Medicare error codes

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 codeDescription
101More details of service required to assess payment
103Letter of explanation is being sent separately
106Servicing Provider cannot be identified
107Payment made on item other than that claimed
108Item claimed not payable at date of service
112Provider not an LMO - payment made at 85% of MBS fee
113Total charge shown on voucher apportioned over all items
115Payment recommended for this item
117Payment not recommended for this item
120Age restriction applies to this item (expired 01/01/2007)
122Associated referral/request line not required
123Payment made on radiology item other than service claimed
124Item is restricted to persons of opposite sex to patient
125Not payable without associated operation/anaesthetic item
126Service is not payable without radiology service
127Maximum number of additional fields already paid
128Payment made on associated fracture/amputation item
129Service is not payable without the base item/s
130Referred to National Office for decision
131Date of service not supplied/invalid
134Single course of treatment paid as subsequent attendance
135Provider not a consultant physician - specialist rate paid
136Referral details not supplied - paid at GP rate
137Details of requesting provider not shown on voucher
138Item is only payable if self-determined or deemed necessary
139Approved pathologist should not use this item number
140Non-specialist provider
141Provider not recognised to perform this service
151Associated service already paid - adjustment being processed
152Payment made on item other than that claimed (PSR)
153Item claimed not payable at date of service (PSR)
154Diagnostic Imaging Multiple Service Rule applied to service
158Payment made on associated abandoned surgery/anae item
159Item associated with other service which is payable
160Maximum number of services for this item already paid
162Service has been previously paid
163Letter of explanation is being sent separately (Surgical/anaesthetic item/s already paid on this date)
164Assistant surgeon service not payable
168Not payable without associated operation/anaesthetic item
169Letter of explanation is being sent separately (No operation/anaesthetic claimed)
170Assistant anaesthetic service not payable
171Service not payable - provider may only act in one capacity
172Payment reduced - patient chose non-contracted hospital
173Patient episode coning - maximum number of services paid
174Patient episode coning adjustment
175Payment made on associated foetal intervention item
176Pay each foetal intervention item as a separate item
177Foetal intervention item paid using derived fee item
179Service not payable - associated service already paid
180Payment declined - provider not elected as time-based
182Payment made in accordance with time-based rules
183Type C procedure claimed - only Band 1 accommodation payable
184Payment made for additional time item using a derived fee
186Type C or unbanded procedure claimed - no theatre fee payable
187No Type B/C certification present - payment declined
194Letter of explanation is being sent separately (Provider under investigation - refer to supervisor)
201Service not covered under current contract - contact DVA
203Approval not sought by surgeon/admission advice not lodged
204Item claimed does not attract GST
206Item number does not attract a benefit at date of service
207A separate charge must be supplied for this particular item
211Patient not eligible at date of service
212Date of service used is in the future
213Upper or lower denture/jaw not specified for item claimed
215Service claimed prior 1/1/84
217Patient cannot be identified from information supplied
222Payment made on associated anaesthetic item
223Service not payable – specified items not claimed/present
224Denture related item/s already paid within allowable period
226Unable to identify service date/s
232Service claimed not payable in this instance
233Provider not Local Medical Officer/Local Dental Officer
238Travel allowance not payable in this instance
249Please note Veteran's correct file number
250Explanation/voucher will be forwarded separately
251Requesting provider details not supplied
252Service performed in aftercare period
253Radiotherapy assessed with other item number on voucher
254Assessment incomplete - further advice will follow
256Service not payable for a hospital patient
257Service already paid - no separate attendance evident on claim
258Medicare benefits paid - no separate DVA attendance evident
259Service being further considered in a manual claim
260Benefit assessed with associated item on statement
261Associated surgical items/anaesthetic time not supplied
262Insufficient prolonged anaesthetic time - service not paid
263Payment declined - only 1 claim allowed in claiming period
266Prior approval needed for convalescent care over 21 days
267Service not payable - associated service not present
271Not payable without associated ophthalmological item
272Payment made on associated ophthalmological item
275Provider not authorised to refer DVA patients
276Service not commenced within specified time
277Number of referrals issued exceeds prescribed limit
278Referral not attached
279DVA Prior approval not present – Contact DVA 1800 550 457
281Number of services claimed exceeds approved number
282Date of service outside of approval/referral/request period
283Item/condition claimed not covered by approval
284Service requires referral - referral not provided
285Prior Approval not sought for the provider/practice location
286Service not an emergency
287Approval incomplete - Contact DVA on 1800 550 457
288Fee paid in accordance with departmental agreed rates
