NCPDP Reject Error Codes
NCPDP Reject Error CodesThis page contains NCPDP Reject Error Codes and descriptions as well as the correspondingPROMISe Internal Error Status Codes. Although the complete crosswalk is provided forinformational purposes, it is important to note that only information shown in red below isreturned to pharmacies when billing electronically.NCPDPErrorCodeNCPDP Error Code DescriptionPROMISeInternal ErrorStatus CodePROMISe ESC Description1M/I Bin4178INVALID BIN NUMBER2M/I Version Number4179INVALID NCPCP VERSION NUMBER3M/I Transaction Code4180INVALID TRANSACTION CODE4M/I Processor Control Number4181INVALID PROCESSOR NUMBER5M/I Pharmacy Number201BILLING PROVIDER ID NUMBER IS MISSING FROMCLAIM202BILLING PROVIDER ID NUMBER IN INVALID FORMAT255BILLING PROVIDER LOCATION CODE INVALID1001THE BILLING PROVIDER IS NOT ENROLLED AT THESERVICE LOCATION FOR THE PROGRAM BILLED1100NPI REPORTED FOR BILLING PROVIDER NOTFOUND1102MULTIPLE SVC LOC FOR BILLING NPI1126BILLING NPI REPORTED NOT VALIDATED1127BILLING NPI REPORTED IS NOT AVAILABLE FORUSE1135NPI REPORTED FOR BILLING PROVIDER IS INVALID203DATE OF SERVICE PRIOR TO CARD ISSUE DATE204RECIPIENT ID NUMBER IS INVALID OR NOT FOUNDON CIS209CARD ISSUE INFORMATION NOT AVAILABLE7M/I Cardholder ID Number12M/I Patient Location4109MISSING/INVALID PATIENT LOCATION CODE13M/I Other Coverage Code4078MISSING/INVALID OTHER COVERAGE CODE14M/I Eligibility Clarification Code4079MISSING/INVALID ELIGIBILITY CLARIFICATIONCODE15M/I Date of Service215DATE DISPENSED IS MISSING216DATE DISPENSED IS INVALID264THE DATE OF SERVICE IS MISSING265THE DATE OF SERVICE IS INVALID503DATE DISPENSED AFTER BILLING DATE1617M/I Prescription/Service Reference 212NumberM/I Fill NumberINVALID RX NUMBER SUBMITTED5021SAME PROVIDER, SERVICE LOC, DOS & RX # INHISTORY211REFILL NUMBER INVALID351REFILL NOT ALLOWED FOR NARCOTIC DRUGS5006MAXIMUM NUMBER OF REFILLS HAS BEENEXCEEDED FOR RX7027DRUG QUANTITY PER DAY LIMIT HAS BEENEXCEEDED03/12/2012
19M/I Days Supply221DAYS SUPPLY MISSING222DAYS SUPPLY INVALID20M/I Compound Code4190INVALID COMPOUND CODE21M/I Product/Service ID217NDC MISSING218NDC INVALID FORMAT22M/I Dispense As Written/ProductSelection Code210BRAND MEDICALLY NECESSARY INDICATOR/DAWCODE INVALID23M/I Ingredient Cost Submitted4319INVALID INGREDIENT COST SUBMITTED25M/I Prescriber ID205PRESCRIBING PRACTITIONER'S LICENSE NUMBERIS MISSING FROM THE CLAIM206PRESCRIBING PRACTITIONER LICENSE NUMBER ISNOT IN A VALID FORMAT1025PRESCRIBING LICENSE NUMBER IS INVALID1067CRNP BILLING OR PRESCRIBING FORCONTROLLED DRUGS AND THE DAYS SUPPLYEXCEEDS THE MAXIMUM LIMIT1139NPI REPORTED FOR PRESCRIBING PROVIDER ISINVALID1169PRESCRIBING NPI REPORTED IS NOT AVAILABLEFOR USE26M/I Unit Of Measure4192INVALID UNIT