Error Codes/Edit Disposition Codes
To help you understand the meaning of the more common error codes, we have developed a list of top reasons why provider claims deny and offered some solutions to correct each problem.
Please also check our mapping to HIPAA Adjustment Reason Codes and Remit/Remark Codes.
HIPAA Code
(Remittance Advice) |
EOB Code
(Website) |
Error |
Explanation |
Resolution |
| 30 |
0148 |
procedure code vs. program indicator |
CPT or HCPCS code billed is not covered by this client's eligibility Program |
Give the appropriate procedure code for the service provided. If you are unsure whether a service is covered, review the fee schedule or utilize the pricing reference file on the secure internet site, or call
(800) 522-0114, option 1 or (405) 522-6205, option 1 in Oklahoma City metro. |
| 30 |
0250 |
recipient number not on file |
invalid client id number |
Verify that the correct client id number is on your claim. |
| 62 |
0527 |
dates of service not on PA database |
there is not a prior authorization on file for the service rendered |
Use the secure internet site, EVS, or call (800) 522-0114, option 1 or (405) 522-6205, option 1 in Oklahoma City metro to verify that there is a prior authorization on file. |