Claim Adjustment Reason Codes - Palmetto GBA

ReasonCodesN509N510N511N512N513N514N516N517DescriptionAlert: A current inquiry shows the member's Consumer SpendingAccount contains sufficient funds to cover the member liability for thisclaim/service. Actual payment from the Consumer Spending Accountwill depend on the availability of funds and determination of eligibleservices at the time of payment processing.Start: 11/01/2008Alert: A current inquiry shows the member's Consumer SpendingAccount does not contain sufficient funds to cover the member'sliability for this claim/service. Actual payment from the ConsumerSpending Account will depend on the availability of funds anddetermination of eligible services at the time of payment processing.Start: 11/01/2008Alert: Information on the availability of Consumer Spending Accountfunds to cover the member liability on this claim/service is not availableat this time.Start: 11/01/2008Alert: This is the initial remit of a non-NCPDP claim originally submittedreal-time without change to the adjudication.Start: 11/01/2008Alert: This is the initial remit of a non-NCPDP claim originally submittedreal-time with a change to the adjudication.Start: 11/01/2008Consult plan benefit documents/guidelines for information aboutrestrictions for this service.Start: 11/01/2008Records indicate a mismatch between the submitted NPI and EIN.Start: 03/01/2009Resubmit a new claim with the requested information.Start: 03/01/200984