OF MEASURE28M/I Date Prescription Written214DATE PRESCRIBED IS MISSING OR INVALID500DATE PRESCRIBED AFTER BILLING DATE29M/I Number Refills Authorized4024MAXIMUM NUMBER OF REFILLS HAS BEENREACHED32M/I Level Of Service4086MISSING/INVALID LEVEL OF SERVICE33M/I Prescription Origin Code231PRESCRIPTION ORIGIN CODE IS INVALID34M/I Submission Clarification Code4191INVALID SUBMISSION CLARIFICATION CODE39M/I Diagnosis Code4334INVALID DIAGNOSIS CODE40Pharmacy Not Contracted WithPlan On DOS1048PROVIDER IS SUSPENDED OR TERMINATED4087PHARMACY NOT CONTRACTED WITH PLAN ONDATE OF SERVICE41Submit Bill To Other Processor OrPrimary Payer2532TPL PAYMENT AMOUNT IS BEING USED FORREPORTING PURPOSES50Non-Matched Pharmacy Number1000BILLING PROVIDER ID NOT ON FILE54Non-Matched Product/Service IDNumber4004NDC NOT ON FILE56Non-Matched Prescriber ID1026PRESCRIBING PHYSICIAN LICENSE NUMBER NOTON FILE61Product/Service Not Covered ForPatient Gender4023NDC VS SEX RESTRICTION65Patient Is Not Covered847RECIPIENT IS IN ANOTHER MCO ON DOS2003RECIPIENT INELIGIBLE ON DATE(S) OF SERVICE2017RECIPIENT SERVICES COVERED BY HMO PLAN2027THERE APPEARS TO BE A DISCREPANCYBETWEEN THE DATE OF DEATH ON THEDEPARTMENTS FILE AND THE DATE OF SERVICEON YOUR CLAIM66Patient Age Exceeds MaximumAge4025THE NDC BILLED IS INCONSISTENT WITH THERECIPIENT'S GENDER70Product/Service Not Covered4002NDC INDICATES A NON-COVERED DRUG ON DOS03/12/2012
75Prior Authorization Required4007ALL INGREDIENTS ARE NON-COVERED ON DOS4013PROCEDURE CODE/NDC IS NOT COVERED FORDATE OF SERVICE4339NDC NOT COVERED IN A NON COMPOUND CLAIM4343ED DRUG NOT COVERED EFFECTIVE 3/1/20067024LTC, PRIVATE ICF/MR RECIPIENT NONCOMPENSABLE DRUG2527DRUG REQUIRES PRIOR AUTH FOR DUAL ELIGIBLE3000PA NUMBER INVALID FORMAT3002NDC/PROCEDURE CODE REQUIRES PRIORAUTHORIZATION WHICH IS NOT FOUND, MISSING,OR INVALID3041DATE OF SERVICE IS BEFORE OR AFTER THE PADATE4003DRUG INDICATED HAS BEEN IDENTIFIED AS LESSTHAN EFFECTIVE4080PRILOSEC OTC EXCEEDS MAX QTY4081PA REQUIRED FOR NON-PREFERRED PPI4082PA REQUIRED 136 DAYS - HISTORY OF PPI4083PA REQUIRED 136 OR 204 DAYS - NO HISTORYOF PPI4084PA REQUIRED 340 DAYS OR 408 DAYS OF A PPI4088PRIOR AUTHORIZATION REQUIRED FOR MORETHAN THREE TABLETS OF OXYCONTIN PER DAY4089PRIOR AUTHORIZATION REQUIRED FOR MORETHAN TWO CONCURRENT STRENGTHS OFOXYCONTIN4093PRILOSEC 10 MG EXCEEDS MAX QTY4154EMERGENCY QUANTITY CANNOT EXCEED A FIVEDAY SUPPLY4157PRIOR AUTHORIZATION IS REQUIRED FOREXCEPTIONS TO THE MONTHLY PRESCRIPTIONLIMIT4173BRAND DRUG MEDICALLY NECESSARY4266DAILY DOSAGE EXCEEDS LIMIT FOR EMERGENCYCLAIM4267DAILY DOSAGE EXCEEDED FOR NON-EMERGENCYCLAIM5031SUPER PA REQ, MAX DAILY DOSE OF ED RXEXCEEDED5033SUPER PA REQ, DDI WITH AN ED DRUG ANDNITRATE5034SUPER PA REQ, DDI WITH AN ED DRUG ANDALPHABLOCKER5035SUPER PA REQ, CURRENT ED RX NOT SAME ASLAST ED RX5036SUPER PA REQ, ED RX FOR RECIPIENT 19 YEARSOLD5037SUPER PA REQ, NO HISTORY OF ED PA OR PE5040PA REQUIRED, EARLY REFILL OF A COX II RX5041PA REQUIRED, THERAPY OF A COX II RX NOTCHANGED5042PA REQUIRED, NO HISTORY OF A COX II RX5043MAXIMUM QUANTITY LIMIT EXCEEDED FOR ANTINAUSEA5047COX-II DUPLICATIVE NSAID03/12/2012
