PA BridgeResources

AAA03 — Reject Reason Code (X12 element 901)

75Subscriber/Insured Not Found

Draft — pending verification

This reference entry has not yet been verified against its authoritative source (X12 005010X217 TR3 / element 901 code list — verify against licensed copy). Do not rely on it for production configuration until this notice is removed.

How 75 is used

Returned in AAA03 at the subscriber loop. Confirm current coverage and correct payer routing via 270/271 before resubmitting; repeated 75s to one payer can indicate a routing table error.

Example

A request routed to a member's prior carrier after a January plan change returns AAA03 = 75.

Where it lives in the transaction

75 is a value of AAA03 — Reject Reason Code (X12 element 901), carried in the AAA (Request Validation), 278 response — returned at the loop level where the problem was found of the 278 Health Care Services Review — Response (005010X217). For the payer-side view of how PA Bridge normalizes these codes across X12 and FHIR intake, see the articles section.