |
| 9613 | This service cannot be performed in hospital | |
| 9614 | Check bank account number | |
| 9615 | An error has been detected with the address | |
| 9616 | The BSB supplied is invalid, unknown or cannot be used for Medicare payments | |
| 9617 | The referral has expired | |
| 9618 | Either an amount has not been entered in the charge field or an invalid amount has been entered. | |
| 9619 | Check postcode and locality. This is not a recognised combination OR a PO Box type locality has been entered. | |
| 9620 | The radiotherapy service performed is not payable using the equipment number | |
| 9621 | The pathology, diagnostic imaging or specialist service cannot be self determined or the Practitioner cannot self deem | |
| 9622 | The attendance item must contain the number of patients seen | |
| 9623 | Payee Provider cannot be used with an assistant surgeon item (51300 or 51303) or an assistant anaesthetist item (17500) | |
| 9624 | A subsequent consultation has been keyed and the date of service is after the referral expiry date | |
| 9625 | Claimant address needs to be updated with Medicare, Issue account/receipt for the claimant to submit via an alternative Medicare claiming channel. | |
| 9626 | The patient is or was covered under the Reciprocal Health Care Agreement | |
| 9627 | Check date of service | |
| 9628 | Referral or request required | |
| 9629 | Check item and patient | |
| 9630 | Please check the request or referral details | |
| 9631 | Check if service self deemed | |
| 9632 | Duplicate of service already paid. If not duplicate resubmit with appropriate indication. | |
| 9633 | A new Medicare card has been issued. Please update your records and ask the patient to use the new card number for any future claims. | |
| 9634 | A new Medicare card has been issued. Please update your records and ask the claimant to use the new card number for any future claims. | |
| 9635 | Check Servicing Provider. May not be able to provide the service for this item at date of service | |
| 9636 | Check Payee Provider | |
| 9637 | More information is required. Service text or other information is required to support this service. | |
| 9638 | Claimant details required. Patient or quoted claimant is a minor. | |
| 9639 | PO Boxes are not an acceptable address type for this claiming method. | |
| 9640 | The benefit assessed for this claim exceeds the review threshold. While no assessing errors have been detected, the claim needs to be reviewed by a Medicare operator. | |
| 9641 | A restrictive condition exists | |
| 9642 | DVA Pathology not supported in this release. | |
| 9643 | Check claimant name | |
| 9644 | Mix of in hospital and out of hospital services are not permitted | |
| 9645 | The claim identified for deletion has a status other than Paid Same Day | |
| 9646 | The claim could not be located by Medicare. | |
| 9647 | The claim has already been deleted by Medicare. | |
| 9648 | The Reason Code for requesting Same Day Delete is missing or invalid | |
| 9649 | Patient's eligibility cannot be determined | |
| 9650 | The card number and/or patient details submitted did not match Medicare checks. Please verify the details and resubmit with additional information if available. | |
| 9651 | The transmission Id supplied is not valid | |
| 9652 | Enter either all address details or no address details for the claimant | |
| 9653 | Multiple claims have been identified at the Medicare Central Site matching this deletion request. Please contact the Medicare eBusiness Service Centre to delete the correct claim. | |
| 9654 | Mixed LSPNs within a voucher are not allowed | |
| 9655 | An LSPN is required | |
| 9656 | LSPN invalid | |
| 9657 | LSPN not recognised | |
| 9658 | LSPN not valid at date of service | |
| 9659 | SCP Invalid | |
| 9660 | This item cannot be used as a substituted service | |
| 9661 | This provider cannot substitute services | |
| 9662 | Provider must contact Fund | |
| 9663 | Check Fund and Membership Card details | |
| 9664 | Check Patient details. If correct, check Fund and Membership Card. If correct, the name known to the Fund may differ from that held by Medicare OR Patient Unique Identifier has not been supplied (if applicable to Fund). | |
| 9665 | Cannot uniquely identify the Patient from the information supplied. | |
| 9666 | Patient must contact Fund | |
| 9667 | Health Fund Membership cover suspended or cancelled | |
