Edit/Error Knowledge Base (EEKB) Search Tool

FIND EDIT INFORMATION to crosswalk the X12 Codes (Claim Adjustment Reason Code-CARC; Remit Adjustment Reason Code-RARC, Claim Status Codes-CS) received on the X12 835 Remittance or the X12 277 Claim Status Respose to an eMedNY edit. Use this search tool to obtain explanations, potential causes, and possible solutions to the failed edit.

NOTE: Only edits that may deny a claim are included in this tool. eMedNY proprietary edits are not available on the 835 Remittance. Pharmacy only edits (NCPDP) are not included in this list unless they are a global denial edit (example 00705 for Duplicate Claim).

TO SEARCH FOR AN EDIT filter the results by using one of the following methods:

1. The 5-digit eMedNY Edit Number found on Paper/PDF Remittance, OR
2. Electronic/835 Remittance, Claim Status (277/ePACES) codes, OR
3. Text contained in the Edit/Error Description

SEARCH BY ANY METHOD BELOW

	Enter in the 5 numeric digit ID number for the EEKB then press the "go" button. This ID number is obtained from either the 835 or 277 crosswalks determined from the NYSDOH 835 X12 Remittance Advice Transaction and/or the NYSDOH 277 X12 Claim Status Response. If you do not know the exact number, try using another search option.
Edit #:

You can enter in 1, 2, 3, OR 4 fields for the remit codes then press the "go" button below. The more you enter in, the more filtered results will be. If you know that for one of the code options below there is nothing associated with it or non-applicable, enter in "n/a" in that field and whatever other fields you can to filter the results. NOTE: The Claim Adjustment Reason Code and the Remit Advice Remark Code pertains to 835 transactions and the Healthcare Claim Status Code and the Entity Identifier Code pertains to 277 transactions.

Claim Adjustment Reason Code:
Remark Code:

Healthcare Claim Status Code:
Entity Identifier Code:

	Enter in a word or a phrase to Search the text Header Description for the edit error then press the "go" button below. The more specific you are, the more filtered results you will be. Note: This search tool may return many results, however it is a good option to start if the id number or claim codes are unknown. For example, searching for "prior approval number" returns a few results, while just searching for "number" returns many results.

clear form

PRINT SEARCH RESULTS