Appendix A – Response Codes - British Columbia
Appendix A – Response CodesAdjudication Response Codes Standard Canadian Pharmacists Association response codes are attached to a claim when it isreturned by PharmaNet, providing information on the status of the claim. Although the listing below can be used as a guide, pharmacists should refer to the latest version ofthe Canadian Pharmacists Association (CPhA) Pharmacy Claim Standard for the most up-to-date andauthoritative listing of adjudication response codes.Note: The series of codes in bold text (MA to NE) are not error codes. These codes are returned in theDrug Use Evaluation (DUE) response status field.Response CodeMeaning01 .BIN ERROR02 .VERSION NUMBER ERROR03 .TRANSACTION CODE ERROR04 .PROVIDER SOFTWARE ID ERROR05 .PROVIDER SOFTWARE VERSION ERROR07 .ACTIVE DEVICE ID ERROR08 .PC TERMINAL LANGUAGE ERROR09 .TEST INDICATOR ERROR10 .INVALID MMI CODE11 .INVALID MMI/CLINICAL SERVICE CODE12 .MMI MAXIMUM EXCEEDED13 .INVALID CLINICAL SERVICE CODE14 .INVALID RBRVS PARAMETER COUNT15 .INVALID ORIGINAL RX DATE16 .DRUG NOT ELIGIBLE FOR SERVICE17 .PRESCRIBER MUST BE A PHARMACIST18 .FIELD KEYWORD CONTAINS INVALID VALUE19 .PRACTITIONER ID NOT FOUND20 .NO SERVICE AGREEMENT IDENTIFIED21 .PHARMACY ID CODE ERRORPharmaceutical Services Division Ministry of HealthPage 1 of 16
Response CodeMeaning22 .PROVIDER TRANSACTION DATE ERROR23 .TRACE NUMBER ERROR24 .SERVICE NOT ELIGIBLE FOR VETERINARY RX25 .INVALID DISPENSE REFERENCE26 ."REFUSAL TO FILL" CLAIM WAS PAID27 .MMF CLAIMS EXCEED INSURER LIMIT28 .CLINICAL SERVICE CLAIMS EXCEED INSURER LIMIT30 .CARRIER ID ERROR31 .GROUP NUMBER ERROR32 .CLIENT ID # ERROR33 .PATIENT CODE ERROR34 .PATIENT DOB ERROR35 .CARDHOLDER IDENTITY ERROR36 .RELATIONSHIP ERROR37 .PATIENT FIRST NAME ERROR38 .PATIENT LAST NAME ERROR39 .PROVINCIAL HEALTH CARE # ERROR40 .PATIENT GENDER ERROR41 .DUPLICATE MMI EVENT CLAIMED42 .DUPLICATE CLINICAL SERVICE CLAIMED43 .INVALID DISPENSE DETAILS SUBMITTED44 .INVALID MMF CLAIM CONTACT TYPE45 .PATIENT NOT ELIGIBLE FOR SERVICE REPORTED46 .TOO MANY SAME RX REFERENCES SUBMITTED47 .TOO MANY SAME DISPENSE REFERENCES50 .MEDICAL REASON REFERENCE ERROR51 .MEDICAL CONDITION/REASON CODE ERROR52 .NEW/REFILL CODE ERROR53 .ORIGINAL PRESCRIPTION NUMBER ERROR54 .REFILL/REPEAT AUTHORIZATION ERROR55 .CURRENT RX # ERROR56 .DIN/GP #/PIN ERROR57 .SSC ERRORPharmaceutical Services Division Ministry of HealthPage 2 of 16