5048COX-II CONCURRENT ANTI-COAGULANT5049ANTI-ULCER DRUG REQUIRES PA5144MAXIMUM DAILY DOSAGE EXCEEDED FOR COX II5145MAXIMUM DAILY DOSAGE EXCEEDED FOR VIOXX5146ED DRUGS LIMITED TO 4 PER MONTH5147ED DRUGS LIMITED TO 6 PER MONTH5475PA REQUIRED, DRUG IS NON-PREFERRED5478PA REQUIRED, CHRONIC THERAPY OF PPI5481PRIOR AUTH REQUIRED FOR THISANTICONVULSANT DRUG5482PRIOR AUTH REQUIRED FOR SPIRIVA IF RECIP AGE 455483PRIOR AUTH REQUIRED FOR THIS HYPOGLYCEMICDRUG5484PA REQUIRED FOR COMTAN7100DUR PLUS NON-PRD STATINS7101DUR PLUS LIPITOR 80MG7102DUR PLUS NON-PDL BENZO – AGE 0-207103DUR PLUS PRD BENZO – AGE 0-207104DUR PLUS NP BENZO – AGE GREATER THAN 217106DUR PLUS NON-PRD ANTIHISTAMINE7107DUR PLUS PRD OTC ANTIHISTAMINE FOR DUAL7108DUR PLUS NON-PRD SSRI7109DUR PLUS NON-PRD ORAL BETA-AGONIST7110DUR PLUS NPD SHORT-ACTING BETA-AGONIST INHSOL7111DUR PLUS NPD SHORT-ACTING BETA-AGONISTINHALERS7112DUR PLUS NPD LONG-ACTING BETA-AGONIST INHSOL7113DUR PLUS NON-PRD INTRANASAL RHINITIS7114DUR PLUS PRD COSMETIC ACNE AGENTS7115DUR PLUS NPD NON-COSMETIC ACNE AGENTSEXC COMBOS7116DUR PLUS NPD COSMETIC ACNE AGENTS – AGE 0207117DUR PLUS NPD COSMETIC ACNE AGENTS – AGE21-1207118DUR PLUS SPRIVIA7119DUR PLUS NON-PRD NSAID (EXCLUDINGCELEBREX)7120DUR PLUS CELEBREX7121DUR PLUS PRD NSAID7122DUR PLUS RESTASIS7123DUR PLUS SUBOXONE/SUBUTEX7124DUR PLUS SUBOXONE CONTRAINDICATEDMEDICATIONS7125DUR PLUS NON-PRD STIMULANTS7126DUR PLUS NON-PDL SUBOXONECONTRAINDICATED MEDS7127DUR PLUS NPD SUBOXONE CONTRAINDICATED03/12/2012
MEDS7128DUR PLUS NON-PDL BENZO – AGE 21-1207129DUR PLUS PRD BENZO – AGE 21-1207130DUR PLUS NPD BENZO – AGE 0-207131DUR PLUS DAYTRANA7132DUR PLUS LIQUADD7133DUR PLUS NUVGIL7134DUR PLUS PROVIGIL7135DUR PLUS NPD PPI – AGE 6-1207136DUR PLUS PRD PPI – AGE 0-57137DUR PLUS OTC PPI FOR DUAL7138DUR PLUS NPD PPI – AGE 0-57139DUR PLUS NPD DRUG – PRIOR AUGH REQUIRED7140DUR PLUS NPD PANCRECARB MS7141DUR PLUS NPD EVISTA7142DUR PLUS SHORT-ACTING INHALER7143DUR PLUS NPD INHALINATION SOLUTION7144DUR PLUS NPD LONG-ACTING INHALER7145DUR PLUS NPD SEREVENT7146DUR PLUS NPD INTRANASAL RHINITIS7147DUR PLUS NPD VERAMYST7148DUR PLUS NPD PHENYTEK7149DUR PLUS NPD FELBATOL7150DUR PLUS NPD STAVZOR7151DUR PLUS LYRICA7152DUR PLUS PRD TOPAMAX/TOPIRAMATE7153DUR PLUS SKELETAL MUSCLE RELAXANTS7154DUR PLUS NPD AZASAN7155DUR PLUS NPD CYCLOSPORINE7156DUR PLUS MYFORTIC7157DUR PLUS NPD