| 9668 | Medical claims are not covered for this patient. Patient must contact Fund | |
| 9669 | Patient is ceased or pending cessation | |
| 9670 | Claim type identified cannot be submitted through this channel at this time. Please submit claim through another channel. | |
| 9671 | The Health Fund identified does not currently accept transmissions through this channel | |
| 9672 | Your Fund information is out of date. Please update your Fund list and resubmit. | |
| 9673 | Fund registration record is incomplete or needs correction. Please contact the Medicare eBusiness Service Centre for assistance. | |
| 9674 | Fund patient validation not undertaken as the Medicare validation was unsuccessful | |
| 9675 | Current Medicare card has expired. Patient must contact Medicare as claims using this Medicare card may be rejected. | |
| 9676 | The equipment required for this service is not registered for the LSPN provided | |
| 9677 | The equipment used for this service has exceeded the required equipment age | |
| 9678 | The service is not payable as an appropriate associated service is not present | |
| 9679 | The content type specified does not match the actual type of the specified Transaction Id | |
| 9680 | Claim assessment code is invalid for this claim | |
| 9681 | Provider not in eligible area (incorrect RRMA, SSD or State) | |
| 9682 | Medicare cannot assess the request due to a system limitation. Please contact the Medicare eBusiness service centre to discuss. | |
| 9683 | Medicare cannot assess this request due to a system limitation. Please check patient details and then contact the Medicare eBusiness Service Centre should assistance be required. | |
| 9684 | The unique patient identifier supplied was not valid for this membership. Check the patients fund membership card for the correct patient identifier. | |
| 9685 | A concessional entitlement has not been found for this patient | |
| 9686 | Baby not known at Fund. | |
| 9687 | EFT details are not registered at this fund for this provider or Facility. Fund must be contacted before further claims are submitted. | |
| 9688 | An Admission / Discharge Date can only be supplied for services flagged as being performed in a Hospital. | |
| 9689 | Services relating to the specified Service Type Code can only be submitted for a single patient per claim / request. | |
| 9690 | Only Medicare can handle MBS items and Medicare can only handle MBS items. | |
| 9691 | Only the Fund Assessment Code should be returned when the assessment is flagged as Complete. | |
| 9692 | An Item Number must be supplied for every MBS service. | |
| 9694 | The referral period type must be identified. | |
| 9695 | Fund does not perform OEC with prosthetics or miscellaneous items at this time. | |
| 9696 | For IMC, set both ClaimId and ClaimChannelCde. For IHC or OVS, set neither. | |
| 9698 | Service is possible aftercare, check the account and resubmit with a valid indicator if not normal aftercare | |
| 9699 | Item not covered for this patient at this date of service | |
| 9700 | An incorrect item number appears to have been used/amount claimed does not match item number | |
| 9701 | The maximum number of services for this item have been paid, if this service is not a duplicate please resend with correct item numbers as per MBS | |
| 9702 | A base item has not been entered or should be entered first. Please re-submit claim with correct sequence. | |
| 9703 | Item number used can not be claimed for this Provider. Check details of service and re-submit with appropriate item. | |
| 9704 | This service appears to have been previously claimed. Please contact Medicare if you wish to discuss. | |
| 9705 | In some instances where two or more services are performed together, they are claimable under one item number. Please check the MBS for correct item and re-submit. If exceptional circumstances exist, please issue account/receipt notating reasons | |
| 9706 | This item requires a specific notation of the relevant condition. Please check the MBS and resubmit via an alternative Medicare claiming channel. | |
| 9707 | This claim needs to be referred to a Medicare Customer Services Officer for further assessment. Please issue claimant with an account/receipt to claim via an alternative Medicare claiming channel. | |
| 9708 | Equipment number entered does not appear to be registered with Medicare, correct details and re-submit or contact Medicare. | |
