Consumer Real-Time Pharmacy Benefit Check
1.0.0 - STU1

This page is part of the Consumer Real-time Pharmacy Benefit Check (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

RtpbcNamingSystemNcpdpRejectCode

Format(s):

This NamingSystem resource represents the proprietary National Program for Prescription Drug Programs (NCPDP) **Reject Code (511-FB)** code set--enabling it to be referenced within this guide.

Concept examples

The full, up-to-date content of the NCPDP Reject Code (511-FB) code set is only available to NCPDP members. However, a past version of the code set is publicly available in the AHRQ United States Health Information Knowledgebase (USHIK). Below is a subset of concepts from that public source, for illustration purposes.
CodeDisplay
PJM/I Request Insurance Segment
1M/I Bin Number
4M/I Processor Control Number
6M/I Group ID
7M/I Cardholder ID
8M/I Person Code
600Coverage Outside Submitted Date Of Transaction
N1No Patient Match Found
99Host Processing Error
92System Unavailable/Host Unavailable
R8Syntax Error
21M/I Product/Service ID
77Discontinued Product/Service ID Number
ETM/I Quantity Prescribed
26M/I Unit Of Measure
PZNon-Matched Unit Of Measure To Product/Service ID
19M/I Days Supply 
22M/I Dispense As Written (DAW)/Product Selection Code
PNM/I Request Prescriber Segment
DRM/I Prescriber Last Name
25M/I Prescriber ID
56Non-Matched Prescriber ID
71Prescriber ID Is Not Covered
Z5M/I Service Provider Segment
5M/I Service Provider Number
YKM/I Service Provider Name
PKM/I Request Patient Segment
CAM/I Patient First Name
CBM/I Patient Last Name 
9M/I Date Of Birth
10M/I Patient Gender Code

Narrative view

Summary

Defining URLhttp://hl7.org/fhir/us/carin-rtpbc/NamingSystem/rtpbc-NamingSystem-ncpdp-reject-code
Version1.0.0
NameRtpbcNamingSystemNcpdpRejectCode
Statusactive
Definition

The NCPDP Reject Code (511-FB) code set contains exception definitions for use when transaction processing cannot be completed.

PublisherHL7 International - Pharmacy

Identifiers

TypeValue
URIhttp://ncpdp.org/reject-code