Response CodeMeaning58 .QUANTITY ERROR59 .DAYS SUPPLY ERROR5A .SUPPLY SOURCE ERROR5B .DESIGNATED PHARMACY ERROR5C .SOURCE PACKAGE SIZE ERROR5D .PRESCRIPTION VALIDITY DATE ERROR60 .INVALID PRESCRIBER ID REFERENCE CODE61 .PRESCRIBER ID ERROR62 .PRODUCT SELECTION CODE ERROR63 .UNLISTED COMPOUND CODE ERROR64 .SPECIAL AUTHORIZATION #/CODE ERROR65 .INTERVENTION/EXCEPTION CODE ERROR66 .DRUG COST/PRODUCT VALUE ERROR67 .COST UPCHARGE ERROR68 .PROFESSIONAL FEE ERROR70 .COMPOUNDING CHARGE ERROR71 .COMPOUNDING TIME ERROR72 .SPECIAL SERVICES FEE ERROR75 .PREVIOUSLY PAID ERROR76 .PHARMACIST ID CODE ERROR/MISSING77 .ADJUDICATION DATE ERROR80 .SERVICE CODE & NUMBER OF DINS DO NOT MATCH81 .PRIMARY DRUG PRODUCT IS NOT INSURED82 .PRODUCT DUPLICATED IN THIS CLAIM FOR PAYMENT83 .DIN IS NOT ALLOWED FOR THE INDICATED CONDITION84 .AUTHORIZATION FOR THIS TREATMENT HAS EXPIRED85 .THERAPY (PRODUCT) IS NOT REPEATABLE86 .CONFIRM PROVINCIAL DRUG COVERAGE FOR DIN87 .EXCEEDS MAX.# OF PROF. FEES FOR THIS DRUG90 .ADJUDICATION DATE ERROR91 .BEGINNING OF RECORD ERROR92 .END OF RECORD ERROR99 .NO CLAIMS FOR SPECIFIED PARAMETERSPharmaceutical Services Division Ministry of HealthPage 3 of 16
Response CodeMeaningA1 .CLAIM TOO OLDA2 .CLAIM IS POST DATEDA3 .IDENTICAL CLAIM HAS BEEN PROCESSEDA4 .CLAIM HAS NOT BEEN CAPTUREDA5 .CLAIM HAS NOT BEEN PROCESSEDA6 .SUBMIT MANUAL CLAIMA7 .SUBMIT MANUAL REVERSALA8 .NO REVERSAL MADE-ORIG. CLAIM MISSINGA9 .REVERSAL PROCESSED PREVIOUSLYAA .DUPLICATE OF CLAIM ADJUDICATIONAB .SWIPE BENEFIT CARD FOR PAYMENTB1 .PHARMACY NOT AUTHORIZED TO SUBMIT CLAIMSB2 .RETURN TO FIRST PHARMACY REQUESTEDB3 .INVALID PHARMANET RX IDB4 .PHARMANET RX ID DOES NOT MATCH PATIENTB5 .PRESCRIBER DIFFERS FROM RXB6 .DATE OF SERVICE IS LESS THAN RX DATEB7 .DATE OF SERVICE IS LESS THAN DISP. START DATEB8 .PRESCRIPTION HAS EXPIREDB9 .PRESCRIPTION HAS BEEN ADAPTEDBA .CHRONIC DISEASE COSTS ARE NOT A BENEFITC1 .PATIENT AGE OVER PLAN MAXIMUMC2 .SERVICE PROVIDED BEFORE EFFECTIVE DATEC3 .COVERAGE EXPIRED BEFORE SERVICEC4 .COVERAGE TERMINATED BEFORE SERVICEC5 .PLAN MAXIMUM EXCEEDEDC6 .PATIENT HAS OTHER COVERAGEC7 .PATIENT MUST CLAIM REIMBURSEMENTC8 .NO RECORD OF THIS BENEFICIARYC9 .PATIENT NOT COVERED FOR DRUGSCA .NEEDLES NOT ELIGIBLE - INSULIN GUN USEDCB .ONLY ENROLLED FOR SINGLE COVERAGECC .THIS SPOUSE NOT ENROLLEDPharmaceutical Services Division Ministry of HealthPage 4 of 16