| 9709 | An age restriction applies to this item. Please check the MBS to verify item specifics. | |
| 9710 | This item number has specific restrictions that cannot be overridden. Benefit not payable for this service. | |
| 9711 | This claim requires further assessment by a Medicare Customer Services Officer. Please issue claimant with an account/receipt to claim via an alternative Medicare claiming channel. | |
| 9712 | The item number claimed and an override code used cannot be used together. Please resubmit the claim or contact Medicare for assistance. | |
| 9723 | ToothNum is an invalid value. | |
| 9725 | UpperLowerJaw is an invalid value. | |
| 9728 | NumberofTeeth is an invalid value. | |
| 9742 | SecondDeviceIdentifier is an invalid value. | |
| 9743 | SecondDeviceIdentifier is missing. | |
| 9744 | OpticalScript is an invalid value. | |
| 9754 | ReferralPeriodTypeCde is inconsistent with the ServiceTypeCde and or/other data elements set. | |
| 9755 | AdmissionDate must be greater than or equal to the PatientDateOfBirth. | |
| 9756 | DischargeDate must be greater than or equal to the AdmissionDate. | |
| 9757 | AdmissionDate not set. | |
| 9759 | TimeDuration is missing. | |
| 9761 | TimeDuration is an invalid value. | |
| 9762 | AdmissionDate must be a valid date. | |
| 9763 | DischargeDate must be a valid date. | |
| 9764 | DischargeDate must be greater than or equal to the PatientDateOfBirth. | |
| 9766 | TimeOfService must be set if either DuplicateServiceOverrideInd and / or MultipleProcedureOverrideInd and / or Rule3ExemptInd are set to Y. | |
| 9767 | Claim Certified date is an invalid value. | |
| 9769 | VoucherId is missing. | |
| 9771 | ChargeAmount cannot be set where ServiceTypeCde = F. | |
| 9772 | ReferralOverrideTypeCde cannot be present where ServiceTypeCde is set to F or K. | |
| 9773 | ChargeAmount cannot be claimed for item number OT80. | |
| 9774 | Item number OT80 cannot be claim if the distance travelled is less than 50km radius from their normal place of business. | |
| 9775 | The Transaction Id is invalid. | |
| 9776 | Maximum number of Transactions cannot exceed 500. | |
| 9777 | A duplicate Transaction Id. has been received. | |
| 9778 | ReferringProviderNum and ReferralIssueDate must both be set when ServiceTypeCde is set to F (Community Nursing) or K (Clinical Psych) | |
| 9780 | Assessment Data fields supplied in error | |
| 9999 | An indeterminate error has been detected |
DVA reason codes
These codes are used by the Department of Veterans Affairs (DVA) and provide information on the assessment of a claim. To learn more about the codes, see the Government Services Australia website.
| Reason code | Description |
|---|---|
| 101 | More details of service required to assess payment |
| 103 | Letter of explanation is being sent separately |
| 106 | Servicing Provider cannot be identified |
| 107 | Payment made on item other than that claimed |
| 108 | Item claimed not payable at date of service |
| 112 | Provider not an LMO - payment made at 85% of MBS fee |
| 113 | Total charge shown on voucher apportioned over all items |
| 115 | Payment recommended for this item |
| 117 | Payment not recommended for this item |
| 120 | Age restriction applies to this item (expired 01/01/2007) |
| 122 | Associated referral/request line not required |
| 123 | Payment made on radiology item other than service claimed |
| 124 | Item is restricted to persons of opposite sex to patient |
| 125 | Not payable without associated operation/anaesthetic item |
| 126 | Service is not payable without radiology service |
| 127 | Maximum number of additional fields already paid |
| 128 | Payment made on associated fracture/amputation item |
| 129 | Service is not payable without the base item/s |
| 130 | Referred to National Office for decision |
| 131 | Date of service not supplied/invalid |
| 134 | Single course of treatment paid as subsequent attendance |
| 135 | Provider not a consultant physician - specialist rate paid |
| 136 | Referral details not supplied - paid at GP rate |
| 137 | Details of requesting provider not shown on voucher |
| 138 | Item is only payable if self-determined or deemed necessary |
| 139 | Approved pathologist should not use this item number |
| 140 | Non-specialist provider |
| 141 | Provider not recognised to perform this service |
| 151 | Associated service already paid - adjustment being processed |