TACROLIMUS7158DUR PLUS NPD MULTIPLE SCLEROSIS7159DUR PLUS REVATIO7160DUR PLUS NPD ADCIRCA7161DUR PLUS NPD PPI AGE 6-127162DUR PLUS NPD PREV SOLU & PROTONIX SUSP –AGE 6-127163DUR PLUS NPD SAVELLA7164DUR PLUS CYMBALTA7165DUR PLUS ZORTRESS7166DUR PLUS NPD CHLORAL HYDRATE AGE 0-117167DUR PLUS NON-PRD ANTIPARKINSON’S7168DUR PLUS NON-PRD ACTONEL7169DUR PLUS NON-PRD BONIVA7170DUR PLUS NON-PRD BUDESONIDE/PULMICORT RE03/12/2012
7171DUR PLUS NON-PRD ANTIPSYCHOTICS7172DUR PLUS NPD ROSIGLITAZONE7173DUR PLUS: PA REQ’D MORE THAN 1 ANDROGENIC7174DUR PLUS: PA REQ’D MORE THAN 1 ACE INHIBITO7175DUR PLUS: PA REQ’D MORE THAN 1 ARB7176DUR PLUS: PA REQ’D MORE THAN 1 SSRI7177DUR PLUS: PA REQ’D MORE THAN 1 ANTIHISTAMIN7178DUR PLUS: PA REQ’D MORE THAN 1 ATYP ANTIPS’7179DUR PLUS: PA REQ’D MORE THAN 1 LONG-ACTINGBENZO7180DUR PLUS: PA REQ’D MORE THAN 1 SHORTACTING BENZO7181DUR PLUS: PA REQ’D MOR THAN 1 BETA BLOCKE7182DUR PLUS: PA REQ’D MORE THAN 1 CALC. CHAN7183DUR PLUS: PA REQ’D MORE THAN 1 INH GLUCOCO7184DUR PLUS: PA REQ’D MORE THAN 1 STATIN7185DUR PLUS: PA REQ’D MORE THAN 1 LONG ACT. BE7186DUR PLUS: PA REQ’D MORE THAN 1 LONG-ACT. NA7187DUR PLUS: PA REQ’D MORE THAN 1 PPI7188DUR PLUS: PA REQ’D MORE THAN 1 TRIPTAN7189DUR PLUS: PA REQ’D MORE THAN 1 LONG-ACTSTIMULANT7190DUR PLUS: PA REQ’D MORE THAN 1 SHORT-ACTSTIMULANT7191DUR PLUS: PA REQ’D MORE THAN 1 SKEL. MUS.RELAXANT7192DUR PLUS: PA REQ’D MORE THAN 1 NSAID7193DUR PLUS: PA REQ’D GABAPENTIN PREGABALIN7194DUR PLUS NPD PPI AGE 6-1207195DUR PLUS NPD REVATIO AGE 0-177196DUR PLUS NPD REVATIO AGE 18-1207197DUR PLUS ADCIRCA7198DUR PLUS NPD CELLCEPT7199DUR PLUS NPD TYVASO7200DUR PLUS NPD HIV MEDICATION7201DUR PLUS PROMETHAZINE AGE 0-57202DUR PLUS NPD CEFDINIR CAPSULES AGE 0-177203DUR PLUS NPD XIFAXAN 550MG7204DUR PLUS ULCERATIVE COLITIS7205DUR PLUS ADULT AGE EDIT, STIMULANTS ANDRELATED7206DUR PLUS AGE EDIT, ANTIPSYCHOTIC7207DUR PLUS NP EQUETRO7208DUR PLUS ORAL KETOROLAC7209DUR PLUS INJECTABLE KETOROLAC AGE 2-167210DUR PLUS INJECTABLE KETOROLAC AGE 17-1207211DUR PLUS INJECTABLE KETOROLAC AGE 0-17212DUR PLUS NASAL KETOLOAC03/12/2012
79Refill Too Soon7213DUR PLUS NP CHANTIX5046EARLY REFILL OF COX-II4090REFILL TOO SOON - OXYCONTIN CLAIM7506CLAIM CONTAINS A NON-OVERRIDABLE ALERT80Drug-Diagnosis Mismatch4340NDC REQUIRES MANUAL REVIEW UNLESSELIGIBILITY CLARIFICATION CODE81Claim Too Old545CLAIM PAST FILING LIMIT (DETAIL)82Claim Is Post-Dated554BILLED DATE LESS THAN DATES OF SERVICE ONTHE CLAIM83Duplicate Paid/Captured Claim5002EXACT DUPLICATE DRUG CLAIM SUBMITTED5005GENERIC DUPLICATE DRUG CLAIM SUBMITTED84Claim Has Not Been Paid/Captured 871DUR CANCELLATION/OVERRIDE- CANNOT BELOCATED OR MUST BE SENT WITHIN 72 HOURS(verify that you are not sending DUR override informationon the initial