Response CodeMeaningCD .PATIENT NOT ENTITLED TO DRUG CLAIMEDCE .35 DAY MAXIMUM ALLOWED FOR WELFARE CLIENTCF.QUANTITY EXCEEDS MAXIMUM DAYS OF TREATMENTCG .DRUG NOT ELIGIBLE FOR LTC FACILITYCH .GOOD FAITH COVERAGE HAS EXPIREDCI .PROGRAM NOT ELIGIBLE FOR GOOD FAITHCJ .PATIENT NOT COVERED BY THIS PLANCK .HEALTH CARD VERSION CODE ERRORCL .EXCEEDS GOOD FAITH LIMITCM .PATIENT IS NEARING QUANTITY LIMITCN .PATIENT HAS ATTAINED QUANTITY LIMITCO .PATIENT IS OVER QUANTITY LIMITCP .ELIGIBLE FOR SPECIAL AUTHORIZATIONCQ .DATE NOT COVERED BY PREMIUMS PAIDCR .PATIENT IS EXCEEDING DOSAGE SAFEFT LIMITCS.PATIENT EXCLUSION PREVENTS PAYMENTCT .BENEFICIARY NOT ELIGIBLE TO USE PROVIDERCU .BENEFICIARY NOT ELIGIBLE TO USE PRESCRIBERCV .NO RECORD OF CLIENT ID NUMBERCW .NO RECORD OF GROUP NUMBER OR CODECX .NO RECORD OF PATIENT DATACY .NO RECORD OF PATIENT CODECZ .NO RECORD OF AUTHORIZATION NUMBERD1 .DIN/PIN/GP #/SSC NOT A BENEFITD2 .DIN/PIN/GP # IS DISCONTINUEDD3 .PRESCRIBER IS NOT AUTHORIZEDD4 .REFILLS ARE NOT COVEREDD5 .CO PAY EXCEEDS TOTAL VALUED6 .MAXIMUM COST IS EXCEEDEDD7 .REFILL TOO SOOND8 .REDUCED TO GENERIC COSTD9 .CALL ADJUDICATORDA .ADJUSTED TO INTERCHANGEABLE PROV. REG.Pharmaceutical Services Division Ministry of HealthPage 5 of 16
Response CodeMeaningDB .ADJUSTED TO INTERCHANGEABLE - GEN. PLANDC .PHARMACIST ID REQUESTEDDD.INSUFFICIENT SPACE FOR ALL DUR WARNINGSDE .FILL/REFILL TOO LATE - NON-COMPLIANTDF .INSUFFICIENT SPACE FOR ALL WARNINGSDG.DUPLICATE PRESCRIPTION NUMBERDH.PROFESSIONAL FEE ADJUSTEDDI .DEDUCTIBLE NOT SATISFIEDDJ .DRUG COST ADJUSTEDDK .CROSS SELECTION PRICINGDL .COLLECT DIFFERENCE FROM PATIENTDM.DAYS SUPPLY EXCEEDS PLAN LIMITDN .ALTERNATE PRODUCT IS A BENEFITDO .FUTURE REFILLS REQUIRE PRIOR APPROVALDP .QUANTITY EXCEEDS MAXIMUM PER CLAIMDQ .QUANTITY IS LESS THAN MINIMUM PER CLAIMDR .DAYS SUPPLY LOWER THAN MINUMUM ALLOWABLEDS .REDUCED TO COST UPCHARGE MAXIMUMDT .REDURCED TO COMPOUNDING CHARGE MAXIMUMDU .MAXIMUM COMPOUNDING TIME EXCEEDEDDV .REDURCED TO SPECIAL SERVICES FEE MAXIMUMDW .RETURN TO FIRST PRESCRIBER REQUESTEDDX .DRUG MUST BE AUTHORIZEDDY .INTERVENTION/EXCEPTION CODE MISSINGDZ .DAYS SUPPLY LIMITED DUE TO BENEFIT YR ENDE1.HOST PROCESSING ERRORE2.CLAIM COORDINATED WITH GOVT PLANE3.CLAIM COORDINATED WITH OTHER CARRIERE4.HOST TIMEOUT ERRORE5.HOST PROCESSING ERROR - PLEASE RESUBMITE6.HOST PROCESSING ERROR - DO NOT RESUBMITE7.HOST PROCESSOR IS DOWNE8.PATIENT MUST REMIT CASH RECEIPT TO TRILLIUMPharmaceutical Services Division Ministry of HealthPage 6 of 16
