5010 277CA Reject Code Lookup Tool

To view easy-to-understand descriptions associated with the edit code(s) returned on the Status Information segment (STC) of the version 5010 277CA – Claim Acknowledgement, enter the following code information in the appropriate form field then select Submit.

• CSCC – Claim Status Category Code (required): This code indicates the general category of the status (e.g., accepted, rejected, additional information requested), which is further detailed in the CSC element.
  • Valid Values: A1, A3, A6, A7, A8
• CSC – Claim Status Code (required): This code conveys the status of an entire claim or a specific service line.
  • Examples: 507, 562, 128, 164, etc.
• EIC – Entity Identifier Code (when applicable): These are unique codes used to identify an entity and are typically 2 characters.
  • Examples: TU (organization), 77 (facility), 85 (billing provider), DK (ordering provider), IL (subscriber), etc.

Edit Examples for Top Three Edits Received on the 277CA by CEDI:

1. CSCC = A7, CSC = 507
2. CSCC = A8, CSC = 562, CSC = 128, EIC = 85
3. CSCC = A7, CSC = 164, EIC = IL

Note: This edit tool is for durable medical equipment specific edit descriptions. If you are trying to view edit explanations for other lines of business, please visit the appropriate Medicare contractors Web page for more information.