BARADJR.m

BARADJR ; IHS/SD/LSL - CREATE ENTRY IN A/R EDI STND CLAIM ADJ REASON ;

 ;;1.8;IHS ACCOUNTS RECEIVABLE;;OCT 26, 2005

 ;

 ; IHS/SD/LSL - 08/01/2002 - V1.6 Patch 3

 ;     For HIPAA compliance.  Populate A/R EDI STND CLAIM ADJ REASON

 ;     File with mapping to RPMS

 ;

 ; *********************************************************************

ENTRY ;

 ; Create entry

 S BARD=";;"

 S BARCNT=0

 F  D EN2 Q:BARVALUE="END"

 D ^BARVKL0

 Q

 ; ********************************************************************

EN2 ;

 S BARCNT=BARCNT+1

 S BARVALUE=$P($T(@1+BARCNT),BARD,2,5)

 Q:BARVALUE="END"

 K DIC,DA,X,Y

 S DIC="^BARTBL("

 S DIC(0)="LZE"

 S DINUM=$P(BARVALUE,BARD)

 S X=$P(BARVALUE,BARD,2)

 S DIC("DR")="2///^S X=$P(BARVALUE,BARD,3)"

 K DD,DO

 D FILE^DICN

 Q

 ; *********************************************************************

 ; IEN;;NAME;;TABLE TYPE;;ACRONYM

 ; *********************************************************************

1 ;;

 ;;602;;COINSURANCE;;CO-PAY

 ;;604;;CODING ERROR;;PENDING

 ;;605;;CODING ERROR;;PENDING

 ;;606;;CODING ERROR;;PENDING

 ;;607;;CODING ERROR;;PENDING

 ;;608;;CODING ERROR;;PENDING

 ;;609;;CODING ERROR;;PENDING

 ;;610;;CODING ERROR;;PENDING

 ;;611;;CODING ERROR;;PENDING

 ;;612;;CODING ERROR;;PENDING

 ;;613;;DEATH PRECEDES DOS;;PENDING

 ;;614;;BIRTH FOLLOWS DOS;;PENDING

 ;;615;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 ;;616;;MISSING DATA;;PENDING

 ;;617;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 ;;619;;OTHER TPL;;PENDING

 ;;620;;OTHER TPL;;PENDING

 ;;621;;OTHER TPL;;PENDING

 ;;622;;OTHER PRIMARY COVERAGE;;PENDING

 ;;623;;OTHER PRIMARY COVERAGE-OTH PAY;;NON PAYMENT

 ;;624;;OVER CONTRACTED AMOUNT-CAP;;NON PAYMENT

 ;;625;;STOP LOSS DEDUCT NOT MET;;NON PAYMENT

 ;;626;;OUTSIDE COVERAGE DATES-PRIOR;;NON PAYMENT

 ;;627;;OUTSIDE COVERAGE DATES-AFTER;;NON PAYMENT

 ;;628;;OUTSIDE COVERAGE DATES-COV/DOS;;NON PAYMENT

 ;;630;;PAT NOT MET REQD REQMNTS;;NON PAYMENT

 ;;632;;NO ELIG. FOUND-DEP NOT ELIG;;NON PAYMENT

 ;;633;;NO ELIG. FOUND-NO DEP COV;;NON PAYMENT

 ;;636;;BAL DOES NOT EXCEED COPAY;;NON PAYMENT

 ;;637;;BAL DOES NOT EXCEED DEDUCTIBLE;;NON PAYMENT

 ;;638;;PROVIDER NOT IN NETWORK;;NON PAYMENT

 ;;639;;SRVCS DENIED PRECERT RQSTD;;NON PAYMENT

 ;;640;;NOT MEDICALLY NECESSARY-ER/URG;;NON PAYMENT

 ;;643;;GRAM-RUDMAN REDUCTION;;NON PAYMENT

 ;;644;;PROMPT PAY DISCOUNT;;NON PAYMENT

 ;;645;;OVER CONTRACTED AMOUNT-EXCEED;;NON PAYMENT

 ;;647;;NON COVERED SERVICE;;PENDING

 ;;648;;NON COVERED SERVICE-PROCEDURE;;NON PAYMENT

 ;;653;;NON COVERED SERVICE-RELATIVE;;NON PAYMENT

 ;;654;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 ;;655;;NON COVERED SERVICE;;PENDING