claim even though you expect a DUR alert.Override information cannot be submitted on the originalclaim. It can only be submitted once a DUR rejection isreturned.)1015DEA NUMBER NOT ON FILE - CONTACT PROVIDERENROLLMENT1065PROVIDER ENROLLED AS A BULK IMMUNIZATIONPROVIDER2006ALIEN ELIGIBLE FOR MEDICAL EMERGENCY ONLY2200MEDICARE PART D COPAY IS NOT REIMBURSABLE2201CLAIM BILLED FOR MEDICARE COPAY BILLEDINCORRECTLY2524NOT A MA COVERED DRUG FOR DUAL ELIGIBLE3004EXISTING PA NOT VALID FOR DUAL ELIGIBLE3023NDC NUMBER DOES NOT MATCH THE APPROVEDCOMBINATION FOR THIS PRIOR AUTHORIZATION3024THE INVOICE CLAIM LINE QUANTITY EXCEEDS THEPRIOR AUTHORIZATION REQUEST QUANTITY3025CLAIM DETAIL DATE OF SERVICE IS AFTER THEPRIOR AUTHORIZATION EXPIRATION DATE - DETAIL3026THIS PROCEDURE CODE/MODIFIER- NDC ORPROGRAM EXCEPTION ON THE CLAIM DETAIL WASDENIED ON YOUR PRIOR AUTHORIZATIONREQUEST3028THE PRESCRIBER LICENSE NUMBER DOES NOTMATCH THE PRESCRIBER LICENSE NUMBER ONTHE PRIOR AUTHORIZATION REQUEST3035OUR RECORDS INDICATE THE DEPT HAS ALREADYPAID FOR THIS CLAIM DETAIL PRIORAUTHORIZATION INDICATED4092ANTI-ULCER TAKEN FOR MORE THAN 90 DAYSREQUIRES PA4147RECIPIENT NUMBER NOT ON THE PRIORAUTHORIZATION DATABASE4153DRUG CODE FOR A PRE-NATAL VITAMIN WITH NOPREGNANCY INDICATOR4156RECIPIENT ONLY ELIGIBLE FOR BIRTH CONTROLDRUGS.4342NO EMERGENCY SUPPLIES ALLOWED FOR THISDRUG5103GA RECIPIENT LIMITED TO 6 PRESCRIPTIONS PERMONTH5136PHARMACY AMOUNT EXCEEDS MAX5150DAILY PAID AMOUNT EXCEEDS MAX03/12/2012
878899Reversal Not ProcessedDUR Reject ErrorHost Processing Error5918CLAIM HAS NOT BEEN PAID/CAPTURED5919SUPER PA REQUIRED FOR EXCEPTIONS TO GAPRESCRIPTION MAX7016DUR CANCELLATION PROCESSED7500BILLING PROVIDER ON PREPAYMENT REVIEW4158REVERSAL INFORMATION DOES NOT MATCH APREVIOUSLY APPROVED CLAIM4159THIS CLAIM HAS ALREADY BEEN REVERSED4160MORE THAN ONE CLAIM HAS BEEN APPROVEDWHEN TRYING TO REVERSE A CLAIM7000CLAIM FAILED A PRODUR ALERT7002CLAIM FAILED A PRODUR ALERT FOR LATE REFILL7003CLAIM FAILED A PRODUR ALERT FOR DRUG DRUG7004CLAIM FAILED A PRODUR ALERT FORTHERAPEUTIC DUP7005CLAIM FAILED A PRODUR ALERT FOR PREGNANCY7006CLAIM FAILED A PRODUR ALERT FOR EARLYREFILL7007CLAIM FAILED A PRODUR ALERT FOR HIGH DOSE7008CLAIM FAILED A PRODUR ALERT FOR PEDIATRICAGE7009CLAIM FAILED A PRODUR ALERT FOR GERIATRICAGE7010CLAIM FAILED A PRODUR ALERT FOR LOW DOSE7011CLAIM FAILED A PRODUR ALERT FOR MINIMUMDURATION7012CLAIM FAILED A PRODUR ALERT FOR MAXIMUMDURATION7013CLAIM FAILED A PRODUR ALERT FOR DRUGDISEASE7014CLAIM FAILED A PRODUR ALERT FOR INGREDIENTDUP7016DUR CANCELLATION PROCESSED911INTERNAL ERROR999CIS UNAVAILABLE208PREGNANCY INDICATOR INVALID2CM/I Pregnancy Indicator4CM/I Coordination Of Benefits/Other 4196Payments CountINVALID COB/OTHER PAYER