Top 10 Edits in December 2025

For December 2025, National Government Services, Inc. (NGS) Common Electronic Data Interchange (CEDI) identified the following top ten edits returned on the 277CA for 5010A1 formatted claims. The edit as returned on the 277CA, the reference and description of the edit are provided below.

5010A1 edits are not specific to the definitions provided. Edit codes received can apply to multiple Edit References. If you received one of the edit codes but the listed explanation does not fit your situation, please review the CMS Edit Spreadsheet on the CEDI website for other possibilities causing your rejection. 

Note: Category A3, Status 247 is not a front end rejection. This is stating the rejection is at the line level. Please read further into the 277CA report for subsequent error codes.

CEDI offers a tool to view easy-to-understand descriptions associated with the edit code(s) returned on the 277CA for 5010A1 claims. The tool allows you to enter the Claim Status Category Code (CSCC), the Claim Status Codes (CSCs), and the Entity Identifier Code (EIC) for the edit and returns the possible explanations for the cause of the edit.  The 277CA Edit Tool is located on the CEDI website https://www.ngscedi.com under the Self-Service Tools section.