Response CodeMeaningE9.REDUCED TO REFERENCE BASED PRICEEA .BENEFITS COORDINATED INTERNALLYEB .LIMITED USE DRUG. TIME HAS EXPIREDEC .LIMITED USE DRUG. APPROACHING TIME LIMITED .CONCURRENT THERAPY REQUIREDEE.QUESTIONABLE CONCURRENT THERAPYEF .INAPPROPRIATE CONCURRENT THERAPYEG .NO RECORD OF TRYING FIRST LINE THERAPYEH .CLAIM COST REDUCED TO DAYS SUPPLY LIMITEI.REVERSE ORIGINAL CLAIM AND RESUBMITEJ .CALCULATED RENEWAL DATE ISEK .EXTENDED PRESCRIPTION TERM FOR XXX* DAYSEL .PRIOR TO PRO-RATED START DATEEM .ODB PRICING - TDP DEDUCTIBLE REACHEDEN .INSURER REQUIRES PROVINCIAL PLAN ENROLMENTEO .FAILURE TO ENROL MAY SUSPEND PAYMENTEP .LAST CLAIM, MUST ENROL WITH PROV. PLANEQ .REJECT, PROV. PLAN ENROLMENT REQUIREDER .PROGRAM COVERAGE VALIDATION IS DOWNES .CALL SERVICE ALREADY PAIDET.SUBMIT INVOICE FOR PRICE VERIFICATIONEU .QUANTITY &/OR DAYS SUPPLY NOT PERMITTEDEV .CLAIM EXCEEDS ODB LEGISLATED PRICINGEW .PROF. FEE EXCEEDS ODB LEGISLATED PRICINGEX .HANDICAP AUTHORIZATION IS REQUIREDEY.MAX COST/UPCHGE PAID - DO NOT CLAIM BALANCEEZ .ALLOWED AMOUNT PAID FROM AN HSAFA .CONVERSION SUCCESSFUL COGNITIVE FEE PAIDFB .INVALID PRESCRIPTION STATUSFC.DISPENSED MEDICATION DIFFERS FROM RXFD .DISPENSED DEVICE DIFFERS FROM RXFE .PRESCRIPTION IS NOT AN ADAPTATIONFF .MUST PROVIDE BRAND ORDERED - NO SUB ALLOWEDPharmaceutical Services Division Ministry of HealthPage 7 of 16
Response CodeMeaningFG .DRUG COST AS PER PROVIDER AGREEMENTFH .EXCEEDS MAXIMUM SPECIAL SERVICE FEE ALLOWEDFP.DOSAGE FORM NOT ALLOWED FOR SERVICE CLAIMEDFQ .MEDICAL REASON REFERENCE IS NOT ELIGIBLEFR .CONDITION OR RISK FACTOR IS NOT ELIGIBLEGA .PREFERRED PROVIDER NETWORK FEE PAIDGB .PREFERRED PROVIDER NETWORK CLAIMGC .QUANTITY MAX APPROVAL IS 40 DAYS SUPPLYGD.NOT ELIGIBLE FOR A QUANTITY AUTHORIZATIONGE .DRUG IS NOT A BENEFITHA .CARDHOLDER DATE OF BIRTH IS REQUIREDHB .CARDHOLDER IS OVER COVERAGE AGE LIMITHC .REQUIRE CARDHOLDER PROVINCE OF RESIDENCEHD.PATIENT MAY QUALIFY FOR GOV'T PROGRAMHE .COVERAGE SUSPENDED-REFER TO EMPLOYERHF .PATIENT AUTHORIZATION EXPIREDHG .CLIENT HAS PROVIDED CONSENTHH.CLIENT HAS NOT PROVIDED CONSENTHI .CLIENT CONSENT REQUIREDHJ .CLIENT CONSENT REQUIRED IN FUTUREHK .CONFIRM PATIENT STATUS, CONTACT INSURERI1 .BENEFICIARY ADDRESS ERRORI2 .CITY OR MUNICIPALITY ERRORI3 .PROVINCE OR STATE ERRORI4 .POSTAL/ZIP CODE ERRORI5 .COUNTRY CODE ERRORI6 .ADDRESS TYPE ERRORJ1 .INVALID PHARMANET RX IDJ2 .PHARMANET RX ID DOES NOT MATCH PATIENTJ3 .PRESCRIBER ID DOES NOT MATCH RX INFOJ4 .RX FILLED PRIOR TO ISSUE OF RXJ5 .RX FILLED BEFORE MEDICATION START DATEJ6 .REQUIREMENT FOR MEDICATION HAS EXPIREDPharmaceutical Services Division Ministry of HealthPage 8 of 16
