Rejected Medicare Easyclaim claims

Return codes for rejected Medicare Easyclaims.

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Return code Instructions
2015, 2025 A system error has occurred. Please resubmit or call the eBusiness Service Centre and quote the error number displayed on the EFTPOS terminal
2016 Item number missing. Please resubmit with this information
2017 The payee provider cannot be the same as the servicing provider. Please check details and resubmit
2030 2 pieces of information submitted within the claim cannot be submitted together. Please check details and resubmit
2032 Maximum reached. The maximum number of items that can be submitted in 1 claim is 14. Please create a separate claim if necessary
2038 The referral or request information submitted is inconsistent with the item that is being claimed. Please check details and resubmit if appropriate
2053 The patient contribution amount must be less than the total charge. Please check details and resubmit
2055 The patient contribution amount should not be entered when the account is fully paid. Please check details and resubmit
3000-3999 A system error has occurred. Please resubmit or call the eBusiness Service Centre and quote the error number displayed on the EFTPOS terminal
9006 Check servicing provider details. May not be able to provide the service for this item at date of service. For more information, call the eBusiness Service Centre
9201 Invalid data entered. Please check details and resubmit
9203 Date of service is too old to be submitted through Medicare Easyclaim. Please issue patient/claimant an account/account receipt to claim through an alternative Medicare claiming channel. For example online, at a service centre or over the phone
9204 The date entered is in the future. Please check details and resubmit
9207 The item number claimed and an override code used cannot be used together. Please check details and resubmit or call the eBusiness Service Centre for help
9301, 9364 The patient’s Medicare card number has not been entered. Please resubmit with this information
9302, 9364 The patient’s reference number has not been entered. Please resubmit with this information
9305  The servicing provider details have not been entered. Please resubmit with this information
9306  Date of service has not been entered. Please resubmit with this information
9307  An item number has not been entered. Please resubmit with this information 
9308, 9310  The referring or requesting practitioner’s provider number has not been entered. Please resubmit with this information
9309, 9311, 9322  Please check the referral or request date entered
9312  The claimant’s Medicare card number or reference number has not been entered. Please resubmit with this information 
9316  The referring or requesting provider cannot be the same as the servicing provider. Please check details and resubmit 
9317  Please select if the account is paid or unpaid and resubmit 
9325  Service type has not been entered, e.g. diagnostic, GP. Please resubmit with this information
9326, 9332  Insufficient information entered to create the claim. Please submit with all information 
9338  Charge amount has not been entered or is invalid. Please check details and resubmit 
9427 Item not covered for this patient at this date of service
9601 The claim needs to be referred to a Customer Service Officer for further assessment. The claim will be processed and payment notification will be sent in the near future
9602 This claim cannot be lodged through Medicare Easyclaim. Please issue patient/claimant an account/account receipt to claim through an alternative Medicare claiming channel. For example online, at a service centre or over the phone
9605 Another Medicare card may have been issued to the patient or the details you entered do not match those held by the Department of Human Services (Human Services). 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 Human Services. Please update your records and resubmit the claim
9607 This item is only claimable through bulk bill
9611 Check item. The item claimed is either unknown or invalid at date of service, for example miscellaneous, incorrect alpha included. Please check details and resubmit, or issue patient or claimant an account/account receipt to claim through an alternative Medicare claiming channel. For example online, at service centre or over the phone
9618 Either an amount has not been entered in the charge field or an invalid amount has been entered. Please check details and resubmit
9625 Claimant’s address needs to be updated with Human Services. Issue claimant an account receipt to claim through an alternative Medicare claiming channel. For example online, at a service centre or over the phone
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
9635 Check servicing provider. May not be able to provide the service for this item at date of service. Please check details and resubmit
9638 Claimant’s details required. Patient or quoted claimant is a minor
9641 A restrictive condition exists
9643 Check claimant name
9655 A Location Specific Practice Number (LSPN) is invalid
9661 This provider cannot substitute services
9678 This service is not payable as an appropriate associated service is not present
9682 Human Services cannot assess the request due to a system limitation. Please call the eBusiness Service Centre for assistance
9698 Service is possible aftercare. Check the account and resubmit with a valid indicator if not normal aftercare
9699 This item is not covered for this patient at this date of service. Please check details and if applicable resubmit or issue patient/claimant an account/account receipt to claim through an alternative Medicare claiming channel. For example online, at a service centre or over the phone
9700 An incorrect item number appears to have been used or amount claimed does not match the item number. Please check details and resubmit
9701 The maximum number of services for this item has been paid. If this service is not a duplicate, please resubmit with correct item numbers as per MBS
9702 A base item has not been entered or should be entered first. Please resubmit with correct sequence
9703 The item number used cannot be claimed for this provider. Check details of service and resubmit with appropriate item
9704 This service appears to have been previously claimed. Please call Human Services if you would like to discuss
9705 In some instances where two or more services are performed together, they are claimable under one item number. Check the MBS for correct item and resubmit. If exceptional circumstances exist, issue claimant an account/account receipt noting reasons for separate items. Claimant must claim through an alternative Medicare claiming channel. For example online, at a service centre or over the phone
9706 This item requires a specific notation of the relevant condition. Check the MBS and resubmit through an alternative Medicare claiming channel. For example online, at a service centre or over the phone
9707 This claim needs to be referred to a Customer Service Officer for further assessment. Please issue claimant with an account/account receipt to claim through an alternative Medicare claiming channel. For example online, at a Service Centre or over the phone
9708  Equipment number entered does not appear to be registered with Medica Please check details and resubmit
9709  An age restriction applies to this item. Please check the MBS to verify item specifics
9710  This item number has specific restrictions. Refer to the MBS and ensure you are entering the correct patient details 
9711  This claim requires further assessment by a Customer Service Officer. Please issue claimant with an account/account receipt to claim through an alternative Medicare claiming channel. For example online, at a Service Centre or over the phone 
9712 The item number claimed and an override code used cannot be used together. Please resubmit the claim or call us for assistance
9765  Site not accredited for this service 

Page last updated: 22 February 2019

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