289Prior approval sought but not approved for this item
290Item not payable in this state
291Payment made at non-acute type rate
292Gap payment made for hospital episode
293Not eligible for NHTP
294Payment declined - no acute care 3B certificate present
295Leave days included in this account
297Patient's name stated is different to that under file number
298Reduced kilometres paid in this instance
300Partial payment only - maximum dental limit reached
301Payment declined - compensation/damages service
302Prosthesis not paid - payment to be made by hospital
304Service not payable in same period as physio/chiro treatment
309Payment made for replacement of lost spectacles
310Payment made for replacement of broken spectacles
311Prescription change - payment for replacement of spectacles
312Payment declined for replacement of lost spectacles
313Payment declined for replacement of broken spectacles
314No change in prescription evident - payment declined
316Benefit not payable - item cannot be self-determined
317Benefit not payable - additional item to those requested
322Provider not approved for payment of this service
325Laboratory not accredited for payment of this service
326Laboratory not accredited at date of service
328Payment made on associated tomography item
329Not payable without associated tomography item
330Payment made on pathology item at 85% of schedule fee
332Category 5 lab - payment not made for requested service
333Provider must claim time-based items
335Service is not payable without nuclear medicine service
336Fee paid on nuclear medicine item other than one claimed
337Provider must claim content based items
338Provider not registered to claim payments at date of service
341No referral details - details required for future accounts
342Referral expired - paid at non-specialist rate
350Hospital referral - paid at specialist/consultant rate
351Payment not made - LCC number not quoted or invalid
352Service date outside LCC registration dates
353Transaction fee not accompanied by pathology episode
354Reduced bed fee - fee for outpatient service already paid
355Payment made on pathology item - up to 100% of schedule fee
356Classification change - new referral and admission date required
357Admission and/or discharge date not supplied or invalid
360Benefit not payable for requested services
361DI exemption - items not approved
362Payment made in accordance with recommended time limit
364These items must be claimed under a combination item number
370Payment made on item other than that claimed
375Service being processed manually (EDI)
376Patient cannot be identified from information supplied
377Number of patients attended incomplete or incorrect
378Provider not registered to refer/request service at location
379Claim Deleted - Contact Medicare eBusiness on 1800 700 199
390Documentation not received (EDI)
391Service provider on D1217 differs from transmitted data (EDI)
392Duplicate transmission - no further payment made (EDI)
394Unable to identify service type and/or service dates (EDI)
438Consultation and DI item/s not payable on same day
439Requesting provider not in an eligible geographic location
451Service provided in an ineligible location
500Rejected in association with another item in this voucher
502Patient is not eligible to claim benefit for this item
504Charge keyed is incorrect or missing
505Condition treated or distance travelled required
506Consultation not payable on same day as surgical procedure
507Site not accredited for this service
509Service paid as item 2712 / 2719
510Service paid as item 52-96/or similar item
512Multiple Musculoskeletal MRI service rule applied
513Multiple Musculoskeletal MRI and DI services rules applied
514Required equipment type code not on LSPN register
515Equipment is older than allowable age for this item
516Benefit paid for base & derived radiotherapy items claimed
526Item only attracts a benefit when claimed through Medicare
528Provider not in eligible area (Incorrect RRMA, SSD or State)
529No eligible associated service available for this veteran
531Payment declined - DVA RCTI Agreement has not been signed - Phone GST Team on 1800 653 629
532GST details incomplete - Phone GST Team on 1800 653 629
533Claim referred to DVA - military compensation case
534Claim referred to DVA for payment - any enquires to DVA
536Location Specific Practice Number not Transmitted/Supplied
537Location Specific Practice Number Invalid
538Location Specific Practice Number not Recognised
539Location Specific Practice Number not valid at Date of Service
543Maximum payment already made for service/s claimed
544Pharmacy/Disposables not payable under your contract
545No charge or no cost items should not be shown on voucher
546Invoice required for this item before payment can be made
547DVA has advised that this service is not payable
550Required Associated item not present for this veteran
551Specimen Collection Point is incorrect or not supplied
552Specimen Collection Point not valid at date of service
553Approved Collection Centre number not supplied
554Total Benefit for Anaesthetic Service
555Payment made on Main RVG Anaesthetic Item
556RVG Time Item Not Claimed
557Associated RVG Anaesthetic Service Not Claimed
558RVG Anaesthetic Item Not Claimed
559Patient Outside Age Range For Item 25015 - Please Verify Age
560RVG Item Restriction
561Payment made on RVG Item Claimed
562Payment made on Associated RVG Item
563Associated RVG Service Already Paid
564MVUSSR applied
565DIMSR and MVUSSR applied
568Item cannot be substituted
569Provider unable to substitute
570The RPBC card can only be used to claim pharmaceuticals
571Details transmitted differ from details on voucher
572Prescription details not supplied or incomplete