Response CodeMeaningJ7 .RX HAS BEEN ADAPTED BY THE PHARMACISTJ8 .PRESCRIPTION STATUS IS NO LONGER VALIDJ9 .MEDICATION ISSUED DIFFERS FROM RXK1 .DISPENSED DEVICE DIFFERS FROM RXK2 .RX SUBMITTED IS NOT AN ADAPTATION RXK6 .PARENTAL RELATIONSHIP AND AGE DO NOT MATCHKA .DOES NOT MATCH PATIENT INFORMATIONKB .DOES NOT MATCH CARDHOLDER INFORMATIONKC .PATIENT PRODUCT DOLLAR MAXIMUM EXCEEDEDKD .PATIENT PRODUCT DEDUCTIBLE NOT SATISFIEDKE .AUTHORIZATION DOLLAR MAXIMUM EXCEEDEDKF.AUTHORIZATION QUANTITY MAXIMUM EXCEEDEDKG .AUTHORIZATION REFILLS EXCEEDEDKH .AUTHORIZATION COSTS ALLOWED EXCEEDEDKI .PRIOR TO AUTHORIZATION ELIGIBLE PERIODKJ .AUTHORIZATION ELIGIBLE PERIOD EXPIREDKK .NOT ELIGIBLE FOR COBKL .AGE/RELATIONSHIP DISCREPANCYKM .EXCEEDS DAYS SUPPLY LIMIT FOR THIS DRUGKN .DAYS SUPPLY LIMIT FOR PERIOD EXCEEDEDKO .GOOD FAITH CODE WAS USED PREVIOUSLYKP .OBTAINED AT OTHER PHARMACY - REFILL TOO SOONKQ .GOOD FAITH NOT VALIDKR .PATIENT NOT ELIGIBLE FOR PRODUCTKS.CLIENT IS DECEASEDKT .ASSESS PATIENT SDP ELIGIBILITYKU .PATIENT AT . OF A . MAXKV .PATIENT HAS MET MAX OF .KW .PATIENT EXCEEDS MAX OF .KX .PATIENT NOW ELIGIBLE FOR MAINTENANCE SUPPLYKY .DEPENDANT COVERED BY SPOUSE'S INSURERKZ.STUDENT ELIGIBILITY TO BE CONFIRMEDLA .ADJUDICATED TO 0.00 AS REQUESTEDPharmaceutical Services Division Ministry of HealthPage 9 of 16
Response CodeMeaningLB.USE GENERIC - PATIENT HAS GENERIC PLANLC .REDUCED TO GENERIC COST - NO EXCEPTIONSLD .DO NOT COLLECT COPAY - ITEM IS EXEMPTLE .TRIAL RX SECOND FEE NOT ALLOWEDLF .PRESCRIBER ID REFERENCE IS MISSINGLG .LOWEST COST EQUIVALENT PRICINGLH .AUTHORIZATION REQUIRED-CALL ADJUDICATORLI .SELECT NETWORK FEE PAIDLJ.RESUBMIT TO WCB WITH DE INTERVENTION CODELK .CLAIM PROCESSED-NET PAYABLE IS 0.00LL .DRUG COVERED BY RAMQLM .AIA - UPCHARGE ADJUSTEDLN .CHECK POTENTIAL BENEFIT CRITERIALO .BENEFIT MAXIMUM EXCEEDEDLP .LIFETIME PLAN MAXIMUM EXCEEDEDLQ .EXCEEDS NRT TIME LIMITLR.EXCEEDS NRT REIMBURSEMENT PERIODLS .EXCEEDS NRT XX DAY USE LIMIT*LT .SEE TRACE # XXXXXX, EXCEEDS NRT USE PERIOD*LU .OTHERPHARMACY TRACE # EXCEED NRT USE PERIOD*LV.EXCEEDS ANNUAL NRT PRODUCT LIMITLW .AUTHORIZATION FOR DRUG EXPIRESLX .PREDETERMINATION - DRUG IS ELIGIBLELY .CLAIM EC DRUG IN SEPARATE TRANSACTIONLZ .CLAIM ADJUSTED TO PLAN TYPE FEE CAPMA .AVOIDANCE OF ALCOHOL INDICATEDMB .AVOIDANCE OF TOBACCO INDICATEDMC.DRUG/LAB INTERACTION POTENTIALMD .DRUG/FOOD INTERACTION POTENTIALME .DRUG/DRUG INTERACTION POTENTIALMF .MAY BE EXCEEDING RX DOSAGEMG .MAY BE USING LESS THAN RX DOSAGEMH .MAY BE DOUBLE DOCTORINGPharmaceutical Services Division Ministry of HealthPage 10 of 16
