Part A Top Ten Medicare Edits
Last Updated October 20, 2021
EDISS compiles a quarterly list of the Top Ten Medicare Part A edits. Submitters can use this information to avoid common claim rejections.
| Business Edit Message | Edit Number |
|---|---|
| Rejected due to duplicate ST/SE submission. | X999.DUPE |
| This Claim is rejected for a relational field in error within the Billing Provider's National Provider Identifier (NPI) and Billing Provider's Tax ID. | X223.090.2010AA.REF02.050 |
| This Claim is rejected for the Service line number greater than maximum allowable for payer. | X223.423.2400.LX01.030 |
| This Claim is rejected for containing Invalid Information within the Subscriber's contract/member number. | X223.112.2010BA.NM109.020 |
| This Claim is rejected for Invalid Information within the Other payer's Explanation of Benefits/payment information's Postal/Zip Code. | X223.387.2330B.N403.030 |
| This Claim is Rejected for an Invalid MBI/HIC Based on the MBI Transition Date. | X223.112.2010BA.NM109.040 |
| This Claim is rejected for Invalid Information within the Revenue code for services rendered. | X223.424.2400.SV201.020 |
| This Claim is rejected for Invalid Information within the Other Insured's Postal/Zip Code. | X223.381.2330A.N403.030 |
| This Claim is rejected due to the Claim being out of Balance within the Payer's payment information. | X223.143.2300.CLM02.080 |
| This Claim is rejected for a relational field in error for Service(s) Rendered. | X223.424.2400.SV202-7.025 |