| 152 | Payment made on item other than that claimed (PSR) |
| 153 | Item claimed not payable at date of service (PSR) |
| 154 | Diagnostic Imaging Multiple Service Rule applied to service |
| 158 | Payment made on associated abandoned surgery/anae item |
| 159 | Item associated with other service which is payable |
| 160 | Maximum number of services for this item already paid |
| 162 | Service has been previously paid |
| 163 | Letter of explanation is being sent separately (Surgical/anaesthetic item/s already paid on this date) |
| 164 | Assistant surgeon service not payable |
| 168 | Not payable without associated operation/anaesthetic item |
| 169 | Letter of explanation is being sent separately (No operation/anaesthetic claimed) |
| 170 | Assistant anaesthetic service not payable |
| 171 | Service not payable - provider may only act in one capacity |
| 172 | Payment reduced - patient chose non-contracted hospital |
| 173 | Patient episode coning - maximum number of services paid |
| 174 | Patient episode coning adjustment |
| 175 | Payment made on associated foetal intervention item |
| 176 | Pay each foetal intervention item as a separate item |
| 177 | Foetal intervention item paid using derived fee item |
| 179 | Service not payable - associated service already paid |
| 180 | Payment declined - provider not elected as time-based |
| 182 | Payment made in accordance with time-based rules |
| 183 | Type C procedure claimed - only Band 1 accommodation payable |
| 184 | Payment made for additional time item using a derived fee |
| 186 | Type C or unbanded procedure claimed - no theatre fee payable |
| 187 | No Type B/C certification present - payment declined |
| 194 | Letter of explanation is being sent separately (Provider under investigation - refer to supervisor) |
| 201 | Service not covered under current contract - contact DVA |
| 203 | Approval not sought by surgeon/admission advice not lodged |
| 204 | Item claimed does not attract GST |
| 206 | Item number does not attract a benefit at date of service |
| 207 | A separate charge must be supplied for this particular item |
| 211 | Patient not eligible at date of service |
| 212 | Date of service used is in the future |
| 213 | Upper or lower denture/jaw not specified for item claimed |
| 215 | Service claimed prior 1/1/84 |
| 217 | Patient cannot be identified from information supplied |
| 222 | Payment made on associated anaesthetic item |
| 223 | Service not payable – specified items not claimed/present |
| 224 | Denture related item/s already paid within allowable period |
| 226 | Unable to identify service date/s |
| 232 | Service claimed not payable in this instance |
| 233 | Provider not Local Medical Officer/Local Dental Officer |
| 238 | Travel allowance not payable in this instance |
| 249 | Please note Veteran's correct file number |
| 250 | Explanation/voucher will be forwarded separately |
| 251 | Requesting provider details not supplied |
| 252 | Service performed in aftercare period |
| 253 | Radiotherapy assessed with other item number on voucher |
| 254 | Assessment incomplete - further advice will follow |
| 256 | Service not payable for a hospital patient |
| 257 | Service already paid - no separate attendance evident on claim |
| 258 | Medicare benefits paid - no separate DVA attendance evident |
| 259 | Service being further considered in a manual claim |
| 260 | Benefit assessed with associated item on statement |
| 261 | Associated surgical items/anaesthetic time not supplied |
| 262 | Insufficient prolonged anaesthetic time - service not paid |
| 263 | Payment declined - only 1 claim allowed in claiming period |
| 266 | Prior approval needed for convalescent care over 21 days |
| 267 | Service not payable - associated service not present |
| 271 | Not payable without associated ophthalmological item |
| 272 | Payment made on associated ophthalmological item |
| 275 | Provider not authorised to refer DVA patients |
| 276 | Service not commenced within specified time |
| 277 | Number of referrals issued exceeds prescribed limit |
| 278 | Referral not attached |
| 279 | DVA Prior approval not present – Contact DVA 1800 550 457 |
| 281 | Number of services claimed exceeds approved number |
| 282 | Date of service outside of approval/referral/request period |
| 283 | Item/condition claimed not covered by approval |