Response CodeMeaningMI.POLY-PHARMACY USE INDICATEDMJ .DOSE APPEARS HIGHMK.DOSE APPEARS LOWML .DRUG INCOMPATIBILITY INDICATEDMM .PRIOR ADR ON RECORDMN .DRUG ALLERGY RECORDEDMP.DURATION OF THERAPY MAY BE INSUFFICIENTMQ .DURATION OF THERAPY MAY BE EXCESSIVEMR .POTENTIAL DRUG/DISEASE INTERACTIONMS .POTENTIAL DRUG/PREGNANCY CONCERNMT .DRUG/GENDER CONFLICT INDICATEDMU .AGE PRECAUTION INDICATEDMV .ADDITIVE EFFECT POSSIBLEMW .DUPLICATE DRUGMX .DUPLICATE THERAPYMY.DUPLICATE DRUG OTHER PHARMACYMZ .DUPLICATE THERAPY OTHER PHARMACYNA .DUPLICATE INGREDIENT SAME PHARMACYNB .DUPLICATE INGREDIENT OTHER PHARMACYNC .DOSAGE EXCEEDS MAXIMUM ALLOWABLEND .DOSAGE IS LOWER THAN MINIMUM ALLOWABLENE.POTENTIAL OVERUSE/ABUSE INDICATEDNF .QUANTITY-TREATMENT PERIOD DISCREPANCYNG .PRODUCT-FORM PRESCRIBED DO NOT MATCHNH .QUANTITY ERROR-INDICATE PACKAGE SIZENI .ONLY ONE SERVICE CODE IS ALLOWEDNJ.REQUEST IS INCONSISTENT WITH OTHER SERVICENK .SERVICE REQUIRES COMPOUNDINGNL .SERVICE AND COMPOUND TYPE DO NOT MATCHNM .SERVICE AND MEDICATION TYPE DO NOT MATCHNN .INTERVENTION INCONSISTENT WITH SERVICENO .SERVICE REQUIRES CONTROLLED USE DRUGNP .SERVICES TO BENEFICIARY ARE RESTRICTEDPharmaceutical Services Division Ministry of HealthPage 11 of 16
Response CodeMeaningNQ .DRUG NOT ELIGIBLE FOR TRIAL RXNR .DRUG NOT SUITABLE FOR DOSETTE PACKAGINGNS .REFUSAL AND OPINION CLAIMED ON SAME DATENT .NOT SUITABLE-SIMILAR ITEM ON RECENT TRIAL RXNU .TOO SOON AFTER PREVIOUS THERAPYNV .POTENTIAL DUPLICATE CLAIMNW .QUANTITY - TRIAL RX DAYS DO NOT MATCHNX .QUANTITY EXCEEDS TRIAL DAYS PERIODNY .INSUFFICIENT QUANTITY FOR TRIAL DAYS PERIODNZ .TRIAL BALANCE GIVEN TOO LATEOA.TRIAL BALANCE GIVEN TOO SOONOB .REJECT TRIAL RX - DAYS SUPPLY EXCEEDEDOC .QUANTITY REDUCTION REQUIREDOD .NO TRIAL RX ON RECORD, BALANCE REJECTEDOE .TRIAL BALANCE ALREADY DISPENSEDOF .INITIAL RX DAYS SUPPLY EXCEEDEDOG .DURATION EXCEEDS HIGH DOT- NO MAX AVAILABLEOH .DURATION EXCEEDS HIGH DOT BUT NOT MAXIMUMOI .CLAIM PRECEDES START OF CURRENT PERIODOJ.CLAIM BEGINS NEW LIMITED SUPPLY PERIODOK .MAXIMUM ALLOWABLE AIA EXCEEDEDOL .MAX ALLOWABLE DISPENSING FEE EXCEEDEDOM .SPECIAL SERVICES FEE NOT ALLOWEDON .COMPOUNDING FEE NOT VALID IN THIS FIELDOP .LAST SUPPLY (NCE) ISSUED IN PILLBOXOQ .SPECIAL AUTH ELIGIBLE UNDER OTHER COVERAGEOR .EXCEPTION DRUG, SUBMIT TO PROVINCIAL PLANOS .SUBMIT FUTURE CLAIMS TO PROVINCIAL PLANOT .MAXIMUM FEE PAID - DO NOT CLAIM BALANCEOU .REFILL IS X DAYS EARLYOV.VERBAL PRESCRIPTION NOT PERMITTEDOW .VERBAL RENEWAL NOT PERMITTEDOX .TOTAL CLAIMED EXCEEDS PRESCRIPTION PRICEPharmaceutical Services Division Ministry of HealthPage 12 of 16
