| 15 | Required Application Data Missing |
| 52 | Service Dates Not Within Provider Plan Enrollment |
| 53 | Inquired Benefit Inconsistent with Provider Type |
| 54 | Inappropriate Product/Service ID Qualifier |
| 55 | Inappropriate Product/Service ID |
| 56 | Inappropriate Date |
| 57 | Invalid/Missing Date(s) of Service |
| 60 | Date of Birth Follows Date(s) of Service |
| 61 | Date of Death Precedes Date(s) of Service |
| 62 | Date of Service Not Within Allowable Inquiry Period |
| 63 | Date of Service in Future |
| 69 | Inconsistent with Patient’s Age |
| 70 | Inconsistent with Patient’s Gender |