| 284 | Service requires referral - referral not provided |
| 285 | Prior Approval not sought for the provider/practice location |
| 286 | Service not an emergency |
| 287 | Approval incomplete - Contact DVA on 1800 550 457 |
| 288 | Fee paid in accordance with departmental agreed rates |
| 289 | Prior approval sought but not approved for this item |
| 290 | Item not payable in this state |
| 291 | Payment made at non-acute type rate |
| 292 | Gap payment made for hospital episode |
| 293 | Not eligible for NHTP |
| 294 | Payment declined - no acute care 3B certificate present |
| 295 | Leave days included in this account |
| 297 | Patient's name stated is different to that under file number |
| 298 | Reduced kilometres paid in this instance |
| 300 | Partial payment only - maximum dental limit reached |
| 301 | Payment declined - compensation/damages service |
| 302 | Prosthesis not paid - payment to be made by hospital |
| 304 | Service not payable in same period as physio/chiro treatment |
| 309 | Payment made for replacement of lost spectacles |
| 310 | Payment made for replacement of broken spectacles |
| 311 | Prescription change - payment for replacement of spectacles |
| 312 | Payment declined for replacement of lost spectacles |
| 313 | Payment declined for replacement of broken spectacles |
| 314 | No change in prescription evident - payment declined |
| 316 | Benefit not payable - item cannot be self-determined |
| 317 | Benefit not payable - additional item to those requested |
| 322 | Provider not approved for payment of this service |
| 325 | Laboratory not accredited for payment of this service |
| 326 | Laboratory not accredited at date of service |
| 328 | Payment made on associated tomography item |
| 329 | Not payable without associated tomography item |
| 330 | Payment made on pathology item at 85% of schedule fee |
| 332 | Category 5 lab - payment not made for requested service |
| 333 | Provider must claim time-based items |
| 335 | Service is not payable without nuclear medicine service |
| 336 | Fee paid on nuclear medicine item other than one claimed |
| 337 | Provider must claim content based items |
| 338 | Provider not registered to claim payments at date of service |
| 341 | No referral details - details required for future accounts |
| 342 | Referral expired - paid at non-specialist rate |
| 350 | Hospital referral - paid at specialist/consultant rate |
| 351 | Payment not made - LCC number not quoted or invalid |
| 352 | Service date outside LCC registration dates |
| 353 | Transaction fee not accompanied by pathology episode |
| 354 | Reduced bed fee - fee for outpatient service already paid |
| 355 | Payment made on pathology item - up to 100% of schedule fee |
| 356 | Classification change - new referral and admission date required |
| 357 | Admission and/or discharge date not supplied or invalid |
| 360 | Benefit not payable for requested services |
| 361 | DI exemption - items not approved |
| 362 | Payment made in accordance with recommended time limit |
| 364 | These items must be claimed under a combination item number |
| 370 | Payment made on item other than that claimed |
| 375 | Service being processed manually (EDI) |
| 376 | Patient cannot be identified from information supplied |
| 377 | Number of patients attended incomplete or incorrect |
| 378 | Provider not registered to refer/request service at location |
| 379 | Claim Deleted - Contact Medicare eBusiness on 1800 700 199 |
| 390 | Documentation not received (EDI) |
| 391 | Service provider on D1217 differs from transmitted data (EDI) |
| 392 | Duplicate transmission - no further payment made (EDI) |
| 394 | Unable to identify service type and/or service dates (EDI) |
| 438 | Consultation and DI item/s not payable on same day |
| 439 | Requesting provider not in an eligible geographic location |
| 451 | Service provided in an ineligible location |
| 500 | Rejected in association with another item in this voucher |
| 502 | Patient is not eligible to claim benefit for this item |
| 504 | Charge keyed is incorrect or missing |
| 505 | Condition treated or distance travelled required |
| 506 | Consultation not payable on same day as surgical procedure |
| 507 | Site not accredited for this service |
| 509 | Service paid as item 2712 / 2719 |
| 510 | Service paid as item 52-96/or similar item |
| 512 | Multiple Musculoskeletal MRI service rule applied |