Response CodeMeaningOY .SPECIAL SERVICES FEE HAS BEEN ADJUSTEDOZ .PATIENT NOW COVERED BY SUCCESSOR PAYORPA .PRESCRIBER RESTRICTION FOR THIS DRUGPB .NO MATCH TO PRESCRIBER ID AND NAME FOUNDPC .NOT A BENEFIT FOR THIS PRESCRIBER TYPEPD .COST REDUCED-PT. ELECTED THERAPEUTIC OPTIONQA .MATCHES HEALTH SPENDING ACCOUNT FUNDSQB.NEARING HEALTH SPENDING ACCT FUNDS MAXQC .EXCEEDS HEALTH SPENDING ACCOUNT FUNDSQD .PRIOR HEALTH SPENDING ACCOUNTQE .HEALTH SPENDING ACCOUNT PERIOD EXPIREDQF .MONTHLY MAXIMUM HAS BEEN REACHEDQG .DRUG NOT ALLOWED BY THIS PROGRAMQH .CALCULATED PRODUCT PRICE IS TOO HIGHQI .CLAIM PROCESSED PREVIOUSLY IS CANCELLEDQJ.DEFERRED PAYMENT-PATIENT TO PAY PHARMACISTQK .SENT TO INSURER TO REIMBURSE 999.99QL .PATIENT CONSULTATION SUGGESTEDQM .NO RECORD OF REQUIRED PRIOR THERAPYQN .AGENCY RESTRICTION FOR THIS DRUGQO .PREFERENCE OR STEP DRUG AVAILABLEQP .DRUG INELIGIBLE - FUNDED BY HOSPITAL BUDGETQQ .DRUG INELIGIBLE - SPECIALTY PROGRAM DRUGQR.MAXIMUM ALLOWABLE COST (MAC) PAIDQS .CLAIM OVER 9999.99, SEND AS 2 CLAIMSQT .REDUCED TO QUANTITY LIMIT MAXIMUMQU .REDUCED TO LIMIT MAXIMUMQV.PATIENT HAS REACHED CATEGORY LIMITQW .SPECIAL AUTHORIZATION - LONG TERMQX .CONDITIONAL ELIGIBILITY PERIOD EXCEEDEDQY .EXCEPTION DRUG - SUBMIT CLAIM TO INSURERQZ .RENEWAL DENIEDRA .EXCEEDS MAX. NUMBER OF RX PER DAYPharmaceutical Services Division Ministry of HealthPage 13 of 16
Response CodeMeaningRB .EXCEEDS MAX. NUMBER OF ACTIVE RX ALLOWEDRC .TRANSMITTED TO INSURERRD .ELIGIBLE FOR PRIOR APPROVALRE .WILL PAY INSURED IF COVERED BY DRUG PLANRF .CONSIDERATION TO ADD DRUG IS IN PROGRESSRG .PLAN WILL ADVISE CLIENT OF BENEFIT STATUSRH .NOT PRESENTLY AN ELIGIBLE BENEFITRI .DIN REMOVED FROM MARKET/DISCONTINUEDRJ .HERBAL, HOMEO, NATURO PRODUCTS NOT COVEREDRK .THIS PRODUCT IS NOT COVERED BY VACRL.THIS FORMULATION NOT COVEREDRM .EXCEEDS DAILY LIMITRN .EXCEEDS ANNUAL LIMITRO .LRB, FUTURE FILLS REQUIRE SPEC AUTHRP .LRB, MAX EXCEEDED, REQUIRES SPEC AUTHRQ.CALL VAC FOR SPECIAL AUTHORIZATIONRR .RESIDUAL AMOUNT BASED ON ANNUAL LIMITRS .ANNUAL LIMIT REACHED WITH CURRENT CLAIMRT .ANNUAL LIMIT REACHED WITH PREVIOUS CLAIMRU .SPECIAL COB, REFERS TO PLAN PAYS AMOUNT ONLYRV .NON DESIGNATED PHYS FUTURE FILLS NEED SARW .