COUNT5CM/I Other Payer Coverage Type4198MISSING/INVALID OTHER PAYER COVERAGE TYPE4216DUPLICATE OTHER PAYER COVERAGE TYPE4338INVALID OTHER PAYER COVERAGE TYPE ENCOUNTER5EM/I Other Payer Reject Count4311INVALID OTHER PAYER REJECT COUNT6CM/I Other Payer ID Qualifier4199INVALID OTHER PAYER ID QUALIFIER6EM/I Other Payer Reject Code4312INVALID OTHER PAYER REJECT CODE7CM/I Other Payer ID4300MISSING/INVALID OTHER PAYER ID4301MCO INACTIVE4302MCO NOT ON FILE8RSubmission Clarification Code NOT 4144SupportedNDC NOT COVERED ON DATE OF SERVICE FORCOMPOUNDA7M/I Internal Control NumberINVALID OTHER PAYER ICN SUBMITTED424303/12/2012
A9M/I Transaction Count247MAXIMUM NUMBER OF CLAIM DETAILS EXCEEDED250CLAIM HAS NO DETAILS4075MISSING/INVALID TRANSACTION COUNT502DATE DISPENSED EARLIER THAN DATEPRESCRIBEDABDate Written Is After Date FilledADBilling Prov Not Eligible To Bill This 1032Claim TypeBILLING PROVIDER NOT ELIGIBLE TO BILL THISCLAIM TYPEAKM/I Software Vendor/CertificationID4184INVALID SOFTWARE VENDOR CERTIFICATION IDB2M/I Service Provider ID Qualifier846SERVICE PROVIDER ID ALL EIGHT'S THEN THISFIELD1152NPI FOR BILLING ID IS INDICATED, BUT FORMATINCORRECT1153LEGACY FOR BILLING ID IS INDICATED, BUTFORMAT INCORRECTB2M/I Service Provider ID Qualifier4183SERVICE PROVIDER ID QUALIFIER INVALIDDNM/I Basis Of Cost Determination4320INVALID BASIS OF COST DETERMINATIONDQM/I Usual And Customary Charge268BILLED AMOUNT MISSING269BILLED AMOUNT INVALID270TOTAL BILLED AMOUNT MISSING227THIRD PARTY PAYMENT AMOUNT INVALID4309OTHER PAYER PAID AMOUNT FOR PRIMARY PAYERENCOUNTER IS INVALID4310OTHER PAYER PAID AMOUNT FOR SECONDARYPAYER ENCOUNTER IS INVALIDDVM/I Other Payer Amount PaidDXM/I Patient Paid Amount Submitted 840MISSING/INVALID PATIENT PAY FOR NCPDPE1M/I Product/Service ID Qualifier4189INVALID PRODUCT/SERVICE ID QUALIFIERE4M/I Reason For Service Code4315INVALID REASON FOR SERVICE CODEE5M/I Professional Service Code4316INVALID PROFESSIONAL SERVICE CODEE6M/I Result Of Service Code4317MISSING/INVALID RESULT OF SERVICE CODEE7M/I Quantity Dispensed219QUANTITY DISPENSED IS MISSING220QUANTITY DISPENSED IS INVALID4026THE NDC BILLED AND DAYS SUPPLY / QUANTITYDISPENSED ARE INCONSISTENT4416VALIDATE THE NUMBER OF UNITS BILLED AND THEBILLED AMOUNT4303OTHER PAYER DATE MISSING4304OTHER PAYER DATE INVALID4324MISSING/INVALID COMPOUND INGREDIENT COUNT4325OVER MAXIMUM COMPOUND INGREDIENT COUNTE8ECM/I Other Payer DateM/I Compound IngredientComponent CountEEM/I Compound Ingredient DrugCost4328INVALID COMPOUND INGREDIENT DRUG COSTEFM/I Compound Dosage FormDescription Code4336INVALID COMPOUND DOSAGE FORMEGM/I Compound Dispensing UnitForm Indicator4322INVALID COMPOUND DISPENSING UNIT FORMINDICATOREHM/I Compound Route OfAdministration4323INVALID COMPOUND ROUTE OF ADMINISTRATIONEMM/I Prescription/Service RefNumber Qualifier4188INVALID RX/SERVICE REFERENCE NUMBERQUALIFIER03/12/2012