| 513 | Multiple Musculoskeletal MRI and DI services rules applied |
| 514 | Required equipment type code not on LSPN register |
| 515 | Equipment is older than allowable age for this item |
| 516 | Benefit paid for base & derived radiotherapy items claimed |
| 526 | Item only attracts a benefit when claimed through Medicare |
| 528 | Provider not in eligible area (Incorrect RRMA, SSD or State) |
| 529 | No eligible associated service available for this veteran |
| 531 | Payment declined - DVA RCTI Agreement has not been signed - Phone GST Team on 1800 653 629 |
| 532 | GST details incomplete - Phone GST Team on 1800 653 629 |
| 533 | Claim referred to DVA - military compensation case |
| 534 | Claim referred to DVA for payment - any enquires to DVA |
| 536 | Location Specific Practice Number not Transmitted/Supplied |
| 537 | Location Specific Practice Number Invalid |
| 538 | Location Specific Practice Number not Recognised |
| 539 | Location Specific Practice Number not valid at Date of Service |
| 543 | Maximum payment already made for service/s claimed |
| 544 | Pharmacy/Disposables not payable under your contract |
| 545 | No charge or no cost items should not be shown on voucher |
| 546 | Invoice required for this item before payment can be made |
| 547 | DVA has advised that this service is not payable |
| 550 | Required Associated item not present for this veteran |
| 551 | Specimen Collection Point is incorrect or not supplied |
| 552 | Specimen Collection Point not valid at date of service |
| 553 | Approved Collection Centre number not supplied |
| 554 | Total Benefit for Anaesthetic Service |
| 555 | Payment made on Main RVG Anaesthetic Item |
| 556 | RVG Time Item Not Claimed |
| 557 | Associated RVG Anaesthetic Service Not Claimed |
| 558 | RVG Anaesthetic Item Not Claimed |
| 559 | Patient Outside Age Range For Item 25015 - Please Verify Age |
| 560 | RVG Item Restriction |
| 561 | Payment made on RVG Item Claimed |
| 562 | Payment made on Associated RVG Item |
| 563 | Associated RVG Service Already Paid |
| 564 | MVUSSR applied |
| 565 | DIMSR and MVUSSR applied |
| 568 | Item cannot be substituted |
| 569 | Provider unable to substitute |
| 570 | The RPBC card can only be used to claim pharmaceuticals |
| 571 | Details transmitted differ from details on voucher |
| 572 | Prescription details not supplied or incomplete |
| 573 | Referring and servicing provider the same - no fee payable |
| 574 | Service voucher not received for this particular veteran |
| 575 | Date of service is after the date of lodgement |
| 576 | ICD 10 required before payment can be made |
| 577 | Clinical notes required before payment can be considered |
| 578 | Item number cannot be determined from information supplied |
| 579 | RVG items are not payable for DVA Time Based Anaesthetists |
| 580 | Hospital name required when treatment provided in hospital |
| 581 | Condition treated has not been stated |
| 582 | Second provider in referral period - Please contact DVA |
| 583 | Service does not relate to Veterans specific condition/s |
| 584 | Anaesthetic start/finish time not indicated |
| 585 | Item claimed is inconsistent with Veterans age |
| 586 | Eye treated not stated on voucher/account |
| 587 | Living member dependants are not eligible for DVA payments |
| 588 | Service date after Veterans date of death recorded by DVA |
| 589 | Service not payable without associated Base or GST item |
| 590 | Date of service over 2 years - Late Lodgement Form required |
| 591 | Payment made according to ICD code quoted |
| 592 | Prostheses paid in accordance with DVA agreed rates |
| 593 | Payment not yet authorised - contact DVA for resolution |
| 594 | Assistants fee to be claimed separately from surgeons fee |
| 595 | Payment for this item includes the casting component |
| 596 | Item paid has been changed as per advice from DVA |
| 597 | GST should not be included in the charge for the item |
| 598 | Tax invoice submitted – Payment made for service and GST |
| 599 | DVA Rural Incentives Loading is included in Payment |
| 600 | Provider requesting the service cannot be identified |
| 605 | Referral expired - no fee is payable |
| 606 | Referring provider practice location is closed |
| 607 | Referral date has been omitted or invalid |
| 608 | Referring and servicing provider the same - no fee payable |
| 609 | Service cancelled at providers request |