 ;;656;;NON COVERED SERVICE;;PENDING

 ;;657;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 ;;658;;NON COVERED SERVICE;;PENDING

 ;;659;;OVER ALLOWABLE AMOUNT;;NON PAYMENT

 ;;660;;NON COVERED SERVICE-OUT/IN;;NON PAYMENT

 ;;661;;NO PRIOR APPROVAL;;PENDING

 ;;663;;CORRECTION TO PRIOR CLAIM;;PENDING

 ;;664;;DENIAL REVERSED PER MED REVIEW;;GENERAL INFORMATION

 ;;665;;CODING ERROR;;PENDING

 ;;666;;BLOOD DEDUCTIBLE;;DEDUCTIBLE

 ;;667;;MAXIMUM BENEFITS-LIFE RES DAYS;;NON PAYMENT

 ;;669;;DAY OUTLIER AMOUNT;;NON PAYMENT

 ;;670;;COST OUTLIER ADJUSTMENT;;NON PAYMENT

 ;;672;;COINSURANCE-DAY;;CO-PAY

 ;;673;;ADMINISTRATIVE DAYS;;NON PAYMENT

 ;;674;;INDIRECT MED ED ADJ;;NON PAYMENT

 ;;675;;DIRECT MED ED ADJ;;NON PAYMENT

 ;;676;;DISPROPORTIONATE SHARE ADJ;;NON PAYMENT

 ;;677;;COVERED DAYS;;NON PAYMENT

 ;;678;;NON COVERED SERVICE-NCD/ROOM;;NON PAYMENT

 ;;679;;COST REPORT DAYS;;NON PAYMENT

 ;;680;;OUTLIER DAYS;;NON PAYMENT

 ;;681;;DISCHARGES;;NON PAYMENT

 ;;682;;PIP DAYS;;NON PAYMENT

 ;;683;;TOTAL VISITS;;NON PAYMENT

 ;;684;;CAPITAL ADJUSTMENT;;NON PAYMENT

 ;;685;;INTEREST AMOUNT;;NON PAYMENT

 ;;686;;STATUTORY ADJUSTMENT;;NON PAYMENT

 ;;687;;TRANSFER AMOUNT;;NON PAYMENT

 ;;688;;PRIOR OVERPAYMENT;;PENDING

 ;;689;;PROFESSIONAL FEE REMOVED;;NON PAYMENT

 ;;690;;INGREDIENT COST ADJ;;NON PAYMENT

 ;;691;;DISPENSING FEE ADJUSTMENT;;WRITE OFF

 ;;692;;CLAIM PAID IN FULL;;GENERAL INFORMATION

 ;;693;;NO CLAIM LEVEL ADJUSTMENTS;;GENERAL INFORMATION

 ;;694;;PROCESSED IN EXCESS OF CHARGES;;GROUPER ALLOWANCE

 ;;695;;OVER ALLOWABLE AMOUNT;;NON PAYMENT

 ;;696;;NON COVERED SERVICE-CHARGE;;NON PAYMENT

 ;;698;;OTHER PRIMARY COVERAGE;;PENDING

 ;;697;;BUNDLED TO ANOTHER PROCEDURE;;NON PAYMENT

 ;;699;;OTHER PRIMARY COVERAGE-MCR SEC;;NON PAYMENT

 ;;701;;PREDETERMINATION;;PENDING

 ;;702;;MAJOR MEDICAL ADJ;;NON PAYMENT

 ;;703;;PROVIDER PROMO DISCOUNT;;NON PAYMENT

 ;;704;;OVER CONTRACTED AMOUNT-MG CARE;;NON PAYMENT

 ;;705;;TAX WITHHOLDING;;NON PAYMENT

 ;;706;;PT PYMT OPTION/ELECT NOT EFFCT;;NON PAYMENT

 ;;707;;MISSING DATA;;PENDING

 ;;708;;PYMT REDUCED-GUIDELINES;;NON PAYMENT

 ;;709;;ELIGIBILITY DENIED;;NON PAYMENT

 ;;710;;BILLING DATE PRECEDES DOS;;PENDING

 ;;711;;NON COVERED SERVICE-PRV ACCEPT;;NON PAYMENT

 ;;713;;NON COVERED SERVICE-OUT US/WAR;;NON PAYMENT

 ;;714;;NOT APPROVED BY FDA;;NON PAYMENT

 ;;715;;NON COVERED SERVICE-CNCL/POST;;NON PAYMENT

 ;;716;;INFO NOT RECEIVED/SUFFICIENT;;NON PAYMENT

 ;;717;;NON COVERED SERVICE-TRANSPORT;;NON PAYMENT

 ;;718;;NON COVERED SERVICE-ESRD;;NON PAYMENT

 ;;719;;MAXIMUM BENEFITS-FOR TIME PER;;NON PAYMENT

