This page is part of the Consumer Real-time Pharmacy Benefit Check (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

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carin-rtpbc-NamingSystem-ncpdp-reject-code

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.

Code	Display
PJ	M/I Request Insurance Segment
1	M/I Bin Number
4	M/I Processor Control Number
6	M/I Group ID
7	M/I Cardholder ID
8	M/I Person Code
600	Coverage Outside Submitted Date Of Transaction
N1	No Patient Match Found
99	Host Processing Error
92	System Unavailable/Host Unavailable
R8	Syntax Error
21	M/I Product/Service ID
77	Discontinued Product/Service ID Number
ET	M/I Quantity Prescribed
26	M/I Unit Of Measure
PZ	Non-Matched Unit Of Measure To Product/Service ID
19	M/I Days Supply
22	M/I Dispense As Written (DAW)/Product Selection Code
PN	M/I Request Prescriber Segment
DR	M/I Prescriber Last Name
25	M/I Prescriber ID
56	Non-Matched Prescriber ID
71	Prescriber ID Is Not Covered
Z5	M/I Service Provider Segment
5	M/I Service Provider Number
YK	M/I Service Provider Name
PK	M/I Request Patient Segment
CA	M/I Patient First Name
CB	M/I Patient Last Name
9	M/I Date Of Birth
10	M/I Patient Gender Code