Rule Messages

Transaction Messages

Message Code

Rule

Rule Set

Applicable Transaction Types

Message Type

Message Level

Message Description

Message Code

Rule

Rule Set

Applicable Transaction Types

Message Type

Message Level

Message Description

1400001

Exchange Member Id Rule

Data Integrity Rule Set

ADD, CHANGE, CANCEL, TERM, REINSTATEMENT

Critical

Member

Exchange Member Id not present for the member

1400002

Date of Birth

Data Integrity Rule Set

ADD, CHANGE

Critical

Member

Date of birth is not present for the member

1400003

Date of Birth

Data Integrity Rule Set

ADD, CHANGE

Critical

Member

Date of birth is in the future

1400004

Date of Birth

Data Integrity Rule Set

ADD, CHANGE

Critical

Member

Date of birth is prior to 1/1/1900

1400005

Gender Rule

Data Integrity Rule Set

ADD, CHANGE

Critical

Member

Gender not present for the member

1400006

Gender Rule

Data Integrity Rule Set

ADD, CHANGE

Critical

Member

Invalid gender for the member

1400007

Effective Date Presence Rule

Data Integrity Rule Set

ADD, CHANGE, REINSTATEMENT

Critical

Member

Effective Date not present for the member

1400008

End Date Presence Rule

Data Integrity Rule Set

CANCEL, TERM

Critical

Member

End Date not present for the member

1400009

Exchange Subscriber Id Rule

Data Integrity Rule Set

ADD, CHANGE, CANCEL, TERM, REINSTATEMENT

Critical

Transaction

Exchange Subscriber Id not present in the transaction

1400010

Subscriber Rule

Data Integrity Rule Set

ADD, CANCEL, TERM, REINSTATEMENT

Critical

Transaction

Subscriber not present in the transaction

1400011

Premium Amount total Presence Rule

Data Integrity Rule Set

ADD

Critical

Transaction

Premium amount total not present in the transaction

1400012

Premium Amount total Presence Rule

Data Integrity Rule Set

CHANGE

Info

Transaction

Premium amount total not present in the transaction

Account Messages

Message Code

Rule

Message Type

Message Description

Message Code

Rule

Message Type

Message Description

1500001

Enrollment Span Overlap Rule

Critical

One or more enrollment spans are overlapping

1500002

Date of Birth

Critical

Date of birth is not present for the member

1500003

Date of Birth

Critical

Date of birth is in the future

1500004

Date of Birth

Critical

Date of birth is prior to 1/1/1900

1500005

Gender Rule

Critical

Gender not present for the member

1500006

Gender Rule

Critical

Invalid gender for the member

1500007

Premium Amount Total Rule

Critical

Premium Amount Total is not equal to sum of APTC, Total Responsible Amount and other pay amounts