 ;;720;;OTHER PRIMARY COVERAGE-MG CARE;;NON PAYMENT

 ;;721;;INDEMNIFICATION ADJ;;NON PAYMENT

 ;;722;;PSYCHIATRIC REDUCTION;;NON PAYMENT

 ;;723;;PAYER REFUND DUE TO OVERPAYMNT;;GENERAL INFORMATION

 ;;724;;PAYER REFUND AMT-NOT OUTPAT;;GENERAL INFORMATION

 ;;725;;PYMT ADJ DUE TO BILLING ERRORS;;PENDING

 ;;726;;DEDUCTIBLE-MAJOR MEDICAL;;DEDUCTIBLE

 ;;727;;COINSURANCE-MAJOR MEDICAL;;CO-PAY

 ;;728;;OTHER PRIMARY COVERAGE-NEWBORN;;NON PAYMENT

 ;;730;;PROCESSING FEE-CLAIM SUBMIT;;NON PAYMENT

 ;;731;;PROCESSING FEE-DISCOUNT;;NON PAYMENT

 ;;732;;PRE-DEMO PROJECT ADJ;;NON PAYMENT

 ;;733;;PENDING FURTHER REVIEW;;PENDING

 ;;734;;NON COVERED SERVICE-TECH FEE;;NON PAYMENT

 ;;735;;DENIED DO NOT PROC INTRM BILL;;NON PAYMENT

 ;;736;;PRIOR PAYER P&P NOT FOLLOWED;;NON PAYMENT

 ;;738;;APPEAL PROCEDURES NOT FOLLOWED;;NON PAYMENT

 ;;739;;OVER CONTRACTED AMOUNT-EMPLOYEE;;NON PAYMENT

 ;;740;;PAT ID# & NAME DON'T MATHCH;;PENDING

 ;;742;;OVER CONTRACTED AMOUNT-MCD PAT;;NON PAYMENT

 ;;743;;PORTION OF PAYMENT DEFERRED;;PENDING

 ;;744;;INCENTIVE ADJUSTMENT;;NON PAYMENT

 ;;800;;PATIENT REFUND AMOUNT;;REFUND

 ;;801;;CLAIM DENIED CHARGES;;NON PAYMENT

 ;;802;;OVER CONTRACTED AMOUNT-CTR ADJ;;NON PAYMENT

 ;;803;;MSP LIABILITY MET;;NON PAYMENT

 ;;804;;MEDICARE CLAIM PPS DAY OUTLIER;;NON PAYMENT

 ;;805;;MCR CLAIM PPS COST OUTLIER;;NON PAYMENT

 ;;806;;PRIOR HOSP/30 DAY TRF;;NON PAYMENT

 ;;807;;PRESUMPTIVE PYMT ADJUSTMENT;;NON PAYMENT

 ;;808;;UNGROUPABLE DRG;;NON PAYMENT

 ;;851;;NON COVERED SERVICE-VISIT;;NON PAYMENT

 ;;852;;NON-COVERED VISITS;;NON PAYMENT

 ;;853;;COVERED CHARGES;;NON PAYMENT

 ;;854;;LATE FILING PENALTY;;PENALTY

 ;;855;;GUIDELINES NOT MET/EXCEEDED;;NON PAYMENT

 ;;856;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 ;;857;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 ;;858;;OTHER PRIMARY COVERAGE-ALT SVC;;NON PAYMENT

 ;;859;;NON COVERED SERVICE-HOSPICE;;NON PAYMENT

 ;;860;;OVER ALLOWABLE AMOUNT;;NON PAYMENT

 ;;861;;OTHER PRIMARY COVERAGE-NOT COV;;NON PAYMENT

 ;;862;;SERVICES NOT DOCUMENTED IN MR;;PENDING

 ;;863;;PAYMT MADE IN PREV PAYMENT;;PENDING

 ;;864;;NON COVERED SERVICE-ONE/DAY;;NON PAYMENT

 ;;865;;NON COVERED SERVICE-NOT PD SEP;;NON PAYMENT

 ;;866;;"NEW PT" QUALIFICATION NOT MET;;PENDING

 ;;867;;NOT PRESCR BY MD, RX INCOMPLET;;NON PAYMENT

 ;;868;;PROC CODE/MODIFIER INVALID;;PENDING

 ;;869;;NOT MEDICALLY NECESSARY-RV FND;;NON PAYMENT

 ;;870;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 ;;871;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 ;;872;;AJDUSTED BASED ON DIAGNOSIS;;PENDING

