CareBridge EVV Integration - Pre-Billing Validations

The following is a full list of pre-billing checks performed in the CareBridge Platform that would prevent a claim from being generated in the CareBridge Platform and would be returned as an error to the vendor that submitted the visit to CareBridge. The table below includes a comprehensive list of CareBridge Pre-Billing validation responses - some may not be applicable to your specific integration.

Error Code	Entity Type	Description
VCR1001	appointment	Caregiver First Name
VCR1002	appointment	Caregiver Last Name
VCR1003	appointment	Caregiver License Number
VCR1004	appointment	Vendor name is not valid
VCR1005	appointment	Transaction Id is not valid
VCR1006	appointment	Transaction Date Time is not valid
VCR1007	appointment	Provider Id is not valid
VCR1008	appointment	Provider Name is not valid
VCR1009	appointment	Provider Tax Id is not valid
VCR1010	appointment	Provider NPI is not valid
VCR1011	appointment	Member First Name is not valid
VCR1012	appointment	Member Last Name is not valid
VCR1013	appointment	Member Medicaid Id is not valid
VCR1014	appointment	Appointment Start DateTime is not valid
VCR1015	appointment	Appointment End DateTime is not valid
VCR1016	appointment	EVV CheckIn DateTime is not valid
VCR1017	appointment	EVV CheckIn Method is not valid
VCR1018	appointment	EVV CheckIn Street Address is not valid
VCR1019	appointment	EVV CheckIn City is not valid
VCR1020	appointment	EVV CheckIn State is not valid
VCR1021	appointment	EVV CheckIn Zip is not valid
VCR1022	appointment	EVV CheckIn Latitude Longitude is not valid
VCR1023	appointment	EVV CheckOut DateTime is not valid
VCR1024	appointment	EVV CheckOut Method is not valid
VCR1025	appointment	EVV CheckOut Street Address is not valid
VCR1026	appointment	EVV CheckOut City is not valid
VCR1027	appointment	EVV CheckOut State is not valid
VCR1028	appointment	EVV CheckOut Zip is not valid
VCR1029	appointment	EVV CheckOut Latitude Longitude is not valid
VCR1030	appointment	Manual CheckIn DateTime is not valid
VCR1031	appointment	Manual CheckIn Method is not valid
VCR1032	appointment	Manual CheckIn Street Address is not valid
VCR1033	appointment	Manual CheckIn City is not valid
VCR1034	appointment	Manual CheckIn State is not valid
VCR1035	appointment	Manual CheckIn Zip is not valid
VCR1036	appointment	Manual CheckOut DateTime is not valid
VCR1037	appointment	Manual CheckOut Method is not valid
VCR1038	appointment	Manual CheckOut Street Address is not valid
VCR1039	appointment	Manual CheckOut City is not valid
VCR1040	appointment	Manual CheckOut State is not valid
VCR1041	appointment	Manual CheckOut Zip is not valid
VCR1042	appointment	Auth Reference Number is not valid
VCR1043	appointment	Service Code is not valid
VCR1044	appointment	Time Zone is not valid
VCR1045	appointment	CheckIn IVR Phone Number is not valid
VCR1046	appointment	CheckOut IVR Phone Number is not valid
VCR1047	appointment	Diagnosis Code is not valid
VCR1048	appointment	Attestation is not valid
VCR1049	appointment	Rate is not valid
VCR1050	appointment	Manual Reason is not valid
VCR1051	appointment	Late Reason is not valid
VCR1052	appointment	Late Action is not valid
VCR1053	appointment	Missed Reason is not valid
VCR1054	appointment	Missed Action is not valid
VCR1055	appointment	Claim Action is not valid
VCR1056	appointment	MCO Id is not valid
VCR1057	appointment	ICN is missing or invalid.
