What it means on your remittance
Good news, not a denial: ESC 925 means Pennsylvania found a matching, verified EVV visit for this personal-care claim line. Its home-health twin is ESC 935. You'll see these codes on lines that passed EVV matching.
Why it happens
- Nothing went wrong — 925 (personal care) and its twin 935 (home health) are Pennsylvania's confirmation codes: a matching, verified EVV visit was found for the claim line.
How to fix it, step by step
- 1No fix needed. Use 925/935 lines as your baseline of what a passing claim looks like.
- 2When some lines on a remittance show 925/935 and others show 928/938, diff the two sets — same client, same service, different outcome usually isolates an identifier or timing problem fast.
- 3If you track compliance, your share of lines carrying 925/935 versus the denial ESCs is a direct read on your EVV match rate.
How to tell it apart
A prior version of this page described ESC 925 as 'visit not found' — that was wrong, and worth being precise about: per the DHS ESC table, 925 is the VERIFIED confirmation. The no-matching-visit denials are 928 (PCS) and 938 (home health).
The bigger picture
Pennsylvania's ESC codes typically appear on the Remittance Advice PDF rather than inside the 835 file, which is why an 835-only analysis can under-count PA-specific EVV activity.
Note: state edit codes like this one often appear on the paper Remittance Advice rather than inside the 835 file. If you only have the 835, our team can read the full remittance for you.
See if this code is quietly costing you money
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Run the free Denial X-RayCommon questions
What does denial ESC 925 mean?
Good news, not a denial: ESC 925 means Pennsylvania found a matching, verified EVV visit for this personal-care claim line. Its home-health twin is ESC 935. You'll see these codes on lines that passed EVV matching.
How do I fix a ESC 925 denial?
Nothing to fix — this is the code you want on every line. If some lines show 925/935 and others show 928/938, compare them side by side: the difference is usually an identifier or timing problem on the failing lines.
Is ESC 925 something I need to act on?
No — it's the code you want. It confirms the EVV match succeeded for that line. Treat it as your control group when diagnosing the lines that failed.