 ;;873;;PROVIDER FAIL PROFICIENCY TEST;;PENDING

 ;;901;;LEVEL SUBLUXATION INADEQUATE;;PENDING

 ;;902;;CLAIM LACKS DRUG INFORMATION;;PENDING

 ;;903;;INFO ON PAT EQUIPMENT MISSING;;PENDING

 ;;904;;PERIOD OF TIME MISSING;;PENDING

 ;;905;;CODING ERROR;;PENDING

 ;;906;;MISSING FIELD;;PENDING

 ;;907;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 ;;908;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 ;;909;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 ;;910;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 ;;911;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 ;;912;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 ;;913;;FINANCIAL INTEREST-DOCTOR;;PENDING

 ;;914;;DOCUMENTATION REQUIRED;;PENDING

 ;;915;;DOCUMENTATION REQUIRED;;NON PAYMENT

 ;;END

BARADJR   ; IHS/SD/LSL - CREATE ENTRY IN A/R EDI STND CLAIM ADJ REASON ;

 +1       ;;1.8;IHS ACCOUNTS RECEIVABLE;;OCT 26, 2005

 +2       ;

 +3       ; IHS/SD/LSL - 08/01/2002 - V1.6 Patch 3

 +4       ;     For HIPAA compliance.  Populate A/R EDI STND CLAIM ADJ REASON

 +5       ;     File with mapping to RPMS

 +6       ;

 +7       ; *********************************************************************

ENTRY     ;

 +1       ; Create entry

 +2        SET BARD=";;"

 +3        SET BARCNT=0

 +4        FOR 

               DO EN2

               IF BARVALUE="END"

                   QUIT 

 +5        DO ^BARVKL0

 +6        QUIT 

 +7       ; ********************************************************************

EN2       ;

 +1        SET BARCNT=BARCNT+1

 +2        SET BARVALUE=$PIECE($TEXT(@1+BARCNT),BARD,2,5)

 +3        IF BARVALUE="END"

               QUIT 

 +4        KILL DIC,DA,X,Y

 +5        SET DIC="^BARTBL("

 +6        SET DIC(0)="LZE"

 +7        SET DINUM=$PIECE(BARVALUE,BARD)

 +8        SET X=$PIECE(BARVALUE,BARD,2)

 +9        SET DIC("DR")="2///^S X=$P(BARVALUE,BARD,3)"

 +10       KILL DD,DO

 +11       DO FILE^DICN

 +12       QUIT 

 +13      ; *********************************************************************

 +14      ; IEN;;NAME;;TABLE TYPE;;ACRONYM

 +15      ; *********************************************************************

1         ;;

 +1       ;;602;;COINSURANCE;;CO-PAY

 +2       ;;604;;CODING ERROR;;PENDING

 +3       ;;605;;CODING ERROR;;PENDING

 +4       ;;606;;CODING ERROR;;PENDING

 +5       ;;607;;CODING ERROR;;PENDING

 +6       ;;608;;CODING ERROR;;PENDING

 +7       ;;609;;CODING ERROR;;PENDING

 +8       ;;610;;CODING ERROR;;PENDING

 +9       ;;611;;CODING ERROR;;PENDING

 +10      ;;612;;CODING ERROR;;PENDING

 +11      ;;613;;DEATH PRECEDES DOS;;PENDING

 +12      ;;614;;BIRTH FOLLOWS DOS;;PENDING

 +13      ;;615;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 +14      ;;616;;MISSING DATA;;PENDING

 +15      ;;617;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 +16      ;;619;;OTHER TPL;;PENDING