VCR1058	appointment	Employee Id is not valid
VCR1059	appointment	Early visit reason is not valid
VCR1060	appointment	Early visit action is not valid
VCR1061	appointment	EVV CheckIn distance
VCR1062	appointment	EVV CheckOut distance
VCR1063	appointment	EVV CheckIn reason is not valid
VCR1064	appointment	EVV CheckOut reason is not valid
VCR1065	appointment	Survey questions and responses are required
VCR1066	appointment	Appointment does not contain the same number of survey questions and answers
VCR1067	appointment	Caregiver tasks are required
VCR1068	appointment	Caregiver hire date is not valid
VCR1069	appointment	Caregiver type is not valid
VCR1070	appointment	Caregiver gender is not valid
VCR1071	appointment	Caregiver date of birth is not valid
VCR1072	appointment	Claim 1 invoice number is not valid
VCR1073	appointment	Claim 2 invoice number is not valid
VCR1074	appointment	Line 1 invoice number is not valid
VCR1075	appointment	Line 2 invoice number is not valid
VCR1076	appointment	Caregiver Medicaid Id is not valid
VCR1077	appointment	Appointment Id is not valid
VCR1078	appointment	Provider Medicaid Id is not valid
VCR1079	appointment	Member date of birth is invalid
VCR1080	appointment	Payer claim number 1 is not valid
VCR1081	appointment	Billing status 1 is not valid
VCR1082	appointment	Billed amount 1 is not valid
VCR1083	appointment	Billed units 1 is not valid
VCR1084	appointment	Paid amount 1 is not valid
VCR1085	appointment	Paid units 1 is not valid
VCR1086	appointment	Payer claim number 2 is not valid
VCR1087	appointment	Billing status 2 is not valid
VCR1088	appointment	Billed amount 2 is not valid
VCR1089	appointment	Billed units 2 is not valid
VCR1090	appointment	Paid amount 2 is not valid
VCR1091	appointment	Paid units 2 is not valid
VCR1092	appointment	Invalid claim action
VCR1093	appointment	Invalid member medicaid id
VCR1094	appointment	Completed visit requires member attestation
VCR1095	appointment	Appointment start after end
VCR1096	appointment	Appointment EVV checkin after checkout
VCR1097	appointment	Appointment manual checkin after checkout
VCR1098	appointment	Caregiver Atypical Id
VCR1099	appointment	Diagnosis Code must be valid ICD10 code
VCR1100	appointment	NPI does not exist on appointment
VCR1101	appointment	EVV Checkin Zip Code is not a valid zip code.
VCR1102	appointment	EVV Checkout Zip Code is not a valid zip code.
VCR1103	appointment	Manual Checkin Zip Code is not a valid zip code.
VCR1104	appointment	Manual Checkout Zip Code is not a valid zip code.
VCR1105	appointment	Location Start Zip Code is not a valid zip code.
VCR1106	appointment	Location End Zip Code is not a valid zip code.
VCR1107	appointment	Employee SSN is missing or invalid.
VCR1108	appointment	Waiver Type is missing or invalid.
VCR1109	appointment	Modifier 1
VCR1110	appointment	Modifier 2
VCR1111	appointment	Modifier 3
VCR1112	appointment	Modifier 4
VCR1113	appointment	Attending Provider First Name is missing.
VCR1114	appointment	Attending Provider Last Name is missing.
VCR1115	appointment	Attending Provider NPI is missing or invalid.
VCR1116	appointment	Submitted Condition Code is invalid.
VCR2001	appointment	Member is not eligible for visit duration
VCR2002	appointment	Provider is not active during visit duration based on provider active_start & active_end date
VCR2003	appointment	Billed units exceeds max units for Authorization. Used(#{used}) & Available(#{available}) Max(#{max})
VCR2004	appointment	"Billed units exceeds max units for Authorization per period(#{part}). Used(#{used}) & Available(#{available}) Total(#{max})
VCR2005	appointment	Billed units for HCPC-Mod (#{hcpc}-#{mod1}-#{mod2}) exceeds daily max. Used(#{used_units}) Allowed(#{max_units})
VCR2006	appointment	Late visit missing late visit reason
VCR2007	appointment	Missed visit missing missed visit reason
VCR2008	appointment	Manual confirmation visit missing Manual confirmation reason
VCR2009	appointment	"Billed units (#{billed}) exceed actual units(#{actual}) based on visit CheckIn and CheckOut"
VCR2010	appointment	Visit CheckIn(#{appt_start_at}) and CheckOut(#{appt_end_at}) are outside of authorized period(#{auth_start}, #{auth_end})
VCR2011	appointment	Member does not match authorization
VCR2012	appointment	Visit is not associated to an authorization
VCR2013	appointment	Member is not associated to the visit
VCR2014	appointment	Reject if authorization has block claiming flag set
VCR2015	appointment	Reject if provider has block claiming flag set
VCR2016	appointment	Reject if member has block claiming flag set
VCR2017	appointment	No rate found for the procedure code
VCR2018	appointment	No unit definitions found for the procedure code
VCR2019	appointment	Invalid action given the state of in flight claims
