michigan department of community health pharmacy ... · pdf fileerror nmbr error description...

Error

Nmbr Error Description

Msg

Type Segment

Data

Element NCPDP Field Comments

25000 File contains unreadable characters. RB General Edits

25052 Encounter already exists and was submitted as B1 (Billing). RE General Edits

25053 No encounter exists to replace and submitted as B3 (Rebill). RE General Edits

25054 No encounter exists to void and submitted as B2 (Reversal). RE General Edits

25901 This record was superseded by another input record. RE General Edits

99999 This is the last message of your batch transmission. IO General Edits

25001 Sender ID (Submitter or Service Bureau ID) is missing. RB Batch Transaction Header 880-K1 SENDER ID

25002 Sender ID (Submitter or Service Bureau ID) is not a valid Sender ID. RB Batch Transaction Header 880-K1 SENDER ID

25003 Type of run in Batch Header (P/T) does not match file type RB Batch Transaction Header 702-MC FILE TYPE Added to error listing 8/20/2013

25004 The file number in the Batch Header is not 5477 RB Batch Transaction Header Added to error listing 8/20/2013

25010 Batch Number is missing. RB Batch Transaction Header 806-52 BATCH NUMBER

25011 Batch Number is not an numeric value. RB Batch Transaction Header 806-52 BATCH NUMBER

25012 Batch Number has already been used on a prior batch. RB Batch Transaction Header 806-52 BATCH NUMBER

25015 Creation Date is missing. RB Batch Transaction Header 880-K2 CREATION DATE

25016 Creation Date - Invalid date or date is not in the format CCYYMMDD. RB Batch Transaction Header 880-K2 CREATION DATE

25017 Creation Date is not less than or equal to the run date of this Edit Run. RB Batch Transaction Header 880-K2 CREATION DATE

25050 Transaction Reference Number is missing. RE Batch Detail 880-K5 TRANSACTION REFERENCE NUMBER

25051 Transaction Reference Number is not an alphanumeric value. RE Batch Detail 880-K5 TRANSACTION REFERENCE NUMBER

25055 Transaction Reference Number has been used on multiple batch details. RE Batch Detail 880-K5 TRANSACTION REFERENCE NUMBER

25056 Multiple transactions submitted and one or more are for a compound. RE Batch Detail 880-K5 TRANSACTION REFERENCE NUMBER

25018 Release Number does not equal "D0". RE Transaction Header 102-A2 VERSION/RELEASE NO. Rejectable edit as of 1/1/2012;

Changed to Reject Encounter on

1/13/2012

25019 Transaction Code does not equal "B1", "B2", or "B3". RE Transaction Header 103-A3 TRANSACTION CODE Rejectable edit as of 1/1/2012;

Changed to Reject Encounter on

1/13/2012

25067 Service Provider ID is missing or Service Provider ID Qualifier is missing. RE Transaction Header 201-B1,

202-B2

SERVICE PROVIDER ID, SERVICE PROVIDER ID

QUALIFIER

25068 Service Provider NPI is missing. RE Transaction Header 201-B1, SERVICE PROVIDER ID Rejectable edit as of 10/1/2010

25069 Service Provider ID Qualifier is not equal to "01". RE Transaction Header 202-B2 SERVICE PROVIDER ID QUALIFIER Rejectable edit as of 10/1/2010

25070 Date of Service is missing. RE Transaction Header 401-D1 DATE OF SERVICE

25071 Date of Service - Invalid date or date is not in the format CCYYMMDD. RE Transaction Header 401-D1 DATE OF SERVICE

25072 Date of Service is not less than or equal to the run date of this Edit Run. RE Transaction Header 401-D1 DATE OF SERVICE

25100 Cardholder ID is missing. RE Insurance 302-C2 CARDHOLDER ID

Michigan Department of Community Health

Pharmacy Encounters - NCPDP Data Element Errors by Error Number

of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


25101 Cardholder ID (Medicaid ID) does not exist in the Medicaid eligibility file and

encounter Group ID not MICHILD.

RE Insurance 302-C2 CARDHOLDER ID

25102 Cardholder ID (Child Identification Number) does not exist in the MIChild

eligibility file and encounter Group ID equals "MICHILD".

RE Insurance 302-C2 CARDHOLDER ID

25105 Group ID is missing. IO Insurance 301-C1 GROUP ID

25106 Group ID is not equal to "MIMEDICAID", "ABWI" or "MICHILD". IO Insurance 301-C1 GROUP ID

25150 Prescription/Service Reference Number is missing or the Prescription Service

Reference Number Qualifier is not equal to "1".

RE Claim 402-D2 PRESCRIPTION/ SERVICE REFERENCE NUMBER

25155 Product/Service ID is missing or the Product Service ID Qualifier is not equal to

03.