 +17      ;;620;;OTHER TPL;;PENDING

 +18      ;;621;;OTHER TPL;;PENDING

 +19      ;;622;;OTHER PRIMARY COVERAGE;;PENDING

 +20      ;;623;;OTHER PRIMARY COVERAGE-OTH PAY;;NON PAYMENT

 +21      ;;624;;OVER CONTRACTED AMOUNT-CAP;;NON PAYMENT

 +22      ;;625;;STOP LOSS DEDUCT NOT MET;;NON PAYMENT

 +23      ;;626;;OUTSIDE COVERAGE DATES-PRIOR;;NON PAYMENT

 +24      ;;627;;OUTSIDE COVERAGE DATES-AFTER;;NON PAYMENT

 +25      ;;628;;OUTSIDE COVERAGE DATES-COV/DOS;;NON PAYMENT

 +26      ;;630;;PAT NOT MET REQD REQMNTS;;NON PAYMENT

 +27      ;;632;;NO ELIG. FOUND-DEP NOT ELIG;;NON PAYMENT

 +28      ;;633;;NO ELIG. FOUND-NO DEP COV;;NON PAYMENT

 +29      ;;636;;BAL DOES NOT EXCEED COPAY;;NON PAYMENT

 +30      ;;637;;BAL DOES NOT EXCEED DEDUCTIBLE;;NON PAYMENT

 +31      ;;638;;PROVIDER NOT IN NETWORK;;NON PAYMENT

 +32      ;;639;;SRVCS DENIED PRECERT RQSTD;;NON PAYMENT

 +33      ;;640;;NOT MEDICALLY NECESSARY-ER/URG;;NON PAYMENT

 +34      ;;643;;GRAM-RUDMAN REDUCTION;;NON PAYMENT

 +35      ;;644;;PROMPT PAY DISCOUNT;;NON PAYMENT

 +36      ;;645;;OVER CONTRACTED AMOUNT-EXCEED;;NON PAYMENT

 +37      ;;647;;NON COVERED SERVICE;;PENDING

 +38      ;;648;;NON COVERED SERVICE-PROCEDURE;;NON PAYMENT

 +39      ;;653;;NON COVERED SERVICE-RELATIVE;;NON PAYMENT

 +40      ;;654;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 +41      ;;655;;NON COVERED SERVICE;;PENDING

 +42      ;;656;;NON COVERED SERVICE;;PENDING

 +43      ;;657;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 +44      ;;658;;NON COVERED SERVICE;;PENDING