VCR2020	appointment	Visit cannot span more than two days
VCR2021	appointment	Authorization has been termed
VCR2022	appointment	Provider does not match authorization
VCR2023	appointment	Provider is not associated to the visit
VCR2024	appointment	Appointment must contain CheckIn and CheckOut data in order to be claimed
VCR2025	appointment	Appointment overlaps with another appointment
VCR2026	appointment	Early visit is missing early visit reason
VCR2027	appointment	Late visit is missing late visit action
VCR2028	appointment	Missed visit is missing missed visit action
VCR2029	appointment	Early visit is missing early visit action
VCR2030	appointment	EVV CheckIn is outside of the allowed radius require a reason code
VCR2031	appointment	EVV CheckOut is outside of the allowed radius require a reason code
VCR2032	appointment	Vendor is not approved to send claim ICNs
VCR2033	appointment	Vendor is not approved to send line level ICNs
VCR2034	appointment	Cannot submit both claim level and line level ICNs
VCR2035	appointment	Appointment crosses midnight but only 1 ICN was provided
VCR2036	appointment	Appointment does not cross midnight but multiple ICNs were provided
VCR2037	appointment	Appointment is attempting to rollup with other appointments that contain different ICNs
VCR2038	appointment	Vendor is configured to send ICNs but did not send any
VCR2039	appointment	Claim was not submitted within the timely filing window
VCR2040	appointment	Past appointment can no longer be manually modified
VCR2041	appointment	Must have a provider npi or provider medicaid id
VCR2042	appointment	Payer does not support claim generation
VCR2043	appointment	ICNs cannot be re-used for multiple claims
VCR2044	appointment	Caregiver is not active
VCR2045	appointment	Invalid npi
VCR2046	appointment	Visit cannot exceed 24 hours
VCR2047	appointment	Visit duration cannot be zero
VCR2048	appointment	EVV CheckIn cannot be in the future
VCR2049	appointment	EVV CheckOut cannot be in the future
VCR2050	appointment	Manual CheckIn cannot be in the future
VCR2051	appointment	Manual CheckOut cannot be in the future
VCR2052	appointment	Cannot claim a visit in the future
VCR2053	appointment	Visit has an EVV CheckOut without a CheckIn
VCR2054	appointment	Visit has a manual CheckOut without a CheckIn
VCR2055	appointment	Visit requires a modifier or includes a modifier that is not allowed
VCR2056	appointment	Cannot claim a cancelled appointment
VCR2057	appointment	CheckIn phone number only allowed for IVR CheckIns
VCR2058	appointment	CheckOut phone number only allowed for IVR CheckOuts
VCR2059	appointment	Missing provider medicaid id
VCR2060	appointment	Provider must have either NPI or API
VCR2061	appointment	Members 21 and older must have U3 modifier. Those under 21 must not.
VCR2062	appointment	Rate exceeds max allowable rate.
VCR2063	appointment	Survey question external codes must be valid.
VCR2064	appointment	Care task external codes must be valid.
VCR2065	appointment	For procedure code 99509, members 21 and older must have HB modifier. Those under 21 must have a HA modifier.
VCR2066	appointment	The most recent claim request has failed. View claim history for more information
VCR2067	appointment	Payer does not support sending voided claims.
VCR2068	appointment	Member is not present in the payer's membership file
VCR2069	appointment	Appointment cannot be billed outside of the active claim window
VCR2070	appointment	Appointment overlaps with other scheduled appointments and does not appear to be a valid group visit.
VCR2071	appointment	Payer does not support voiding externally.
VCR2072	appointment	Missing employee on appointment
VCR2073	appointment	Visit contains invalid survey responses.
VCR2074	appointment	Tax id on appointment does not match the tax id on the provider.
VCR2075	appointment	Procedure code is not a valid code for this payer.
VCR2076	appointment	Appointment can not cross midnight.
VCR2077	appointment	Provider State Registration is missing.
VCR2078	appointment	Provider is not active according to the state roster.
VCR2079	appointment	Visit does not meet the duration requirements for the service code.
VCR2080	appointment	Overnight appointments are not allowed.
VCR2081	appointment	Revenue code is missing or is not a valid code for this payer.
VCR2082	appointment	Visit location type is required for home health services.
VCR2083	appointment	Provider billing settings are required.
VCR2084	appointment	CareBridge is no longer accepting visits for this payer.
VCR2085	appointment	Vendor does not support selected billing frequency.
VCR2086	appointment	Payment is not guaranteed.
VCR2087	appointment	Authorizations in a pending status cannot be billed.
VCR2088	appointment	Visit does not contain a valid ICD-10 diagnosis code.
