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Reject Codes for Audit Transaction Standard

Name:Reject Codes for Audit Transaction 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 Audit Transaction Standard
Code / Value Meaning Meaning Definition Text
1R Version/Release Value Not Supported 102-A2
3P M/I Authorization Number 503-F3
3X Authorization Number Not Found 503-F3
8Z Product/Service ID Qualifier Value Not Supported 436-E1
01 M/I Bin Number 101-A1
02 M/I Version/Release Number 102-A2
04 M/I Processor Control Number 104-A4
05 M/I Service Provider Number 201-B1
06 M/I Group ID 301-C1
15 M/I Date of Service 401-D1
16 M/I Prescription/Service Reference Number 402-D2
17 M/I Fill Number 403-D3
21 M/I Product/Service ID 407-D7, 489-TE
25 M/I Prescriber ID 411-DB
34 M/I Submission Clarification Code 420-DK
51 Non-Matched Group ID 301-C1
54 Non-Matched Product/Service ID Number 407-D7, 489-TE
464 Service Provider ID Qualifier Does Not Precede Service Provider ID 202-B2
466 Prescription/Service Reference Number Qualifier Does Not Precede Prescription/Service Reference Number 455-EM
467 Product/Service ID Qualifier Does Not Precede Product/Service ID 436-E1
474 Prescriber Id Qualifier Does Not Precede Prescriber ID 466-EZ
506 Prescription/Service Reference Number Qualifier Value Not Supported 455-EM
625 M/I Entity Country Code B36-1W
637 M/I Entity Country Code Value Not Supported B36-1W
709 M/I Record Type 601-04
710 Date Received After Requested Response Date 601-10, A50
711 M/I Transmission Date 601-10
712 M/I Sending Entity Identifier 879-N2
713 M/I Receiver ID 880-K7
714 M/I Transmission File Type 986-KJ
715 M/I Transmission Type 880-K8
716 Transmission File Type Not Supported 986-KJ
717 M/I Submission Number 888
718 M/I Audit Request Type A47
719 Audit Request Type Not Supported A47
720 M/I Service Provider Chain Code 886
721 M/I Entity Name 780
722 M/I Entity Contact First Name B05
723 M/I Entity Contact Last Name B06
724 M/I Entity Address Line 1 776
725 M/I Entity Address Line 2 777
726 M/I Entity City 778
727 M/I Entity State/Province Address 782
728 M/I Entity Zip/Postal Code 784
729 M/I Entity Fax Number A53
730 M/I Entity Email A52
731 Header Response Status Not Supported for this Transmission File Type 501-F1, 986-KJ
732 Reject Code Not Supported for this Transmission File Type 501-F1, 986-KJ
733 M/I Claim Sequence Number 219
734 M/I Audit Control Identification A48
735 M/I Audit Range Qualifier A54
736 Audit Range Qualifier Not Supported for this Audit Request Type A54, A47
737 M/I Audit Range Start A55
738 Audit Range Start Not Supported for this Audit Request Type A55, A47
739 M/I Audit Range End A56
740 Audit Range End Not Supported for this Audit Request Type A56. A47
741 Exceeds Range Start Limitations A55
742 Exceeds Range End Limitations A56
743 M/I Requested Response Date A60
744 Response Date Requires Rescheduling A60
745 M/I Estimated Arrival Time Description A51
746 Estimated Arrival Time Requires Rescheduling A54
747 M/I Audit Sponsor A49
748 Non-Matched Processor Control Number 104-A4
749 M/I Audit Element Type 1 A57
750 M/I Audit Element Type 2 A58
751 M/I Audit Element Type 3 A59
752 M/I Audit Element Type 4 A60
753 M/I Audit Element Type 5 A61
754 Audit Element Type not allowable per State Regulation A57, A58, A59, A60, A61
755 Audit Element Type not required for dispensing A57, A58, A59, A60, A61
756 M/I Audit Element Response Type 1 A62
757 M/I Audit Element Response Type 2 A63
758 M/I Audit Element Response Type 3 A64
759 M/I Audit Element Response Type 4 A65
760 M/I Audit Element Response Type 5 A66
761 M/I Discrepancy Code 1 A68
762 M/I Discrepancy Code 2 A69
763 M/I Discrepancy Code 3 A70
764 M/I Discrepancy Message A71
765 M/I Discrepancy Amount A72
766 Discrepancy Amount in excess of Claimed Amount A72
767 M/I Record Count 751-M9
768 Pharmacy Location has closed 201-B1
B2 M/I Service Provider ID Qualifier 202-B2
E1 M/I Product/Service ID Qualifier 436-E1, 488-RE
EM M/I Prescription/Service Reference Number Qualifier 455-EM
EZ M/I Prescriber ID Qualifier 466-EZ
R8 Syntax Error Not Provided
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