| 611 | Valid referral details not supplied - no fee is payable |
| 612 | Date of referral after date of service - no fee is payable |
| 614 | No Benefit payable - please notate time of each visit |
| 615 | Multiple procedures - notate times and area of treatment |
| 618 | Requesting provider not eligible to request this service |
| 621 | Item not claimable electronically |
| 622 | PET drop-down items not claimable via EDI |
| 624 | PET items-payee provider required |
| 625 | Payee provider not eligible to claim PET items |
| 627 | PDT statement NOT provided by the doctor |
| 629 | Initial PDT therapy item NOT present on patient history |
| 638 | Derived fee and other item cannot be claimed in-hospital |
| 639 | Provider not in an eligible area to claim this item |
| 640 | More than one base and derived item claimed |
| 641 | More than one base item claimed |
| 642 | Benefit paid for derived and other item claimed |
| 643 | Derived item assessed with other item on statement |
| 650 | Item MT98 not paid as date of service is prior to 1/1/2005 |
| 651 | MT98 not payable - Associated item not present or not paid |
| 652 | Service is after the discharge date for this referral period |
| 653 | Payment made on pathology item - up to 115% of schedule fee |
| 654 | Item transmitted via incorrect online claiming channel |
| 655 | Claim cannot be assessed without associated base or GST item |
| 656 | Claim cannot be assessed without upper/lower identified item |
| 657 | Date falls in gap between referrals - Please contact DVA |
| 658 | Payment made for replacement of lost dentures |
| 659 | Payment made for replacement of broken dentures |
| 660 | Prescriber details not supplied - no benefit is payable |
| 661 | Date of service falls outside approval/prescribing period |
| 662 | Referral/prescribing details incomplete or illegible |
| 663 | MT99 Not Payable - Associated item not present or not paid |
| 664 | Provider not an LMO. Call DVA on 1800 550 457 for review |
| 665 | Item MT99 not paid as Date of Service is prior to 7/6/2004 |
| 666 | Radiation Oncology equipment number invalid or not supplied |
| 667 | Service is over 5 years old - Further consideration required |
| 668 | Item MT99 paid- associated item is not Level A consultation |
| 670 | Handling Fee Reduced according to Prostheses Amount Paid |
| 671 | Patient was in another Hospital prior to this admission |
| 672 | Patient was readmitted within 7 days of previous admission |
| 674 | Amendment/Adjustment- LMO Supplementary Payment also made |
| 675 | Item MT98 is payable for MBS Level A consultation items |
| 690 | Surgical items not identified - Assistance item not paid |
| 691 | Surgeon cannot be identified - Assistance item not paid |
| 692 | DVA Incentive items only paid with LMO outpatient services |
| 693 | In this instance MT98 should be claimed |
| 694 | In this instance MT99 should be claimed |
| 695 | This item cannot be claimed as an 'Out of Hospital' service |
| 696 | This item cannot be claimed as an 'In Hospital' service |
| 697 | MT98/MT99 cannot be paid when DOS on or after 1 July 2007 |
| 732 | Referral period not valid for Referring Provider |
| 735 | Accommodation cannot span calendar year/contract end date |
| 736 | Payment Declined - No Contact Lens items in previous 3 years |
| 737 | Domiciliary item not payable without associated consultation |
| 741 | Inconsistent treatment location in vchr - claim separately |
| 742 | Assistant service does not match surgical items paid |
| 743 | Manual cheque being issued - cheque being sent separately |
| 744 | Service not payable – Patient not eligible at date of service |
| 745 | This PCC cardholder is ineligible for DVA treatment services |
| 746 | MBS equivalent or item description must be stated in text |
| 747 | Item included in theatre fees |
| 748 | Initial consultation for treatment cycle is not present |
| 750 | Please re-transmit services in required order |
| 751 | Workforce Supplement Payment |
| 752 | No GST paid - Norfolk Island rendered service |
| 754 | This item cannot be paid for a DVA White Card holder |
| 759 | Item cannot be claimed until the last day of period of care |
| AMD | Amendment/adjustment to previously paid service |
| LWR | Lower denture - reline or tissue conditioning paid |
| UPR | Upper denture - reline or tissue conditioning paid |
| * | Amount payable includes GST (Manual Processing Only) |