INVALID MMI/CLINICAL SERVICE CODE . 12 . MMI MAXIMUM EXCEEDED . 13 . INVALID CLINICAL SERVICE CODE . 14 . INVALID RBRVS PARAMETER COUNT . PHARMACY ID CODE ERROR . Pharmaceutical Services Division Ministry of Health Pa
Issue of orders 69 : Publication of misleading information 69 : Attending Committees, etc. 69 : Responsibility 69-71 : APPENDICES : Appendix I : 72-74 Appendix II : 75 Appendix III : 76 Appendix IV-A : 77-78 Appendix IV-B : 79 Appendix VI : 79-80 Appendix VII : 80 Appendix VIII-A : 80-81 Appendix VIII-B : 81-82 Appendix IX : 82-83 Appendix X .
Appendix G Children's Response Log 45 Appendix H Teacher's Journal 46 Appendix I Thought Tree 47 Appendix J Venn Diagram 48 Appendix K Mind Map 49. Appendix L WEB. 50. Appendix M Time Line. 51. Appendix N KWL. 52. Appendix 0 Life Cycle. 53. Appendix P Parent Social Studies Survey (Form B) 54
Chapter III:British Enterprise in Bangkok. 93 1.The Role and Importance of British Trading Houses in Bangkok. 93 2.The British Trading Houses. 100 3.The British Banks in Bangkok. 124 A)Paper Currency. 128 B)The British Response to the Gold Standard,1902. 130 C)The Idea of a National Bank and the Effects on the British Banks. 136 4.Public Works. 147
Oct 01, 2015 · Conformed to FSC New Codes Added No new codes. Added a definition for R&D Stage 7, Commercialization, to the manual (the related codes are already in use in FPDS). 30 new codes to capture missing services. 1 code added to match FSC list. Codes End Dated None 12 ended codes (combined with existing codes). 39 codes which have been in use in FPDS but
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Appendix H Forklift Operator Daily Checklist Appendix I Office Safety Inspection Appendix J Refusal of Workers Compensation Appendix K Warehouse/Yard Inspection Checklist Appendix L Incident Investigation Report Appendix M Incident Investigation Tips Appendix N Employee Disciplinary Warning Notice Appendix O Hazardous Substance List
Nov 21, 2005 · 1.3 mak field codes for nonmilitary u.s. government weapons 1.4 mak field for foreign military weapons 1.5 mak field codes alphabetically by manufacturer 1.6 mak field codes alphabetically by code 2--caliber (cal) field codes 2.1 cal field codes 2.2 cal field codes for shotguns 3--type (typ)
4.1 rules for the consolidation of source codes from 2023 year of assessment 4 4.2 normal income codes 7 4.3 allowance codes 11 4.4 fringe benefit codes 17 4.5 lump sum codes 21 4.6 gross remuneration codes 25
