A deductible has been applied against this benefit.
The annual maximum for this plan has been reached.
The lifetime maximum for this benefit has been reached.
The lifetime maximum for this plan has been reached.
The per visit maximum for this benefit has been reached.
The number of occurrences allowed for this benefit has been reached.
The maximum quantity allowed for this benefit has been reached.
This benefit is limited to a maximum of 60 days in any one Hospital per year.
The maximum amount payable for this benefit has been reached.
The per trip maximum for this benefit has been reached.
This claim is awaiting administrative information. Our assessment will follow once it is received.
There is no coverage under this plan for the submitted benefit.
This claim was not submitted within the time limit allowed under this plan.
This request was not submitted within the time limit allowed under this plan.
This claim is a duplicate.
Before any outstanding balance can be processed under your Health Spending Account, please submit your Explanation of Benefits from your carrier if you have not already done so.
**Missing information. Please resubmit claim indicating the correct…{dynamic}
Service date must be prior to submission date.
This plan does not allow electronic claims. Please submit a paper claim.
The prescription(s) we have on file is not valid for this service date. Please submit a valid prescription.
**This benefit requires a prescription/referral from {dynamic}. Please submit a valid prescription.
Prescription information is required for this vision benefit.
Benefits have been coordinated with another plan.
According to our records, this plan is second payer. Please submit a copy of the statement from the first insurer.
Manitoba Health may provide coverage for this benefit. Please submit a copy of their assessment.
This provider is not eligible with Blue Cross for the submitted benefit.
This provider was not eligible with Blue Cross on the date of service.
This provider is not eligible with Blue Cross.
This provider is reimbursement only. Please submit a paid receipt.
Goods or services provided by a Close Relative are not eligible under this plan.
This benefit is reimbursement only and cannot be paid to the provider. Please submit a paid receipt.
Coverage was not in effect for the Service Recipient on the date of service.
The benefit submitted was not in effect on the date of service
There is no coverage available for this plan.
Manitoba Blue Cross does not process claims for this Client. Please forward your claim to the correct carrier.
The Service Recipient is not eligible for the benefit submitted.
The Employee does not satisfy the eligibility requirements for group travel coverage.
The Service Recipient submitted on the claim is not listed under this contract number.
This benefit has been paid on an exception basis.
An adjustment has been made to this claim because there was a change to the coverage available under this plan.
An adjustment has been made to this claim because there was a change to the coverage available under this plan.
According to our records, this tooth has already been extracted.
Braces must be placed by the {dynamic} birthday to be eligible under this plan.
Payment for orthodontic services ends at the {dynamic} birthday under this plan.
According to the Fee Guide this benefit does not match the tooth code submitted.
According to the Fee Guide this benefit does not allow a lab fee.
This benefit is not eligible but coverage is available for an alternative benefit. The eligible amount has been adjusted accordingly.
In accordance with the Fee Guide, the eligible amount for the Root Canal was reduced by the cost of a Pulpectomy/Pulpotomy already processed by our office.
In accordance with the Fee Guide, a Pulpectomy/Pulpotomy is included in the cost of a Root Canal.
In accordance with the Fee Guide, separate restorations on the same tooth should be combined and assessed according to the number of surfaces treated. The eligible amount has been adjusted accordingly.
In accordance with the Fee Guide, the billed amount for separate x-ray types should not exceed the billed amount for the total number of films under one series type. The eligible amount has been adjusted accordingly.
In accordance with the Fee Guide, Pulp Vitality Tests are included in the cost of a Complete Exam.
It is not considered Usual or Customary for Pulp Vitality Tests to be charged in conjunction with Root Canal Therapy.
In accordance with the Fee Guide, this Benefit is included in the cost of Crowns and Bridges.
In accordance with the Fee Guide, this Benefit is included in the cost of a Periodontic Appliance.
The eligible amount has been reduced in accordance to the provincial fee guide stipulations - payment reduced when submitted in conjunction with specific procedures
Not eligible.Charges excluded when done in conjunction with specific procedures.
There is no accidental dental under this plan
This benefit has been assessed at the semi private room rate since there is no private room coverage available under this plan.
This benefit requires that a patient be confined as an in-patient for 24 hours. The same admittance and discharge date were listed on the claim.
Charges for paneled patients are not eligible for coverage.
The Refund Allowance benefit requires that a patient requested a semi-private room but one was not available. Confirmation of the request and lack of room availability from the hospital is required.
Hospitalizations commencing prior to the coverage effective date are not eligible for coverage.
The number of days submitted does not match the start and end dates provided with the claim.
Service recipient's date of birth must be prior to admission or service date(s).
Service from date must be prior to service to date.
Service date is prior to admission date.
Kilometer charges are only eligible when billed outside of the base rate area. This is in accordance with the Provider Agreement.
Hospital to hospital transfers in Manitoba are not our responsibility.
The departure and/or destination location is not eligible under this plan.
The non-emergency ambulance benefits require the patient to be transported by stretcher on the authorization of the physician. Confirmation of authorization is required.
Emergency ambulance charges are not eligible when departure and destination indicate non-emergency service.
We require a copy of the approval or denial from Pharmacare. Please submit a copy of their assessment.
The expenses submitted exceed the credits available under this plan. Further payments may be available as credits accrue.
The expenses submitted exceed the credits available under this plan. No further credits will accrue.
The Expenses submitted exceed the credits available under this plan
This benefit was not approved by our Consultant.
The claimed service/product does not meet eligibility criteria.
**Missing information. Please resubmit claim indicating the correct…{dynamic}
Service must be paid in full for reimbursement. Please submit receipt indicating payment in full.
There is not enough detail to assess the claim. Please submit an itemized receipt/invoice, including service dates, patient name, and description of services.
The prescription submitted with the claim is not dated. Please submit a valid prescription.
The prescription submitted with the claim does not contain a diagnosis. Please submit a valid prescription.
Please submit the name and credentials of the provider.
According to our records, this plan is second payer. Please submit a copy of the statement from the first insurer.
A government program may provide coverage for this benefit. Please submit a copy of their assessment.
The Service Recipient's automobile insurance provider may provide coverage for this benefit. Please submit a copy of their assessment.
Rejecting due to audit results.
This claim is a duplicate
The Workers Compensation Board may provide coverage for this benefit. Please submit a copy of their assessment.THIS EOB CODE IS ONLY TO BE USED WHEN ADVISED BY CHRISTINE OR JAID. ALL THIRD PARTY CLAIMS MUST BE PASSED TO THEM BEFORE PROCESING.
Patient must claim reimbursement.
A document you have uploaded to your mybluecross account is unreadable. Please resubmit your claim and documents ensuring all information is visible
Treatment associated with Temporomandibular Joint (TMJ) dysfunction is not eligible under this plan.
Cosmetic treatment is not eligible under this plan.
Congenital (inherited/birth) malformations are not eligible under this plan.
Please submit a copy of the lab bill.
Please submit x-rays. We require them to assess the claim.
Please submit study models.
Please provide a written explanation of why the study models are required.
Please provide a written explanation of why the appliance is required.