VCR2089	appointment	This member has a PCSP that has not yet been acknowledged.
VCR2090	appointment	Visit does not contain a valid primary diagnosis code.
VCR2095	appointment	Member DOB on visit does not match member's DOB
C1001	claim	Taxonomy Code is required.
C1002	claim	Payer Claim Number is required for adjusted claims.
C1003	claim	Provider Medicaid ID is required.
C1004	claim	Total Charges is required.
C2001	claim	Claim could not be rolled up due to in flight claims
C2002	claim	Appointment has 0 units to bill
C2003	claim	Claim is not balanced
C2004	claim	Claim contains invalid durations for one or more billed services.
C2005	claim	Claim line has partial units.
CG1001	caregiver	Caregiver First Name
CG1002	caregiver	Caregiver Last Name
CG1003	caregiver	Caregiver License Number
CG1004	caregiver	Employee Id is not valid.
CG1005	caregiver	Caregiver hire date
CG1006	caregiver	Caregiver type
CG1007	caregiver	Caregiver gender
CG1008	caregiver	Caregiver date of birth
CG1009	caregiver	Caregiver Medicaid Id
CG1010	caregiver	Caregiver Atypical Id
CG1011	caregiver	Employee Zip is missing or invalid.
CG1012	caregiver	Employee SSN is missing or invalid.
CG1013	caregiver	Caregiver Username is missing or invalid.
G1000	NULL	Generic Error
M1000	member	Generic Error
M1001	member	Medicaid Id
M1002	member	First name is missing or invalid
M1003	member	Middle Name
M1004	member	Last name
M1005	member	Address 1
M1006	member	City
M1007	member	State
M1008	member	Zip
M1009	member	Date of birth
M1012	member	Eligibility start date
M1013	member	Eligibility end date
M1014	member	Eligibility end is in the past
M1015	member	Invalid member medicaid id
M2001	member	Member not associated to an auth
M2002	member	Date Of Birth is in the future
P1000	provider	Generic Error
P1001	provider	Tax id
P1002	provider	Unique identifier
P1003	provider	Name
P1004	provider	Address 1
P1005	provider	City
P1006	provider	State
P1007	provider	Zip
P1010	provider	Submitter Id
P1012	provider	Must have either npi or alt_npi
P1013	provider	Npi
P1014	provider	Provider end date is in the past
P1015	provider	Invalid npi
P1017	provider	Medicaid Id
P1018	provider	Provider has a PO Box address
P1019	provider	Zip
P1021	provider	Atypical ID
P2001	provider	Individual CDAC providers must have a medicaid id.
A1000	authorization	Generic Error
A1001	authorization	Auth ref no
A1002	authorization	Hcpc
A1003	authorization	Diagnosis code
A1004	authorization	Provider unique id
A1005	authorization	Member unique id
A1006	authorization	Start date
A1007	authorization	End date
A1008	authorization	Units
A1009	authorization	Partition type
A1010	authorization	Modifier 1
A1011	authorization	Modifier 2
A1012	authorization	Modifier 3
A1013	authorization	Modifier 4
A1014	authorization	Authorization end date is in the past.
A1015	authorization	Attending Provider Name
A2001	authorization	Provider match
A2002	authorization	Member match
A2005	authorization	Member in-eligible
A2006	authorization	Provider in-eligible
A2007	authorization	Cannot change members
A2011	authorization	No rate found for the procedure code
A2012	authorization	No unit definitions found for the procedure code
A2014	authorization	Authorization has multiple lines with different hcpc and modifier combinations in the same file.
A2017	authorization	Invalid npi
A2018	authorization	Members 21 and older must have U3 modifier. Those under 21 must not.
A2019	authorization	Rate exceeds max allowable rate.
A2020	authorization	Diagnosis Code must be valid ICD10 code
A2021	authorization	Rate is missing
A2022	authorization	Invalid service type for member over 21
A2023	authorization	Service code is not in the list of authorized services.
A2025	authorization	Attending Provider NPI does not meet requirements for a valid NPI.
A2024	authorization	Attending Provider must have either NPI or AltID.
A2026	authorization	Provider Secondary ID required for procedure code.
A2027	authorization	An authorization for a corresponding service does not exist.
A2028	authorization	Auth limit type is not allowed.
A2029	authorization	Rate conflicts with one or more authorizations.
A2030	authorization	Authorization Reference Number is missing Line Identifier.
A2031	authorization	Max Units Per Partition calculation not evenly divisible.
A2032	authorization	Authorization contains an invalid taxonomy code for the service code.