EUM/I Prior Authorization Type Code4094MISSING/INVALID PRIOR AUTHORIZATION TYPECODEEZM/I Prescriber ID Qualifier1154NPI FOR PRESCRIBER ID IS INDICATED, BUTFORMAT INCORRECT1156LICENSE# FOR PRESCRIBER ID IS INDICATED, BUTFORMAT INCORRECT4194INVALID PRESCRIBER ID QUALIFIER4305INVALID OTHER PAYER COUNT4337INVALID OTHER PAYER COUNT - ENCOUNTER4306INVALID OTHER PAYER PAID AMOUNT QUALIFIER4307OTHER PAYER PAID AMOUNT QUALIFIER FORPRIMARY PAYER IS INVALID4308OTHER PAYER PAID AMOUNT QUALIFIER FORSECONDARY PAYER IS INVALID2021THE RECIPIENT'S CATEGORY IS NOT ELIGIBLE FORNON-MEDICARE COVERED SERVICES4021RECIPIENT NOT ELIGIBLE FOR SERVICE PROVIDED7501RECIPIENT IS LOCKED-IN TO A SPECIFIC PROVIDER7510RECIPIENT LOCKED INTO A DIFFERENTPRESCRIBERHBHCM1M2M/I Other Payer Amount PaidCountM/I Other Payer Amount PaidQualifierPatient Not Covered In This AidCategoryRecipient Locked InM4Prescription/Service Ref No/TimeLimit Exceeded5051REFILL ON INVOICE IS OLDER THAN SIX MONTHS.M5Requires Manual Claim2079A MANUAL REVIEW IS REQUIRED TO VERIFY THEAGE OF THIS RECIPIENT2999CLAIM REQUIRES MANUAL REVIEW BY THEDEPARTMENTP3Compound Ingred Count does notMatch No of Reps4326SUBMITTED COMPOUND INGREDIENT COUNTDOES NOT MATCH ACTUALP4COB/TPL Count does not MatchNo of Reps4197COB/OTHER PAYER COUNT DOES NOT MATCHACTUALP7Diag Code Count Does Not MatchNo. Of Repetitions4332SUBMITTED DIAGNOSIS CODE COUNT DOES NOTMATCH ACTUALP8DUR/PPS Code Counter Out OfSequence4314INVALID DUR/PPS CODE COUNTERPCM/I Claim Segment4187INVALID CLAIM SEGMENT IDENTIFIERPDM/I Clinical Segment4330INVALID CLINICAL SEGMENT IDENTIFIERPEM/I COB/Other Payments Segment 4195INVALID COB/OTHER PAYER SEGMENT IDENTIFIERPFM/I Compound Segment4321INVALID COMPOUND SEGMENT IDENTIFIERPHM/I DUR/PPS Segment4313INVALID DUR/PPS SEGMENT IDENTIFIERPJM/I Insurance Segment4186INVALID INSURANCE SEGMENT IDENTIFIERPKM/I Patient Segment4185INVALID PATIENT SEGMENT IDENTIFIERPNM/I Prescriber Segment4193INVALID PRESCRIBER SEGMENT IDENTIFIERPPM/I Pricing Segment4318INVALID PRICING SEGMENT IDENTIFIERREM/I Compound Product ID Qualifier 4327INVALID COMPOUND PRODUCT ID QUALIFIERUEM/I Compound Ingred Basis OfCost Determination4329INVALID COMPOUND INGREDIENT BASIS OF COSTDETERMINATIONVEM/I Diagnosis Code Count4331INVALID DIAGNOSIS CODE COUNTWEM/I Diagnosis Code Qualifier4333INVALID DIAGNOSIS CODE QUALIFIER03/12/2012
03/12/2012 19 M/I Days Supply 221 DAYS SUPPLY MISSING 222 DAYS SUPPLY INVALID 20 M/I Compound Code 4190 INVALID COMPOUND CODE 21 M/I Product/Service ID 217 NDC MISSING 218 NDC INVALID FORMAT 22 M/I Dispense As Written/Product Selection Code 210 BRAND MEDICALLY NECESSARY INDICATOR/DAW CODE INVALID