573Referring and servicing provider the same - no fee payable
574Service voucher not received for this particular veteran
575Date of service is after the date of lodgement
576ICD 10 required before payment can be made
577Clinical notes required before payment can be considered
578Item number cannot be determined from information supplied
579RVG items are not payable for DVA Time Based Anaesthetists
580Hospital name required when treatment provided in hospital
581Condition treated has not been stated
582Second provider in referral period - Please contact DVA
583Service does not relate to Veterans specific condition/s
584Anaesthetic start/finish time not indicated
585Item claimed is inconsistent with Veterans age
586Eye treated not stated on voucher/account
587Living member dependants are not eligible for DVA payments
588Service date after Veterans date of death recorded by DVA
589Service not payable without associated Base or GST item
590Date of service over 2 years - Late Lodgement Form required
591Payment made according to ICD code quoted
592Prostheses paid in accordance with DVA agreed rates
593Payment not yet authorised - contact DVA for resolution
594Assistants fee to be claimed separately from surgeons fee
595Payment for this item includes the casting component
596Item paid has been changed as per advice from DVA
597GST should not be included in the charge for the item
598Tax invoice submitted – Payment made for service and GST
599DVA Rural Incentives Loading is included in Payment
600Provider requesting the service cannot be identified
605Referral expired - no fee is payable
606Referring provider practice location is closed
607Referral date has been omitted or invalid
608Referring and servicing provider the same - no fee payable
609Service cancelled at providers request
611Valid referral details not supplied - no fee is payable
612Date of referral after date of service - no fee is payable
614No Benefit payable - please notate time of each visit
615Multiple procedures - notate times and area of treatment
618Requesting provider not eligible to request this service
621Item not claimable electronically
622PET drop-down items not claimable via EDI
624PET items-payee provider required
625Payee provider not eligible to claim PET items
627PDT statement NOT provided by the doctor
629Initial PDT therapy item NOT present on patient history
638Derived fee and other item cannot be claimed in-hospital
639Provider not in an eligible area to claim this item
640More than one base and derived item claimed
641More than one base item claimed
642Benefit paid for derived and other item claimed
643Derived item assessed with other item on statement
650Item MT98 not paid as date of service is prior to 1/1/2005
651MT98 not payable - Associated item not present or not paid
652Service is after the discharge date for this referral period
653Payment made on pathology item - up to 115% of schedule fee
654Item transmitted via incorrect online claiming channel
655Claim cannot be assessed without associated base or GST item
656Claim cannot be assessed without upper/lower identified item
657Date falls in gap between referrals - Please contact DVA
658Payment made for replacement of lost dentures
659Payment made for replacement of broken dentures
660Prescriber details not supplied - no benefit is payable
661Date of service falls outside approval/prescribing period
662Referral/prescribing details incomplete or illegible
663MT99 Not Payable - Associated item not present or not paid
664Provider not an LMO. Call DVA on 1800 550 457 for review
665Item MT99 not paid as Date of Service is prior to 7/6/2004
666Radiation Oncology equipment number invalid or not supplied
667Service is over 5 years old - Further consideration required
668Item MT99 paid- associated item is not Level A consultation
670Handling Fee Reduced according to Prostheses Amount Paid
671Patient was in another Hospital prior to this admission
672Patient was readmitted within 7 days of previous admission
674Amendment/Adjustment- LMO Supplementary Payment also made
675Item MT98 is payable for MBS Level A consultation items
690Surgical items not identified - Assistance item not paid
691Surgeon cannot be identified - Assistance item not paid
692DVA Incentive items only paid with LMO outpatient services
693In this instance MT98 should be claimed
694In this instance MT99 should be claimed
695This item cannot be claimed as an 'Out of Hospital' service
696This item cannot be claimed as an 'In Hospital' service
697MT98/MT99 cannot be paid when DOS on or after 1 July 2007
732Referral period not valid for Referring Provider
735Accommodation cannot span calendar year/contract end date
736Payment Declined - No Contact Lens items in previous 3 years
737Domiciliary item not payable without associated consultation
741Inconsistent treatment location in vchr - claim separately
742Assistant service does not match surgical items paid
743Manual cheque being issued - cheque being sent separately
744Service not payable – Patient not eligible at date of service
745This PCC cardholder is ineligible for DVA treatment services
746MBS equivalent or item description must be stated in text
747Item included in theatre fees
748Initial consultation for treatment cycle is not present
750Please re-transmit services in required order
751Workforce Supplement Payment
752No GST paid - Norfolk Island rendered service
754This item cannot be paid for a DVA White Card holder
759Item cannot be claimed until the last day of period of care
AMDAmendment/adjustment to previously paid service
LWRLower denture - reline or tissue conditioning paid
UPRUpper denture - reline or tissue conditioning paid
*Amount payable includes GST (Manual Processing Only)