 +45      ;;659;;OVER ALLOWABLE AMOUNT;;NON PAYMENT

 +46      ;;660;;NON COVERED SERVICE-OUT/IN;;NON PAYMENT

 +47      ;;661;;NO PRIOR APPROVAL;;PENDING

 +48      ;;663;;CORRECTION TO PRIOR CLAIM;;PENDING

 +49      ;;664;;DENIAL REVERSED PER MED REVIEW;;GENERAL INFORMATION

 +50      ;;665;;CODING ERROR;;PENDING

 +51      ;;666;;BLOOD DEDUCTIBLE;;DEDUCTIBLE

 +52      ;;667;;MAXIMUM BENEFITS-LIFE RES DAYS;;NON PAYMENT

 +53      ;;669;;DAY OUTLIER AMOUNT;;NON PAYMENT

 +54      ;;670;;COST OUTLIER ADJUSTMENT;;NON PAYMENT

 +55      ;;672;;COINSURANCE-DAY;;CO-PAY

 +56      ;;673;;ADMINISTRATIVE DAYS;;NON PAYMENT

 +57      ;;674;;INDIRECT MED ED ADJ;;NON PAYMENT

 +58      ;;675;;DIRECT MED ED ADJ;;NON PAYMENT

 +59      ;;676;;DISPROPORTIONATE SHARE ADJ;;NON PAYMENT

 +60      ;;677;;COVERED DAYS;;NON PAYMENT

 +61      ;;678;;NON COVERED SERVICE-NCD/ROOM;;NON PAYMENT

 +62      ;;679;;COST REPORT DAYS;;NON PAYMENT

 +63      ;;680;;OUTLIER DAYS;;NON PAYMENT

 +64      ;;681;;DISCHARGES;;NON PAYMENT

 +65      ;;682;;PIP DAYS;;NON PAYMENT

 +66      ;;683;;TOTAL VISITS;;NON PAYMENT

 +67      ;;684;;CAPITAL ADJUSTMENT;;NON PAYMENT

 +68      ;;685;;INTEREST AMOUNT;;NON PAYMENT

 +69      ;;686;;STATUTORY ADJUSTMENT;;NON PAYMENT

 +70      ;;687;;TRANSFER AMOUNT;;NON PAYMENT

 +71      ;;688;;PRIOR OVERPAYMENT;;PENDING

 +72      ;;689;;PROFESSIONAL FEE REMOVED;;NON PAYMENT

 +73      ;;690;;INGREDIENT COST ADJ;;NON PAYMENT

 +74      ;;691;;DISPENSING FEE ADJUSTMENT;;WRITE OFF

 +75      ;;692;;CLAIM PAID IN FULL;;GENERAL INFORMATION

 +76      ;;693;;NO CLAIM LEVEL ADJUSTMENTS;;GENERAL INFORMATION

 +77      ;;694;;PROCESSED IN EXCESS OF CHARGES;;GROUPER ALLOWANCE

 +78      ;;695;;OVER ALLOWABLE AMOUNT;;NON PAYMENT

 +79      ;;696;;NON COVERED SERVICE-CHARGE;;NON PAYMENT

 +80      ;;698;;OTHER PRIMARY COVERAGE;;PENDING

 +81      ;;697;;BUNDLED TO ANOTHER PROCEDURE;;NON PAYMENT

 +82      ;;699;;OTHER PRIMARY COVERAGE-MCR SEC;;NON PAYMENT

 +83      ;;701;;PREDETERMINATION;;PENDING

 +84      ;;702;;MAJOR MEDICAL ADJ;;NON PAYMENT

 +85      ;;703;;PROVIDER PROMO DISCOUNT;;NON PAYMENT

 +86      ;;704;;OVER CONTRACTED AMOUNT-MG CARE;;NON PAYMENT

 +87      ;;705;;TAX WITHHOLDING;;NON PAYMENT

 +88      ;;706;;PT PYMT OPTION/ELECT NOT EFFCT;;NON PAYMENT

 +89      ;;707;;MISSING DATA;;PENDING

 +90      ;;708;;PYMT REDUCED-GUIDELINES;;NON PAYMENT

 +91      ;;709;;ELIGIBILITY DENIED;;NON PAYMENT

 +92      ;;710;;BILLING DATE PRECEDES DOS;;PENDING

 +93      ;;711;;NON COVERED SERVICE-PRV ACCEPT;;NON PAYMENT

 +94      ;;713;;NON COVERED SERVICE-OUT US/WAR;;NON PAYMENT

 +95      ;;714;;NOT APPROVED BY FDA;;NON PAYMENT

 +96      ;;715;;NON COVERED SERVICE-CNCL/POST;;NON PAYMENT

 +97      ;;716;;INFO NOT RECEIVED/SUFFICIENT;;NON PAYMENT

 +98      ;;717;;NON COVERED SERVICE-TRANSPORT;;NON PAYMENT

 +99      ;;718;;NON COVERED SERVICE-ESRD;;NON PAYMENT

 +100     ;;719;;MAXIMUM BENEFITS-FOR TIME PER;;NON PAYMENT

 +101     ;;720;;OTHER PRIMARY COVERAGE-MG CARE;;NON PAYMENT

 +102     ;;721;;INDEMNIFICATION ADJ;;NON PAYMENT

 +103     ;;722;;PSYCHIATRIC REDUCTION;;NON PAYMENT

 +104     ;;723;;PAYER REFUND DUE TO OVERPAYMNT;;GENERAL INFORMATION

 +105     ;;724;;PAYER REFUND AMT-NOT OUTPAT;;GENERAL INFORMATION

 +106     ;;725;;PYMT ADJ DUE TO BILLING ERRORS;;PENDING

 +107     ;;726;;DEDUCTIBLE-MAJOR MEDICAL;;DEDUCTIBLE

 +108     ;;727;;COINSURANCE-MAJOR MEDICAL;;CO-PAY

 +109     ;;728;;OTHER PRIMARY COVERAGE-NEWBORN;;NON PAYMENT

