United States Health Information Knowledgebase

 

Reject Codes for Financial Information Reporting Standard

Name:Reject Codes for Financial Information Reporting Standard
Type:Standards Format
Definition:Reject Codes
Version:04-2014
Registration Authority:National Council for Prescription Drug Programs
Source:National Council for Prescription Drug Programs

Permissible Values for: Reject Codes for Financial Information Reporting Standard
Code / Value Meaning Meaning Definition Text
1R Version/Release Value Not Supported 102-A2
1S Transaction Code/Type Value Not Supported 103-A3
1T PCN Must Contain Processor/Payer Assigned Value 104-A4
1U Transaction Count Does Not Match Number of Transactions 109-A9
1V Multiple Transactions Not Supported 109-A9
1X Vendor Not Certified For Processor/Payer 110-AK
01 M/I Bin Number 101-A1
02 M/I Version/Release Number 102-A2
03 M/I Transaction Code 103-A3
04 M/I Processor Control Number 104-A4
05 M/I Service Provider Number 201-B1
06 M/I Group ID 301-C1
07 M/I Cardholder ID 302-C2
08 M/I Person Code 303-C3
51 Non-Matched Group ID 301-C1
52 Non-Matched Cardholder ID 302-C2
92 System Unavailable/Host Unavailable Processing Host Did Not Accept Transaction/Did Not Respond Within Time Out Period
95 Time Out Not Provided
96 Scheduled Downtime Not Provided
97 Payer Unavailable Not Provided
498 Accumulator Month Count Does Not Precede Accumulator Month 656-S7
555 Transaction Count Value Not Supported 109-A9
598 More Than One Patient Found Not Provided
A9 M/I Transaction Count 109-A9
AK M/I Software Vendor/Certification ID 110-AK
M6 Host Eligibility Error Not Provided
MS More than 1 Cardholder Found - Narrow Search Criteria 302-C2
N1 No patient match found. 302-C2
P9 Field Is Non-Repeatable Not Provided
PB Invalid Transaction Count For This Transaction Code 103-A3, 109-A9
R7 Repeating Segment Not Allowed In Same Transaction Not Provided
R8 Syntax Error Not Provided
RU Mandatory Data Elements Must Occur Before Optional Data Elements In A Segment Not Provided
S0 Accumulator Month Count Does Not Match Number of Repetitions 656-S7
S1 M/I Accumulator Year 650-S1
S2 M/I Transaction Identifier 651-S2
S3 M/I Accumulated Patient True Out Of Pocket Amount 652-S3
S4 M/I Accumulated Gross Covered Drug Cost Amount 653-S4
S5 M/I DateTime 654-S5
S6 M/I Accumulator Month 655-S6
S7 M/I Accumulator Month Count 656-S7
S8 Non-Matched Transaction Identifier 651-S2
S9 M/I Financial Information Reporting Transaction Header Segment 111-AM
SW Accumulated Patient True Out of Pocket must be equal to or greater than zero 652-S3
T0 Accumulator Month Count Exceeds Number of Occurrences Supported 656-S7
T1 Request Financial Segment Required For Financial Information Reporting 111-AM
T2 M/I Request Reference Segment 111-AM
T3 Out of Order DateTime 654-S5
T4 Duplicate DateTime 654-S5
W9 Accumulated Gross Covered Drug Cost Amount Must Be Equal To Or Greater Than Zero 653-S4
X1 Accumulated Patient True Out of Pocket exceeds maximum 652-S3
X2 Accumulated Gross Covered Drug Cost exceeds maximum 653-S4
X3 Out of order Accumulator Months 656-S7, 655-S6
X4 Accumulator Year not current or prior year 650-S1
X5 M/I Financial Information Reporting Request Insurance Segment 111-AM
X6 M/I Request Financial Segment 111-AM
X7 Financial Information Reporting Request Insurance Segment Required For Financial Reporting 111-AM
ZX M/I CMS Part D Contract ID A33-ZX
ZY M/I Medicare Part D Plan Benefit Package (PBP) A34-ZY
ZZ Cardholder ID submitted is inactive. New Cardholder ID on file. 302-C2
Downloads
PDF
Download as a PDF file.
[Download PDF Reader Exit Disclaimer]
Download as an MS Excel™ spreadsheet.
[Download Excel Reader Exit Disclaimer]
Scroll To Top