Pharmacy NCPDP Reject Codes Last Updated 10/2019 NCPDP Reject Code NCPDP Reject Code Description interChange Edit Description 50 Non-Matched Pharmacy Nu
Caremark utilizes the NCPDP reject codes list. This document refers to potential NCPDP Reject Codes a pharmacy may receive for Telecom and FIR Transactions. Although these Reject Codes are available for use, CVS Caremark has not implemented all the NCPDP Reject Codes listed within this document. For additional information on
If your EHR vendor uses NCPDP, it will be helpful for your IT or technical employees to have NCPDP knowledge for troubleshooting and reviewing XML messages. For more information on the NCPDP standard, visit standards.ncpdp.org. If your EHR vendor does not use NCPDP, there is no need to become familiar with this standard
Min Longitude Error: -67.0877 meters Min Altitude Error: -108.8807 meters Mean Latitude Error: -0.0172 meters Mean Longitude Error: 0.0028 meters Mean Altitude Error: 0.0066 meters StdDevLatitude Error: 12.8611 meters StdDevLongitude Error: 10.2665 meters StdDevAltitude Error: 13.6646 meters Max Latitude Error: 11.7612 metersAuthor: Rafael Apaza, Michael Marsden
NCPDP PAYER SHEET TEMPLATE IMPLEMENTATION GUIDE FOR VERSION D.0 VERSION 17 Used as guidance in filling out and creating a NCPDP Telecommunication Standard Implementation-based Version D.0 Payer Sheet, in accordance with the NCPDP Telecommunication Standard Imp
LG Air Conditioning Multi F(DX) Fault Codes Sheet Macedo - November 2007 - 8 - Fault Code 07 On Multi split systems, the first unit switched on is the cool heat master, the master tells the condensing unit what to do. If the condenser is in heating and any slave is set to cooling a CH07 fault code will appear.File Size: 863KBPage Count: 19Explore furtherLG AC Error Codes and Troubleshootingacerrorcode.comLG AC Error Code Solution Inverter Air Conditioner HVAC .helpdeskminority.comHow-to & Tips: Error Codes - Room Air Conditioner LG .www.lg.comFix Lg Art Cool Error Code Ch 07 (Solved)cdbug.orgRecommended to you b
Following is a list of the National Council Prescription Drug Program (NCPDP) three-digit rejection codes (no three digit reject codes have been defined at this time). An explanation follows with the Molina Medicaid Solutions corresponding three-digit EOB code. Claims generating these reject codes
We can overcome these medication errors by educating physicians, nurses regarding the areas where medication errors are more prone to occur. Key words: Medication error, Prescribing error, Dispensing error, Administration error, Documentation error, Transcribing error, EPA (Electronic prior authorization), Near miss, Missed dose. INTRODUCTION