 +110     ;;730;;PROCESSING FEE-CLAIM SUBMIT;;NON PAYMENT

 +111     ;;731;;PROCESSING FEE-DISCOUNT;;NON PAYMENT

 +112     ;;732;;PRE-DEMO PROJECT ADJ;;NON PAYMENT

 +113     ;;733;;PENDING FURTHER REVIEW;;PENDING

 +114     ;;734;;NON COVERED SERVICE-TECH FEE;;NON PAYMENT

 +115     ;;735;;DENIED DO NOT PROC INTRM BILL;;NON PAYMENT

 +116     ;;736;;PRIOR PAYER P&P NOT FOLLOWED;;NON PAYMENT

 +117     ;;738;;APPEAL PROCEDURES NOT FOLLOWED;;NON PAYMENT

 +118     ;;739;;OVER CONTRACTED AMOUNT-EMPLOYEE;;NON PAYMENT

 +119     ;;740;;PAT ID# & NAME DON'T MATHCH;;PENDING

 +120     ;;742;;OVER CONTRACTED AMOUNT-MCD PAT;;NON PAYMENT

 +121     ;;743;;PORTION OF PAYMENT DEFERRED;;PENDING

 +122     ;;744;;INCENTIVE ADJUSTMENT;;NON PAYMENT

 +123     ;;800;;PATIENT REFUND AMOUNT;;REFUND

 +124     ;;801;;CLAIM DENIED CHARGES;;NON PAYMENT

 +125     ;;802;;OVER CONTRACTED AMOUNT-CTR ADJ;;NON PAYMENT

 +126     ;;803;;MSP LIABILITY MET;;NON PAYMENT

 +127     ;;804;;MEDICARE CLAIM PPS DAY OUTLIER;;NON PAYMENT

 +128     ;;805;;MCR CLAIM PPS COST OUTLIER;;NON PAYMENT

 +129     ;;806;;PRIOR HOSP/30 DAY TRF;;NON PAYMENT

 +130     ;;807;;PRESUMPTIVE PYMT ADJUSTMENT;;NON PAYMENT

 +131     ;;808;;UNGROUPABLE DRG;;NON PAYMENT

 +132     ;;851;;NON COVERED SERVICE-VISIT;;NON PAYMENT

 +133     ;;852;;NON-COVERED VISITS;;NON PAYMENT

 +134     ;;853;;COVERED CHARGES;;NON PAYMENT

 +135     ;;854;;LATE FILING PENALTY;;PENALTY

 +136     ;;855;;GUIDELINES NOT MET/EXCEEDED;;NON PAYMENT

 +137     ;;856;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 +138     ;;857;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 +139     ;;858;;OTHER PRIMARY COVERAGE-ALT SVC;;NON PAYMENT

 +140     ;;859;;NON COVERED SERVICE-HOSPICE;;NON PAYMENT

 +141     ;;860;;OVER ALLOWABLE AMOUNT;;NON PAYMENT

 +142     ;;861;;OTHER PRIMARY COVERAGE-NOT COV;;NON PAYMENT

 +143     ;;862;;SERVICES NOT DOCUMENTED IN MR;;PENDING

 +144     ;;863;;PAYMT MADE IN PREV PAYMENT;;PENDING

 +145     ;;864;;NON COVERED SERVICE-ONE/DAY;;NON PAYMENT

 +146     ;;865;;NON COVERED SERVICE-NOT PD SEP;;NON PAYMENT

 +147     ;;866;;"NEW PT" QUALIFICATION NOT MET;;PENDING

 +148     ;;867;;NOT PRESCR BY MD, RX INCOMPLET;;NON PAYMENT

 +149     ;;868;;PROC CODE/MODIFIER INVALID;;PENDING

 +150     ;;869;;NOT MEDICALLY NECESSARY-RV FND;;NON PAYMENT

 +151     ;;870;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 +152     ;;871;;INCORRECT PROVIDER TYPE;;NON PAYMENT

 +153     ;;872;;AJDUSTED BASED ON DIAGNOSIS;;PENDING

 +154     ;;873;;PROVIDER FAIL PROFICIENCY TEST;;PENDING

 +155     ;;901;;LEVEL SUBLUXATION INADEQUATE;;PENDING

 +156     ;;902;;CLAIM LACKS DRUG INFORMATION;;PENDING

 +157     ;;903;;INFO ON PAT EQUIPMENT MISSING;;PENDING

 +158     ;;904;;PERIOD OF TIME MISSING;;PENDING

 +159     ;;905;;CODING ERROR;;PENDING

 +160     ;;906;;MISSING FIELD;;PENDING

 +161     ;;907;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 +162     ;;908;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 +163     ;;909;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 +164     ;;910;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 +165     ;;911;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 +166     ;;912;;INFO NOT RECEIVED/SUFFICIENT;;PENDING

 +167     ;;913;;FINANCIAL INTEREST-DOCTOR;;PENDING

 +168     ;;914;;DOCUMENTATION REQUIRED;;PENDING

 +169     ;;915;;DOCUMENTATION REQUIRED;;NON PAYMENT

 +170     ;;END