RE Claim 407-D7 PRODUCT/SERVICE ID

25156 Product/Service ID is not a valid NDC value RE Claim 407-D7 PRODUCT/SERVICE ID

25157 Product/Service ID is a NDC psychotropic drug RE Claim 407-D7 PRODUCT/SERVICE ID

25158 Compound Code indicates that the Product/Service ID is a compound (i.e.,

value of 2) but the Product/Service ID is not all zeros.

IO Claim 407-D7 PRODUCT/SERVICE ID

25160 Quantity Dispensed is missing. RE Claim 442-E7 QUANTITY DISPENSED

25161 Quantity Dispensed is less than 0 (zero) or not numeric. RE Claim 442-E7 QUANTITY DISPENSED

25165 Fill Number is missing. RE Claim 403-D3 FILL NUMBER

25166 Fill Number is less than 0 (zero) or not numeric. RE Claim 403-D3 FILL NUMBER

25170 Days Supply missing. RE Claim 405-D5 DAYS SUPPLY Rejectable edit as of 10/1/2010

25172 Days Supply is less than 0 (zero) or not numeric. RE Claim 405-D5 DAYS SUPPLY Rejectable edit as of 10/1/2010

25175 Compound Code is not a valid NCPDP value. RE Claim 406-D6 COMPOUND CODE Rejectable edit as of 10/1/2010

25180 Dispense as Written is missing. RE Claim 408-D8 DISPENSE AS WRITTEN (DAW)/PRODUCT SELECTION Rejectable edit as of 10/1/2010

25181 Dispense as Written is not a valid NCPDP value. RE Claim 408-D8 DISPENSE AS WRITTEN (DAW)/PRODUCT SELECTION Rejectable edit as of 10/1/2010

25185 Date Prescription Written is missing. IO Claim 414-DE DATE PRESCRIPTION WRITTEN

25186 Date Prescription Written - Invalid date or date is not in the format

CCYYMMDD.

IO Claim 414-DE DATE PRESCRIPTION WRITTEN

25187 Date Prescription Written is not less than or equal to the run date of this Edit

Run.

IO Claim 414-DE DATE PRESCRIPTION WRITTEN

25190 Number of Refills Authorized is missing. IO Claim 415-DF NUMBER OF REFILLS AUTHORIZED

25191 Number of Refills Authorized is less than 0 or not numeric. IO Claim 415-DF NUMBER OF REFILLS AUTHORIZED

25192 Submission Clarification Code is not a valid NCPDP value. IO Claim 420-DK SUBMISSION CLARIFICATION CODE

25193 A valid Prescription Origina Code must be reported. RE Claim 419-DJ PRESCRIPTION ORIGIN CODE New edit 12/1/2012

25195 Quantity Prescribed is missing. IO Claim 460-ET QUANTITY PRESCRIBED

25196 Quantity Prescribed is less than 0 or not numeric. IO Claim 460-ET QUANTITY PRESCRIBED

25197 Other Coverage Code is missing. IO Claim 308-C8 OTHER COVERAGE CODE

25198 Other Coverage Code is not a valid NCPDP value. IO Claim 308-C8 OTHER COVERAGE CODE

25199 Unit Dose Indicator is not a valid NCPDP value. IO Claim 429-DT UNIT DOSE INDICATOR

25201 Unit of Measure is missing. RE Claim 600-28 UNIT OF MEASURE Rejectable edit as of 10/1/2010

25202 Unit of Measure is not a valid NCPDP value. RE Claim 600-28 UNIT OF MEASURE Rejectable edit as of 10/1/2010

25205 Level of Service is missing. IO Claim 418-DI LEVEL OF SERVICE

25206 Level of Service is not a valid NCPDP value. IO Claim 418-DI LEVEL OF SERVICE

25207 Originally Prescribed Product is not a valid NDC code. IO Claim 445-EA ORIGINALLY PRESCRIBED PRODUCT New edit 1/1/2012

of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


25210 Prior Authorization Type Code is missing. IO Claim 461-EU PRIOR AUTHORIZATION TYPE CODE

25211 Prior Authorization Type Code is not a valid NCPDP value. IO Claim 461-EU PRIOR AUTHORIZATION TYPE CODE

25251 Prescriber ID is missing or the Prescriber ID Qualifier is missing. RE Prescriber 411-DB,

466-EZ

PRESCRIBER ID, PRESCRIBER ID QUALIFIER Rejectable edit as of 10/1/2010

25252 Prescriber NPI is missing. RE Prescriber 411-DB PRESCRIBER ID Rejectable edit as of 10/1/2010

25253 Prescriber ID Qualifier is not equal to "01". RE Prescriber 466-EZ PRESCRIBER ID QUALIFIER Rejectable edit as of 10/1/2010

25291 The first iteration of Other Payer Coverage Type is missing. RE COB/Other Payments 338-5C OTHER PAYER COVERAGE TYPE

25292 The first iteration of Other Payer Coverage Type is not equal to 01, 02, or 03. RE COB/Other Payments 338-5C OTHER PAYER COVERAGE TYPE

25301 The second iteration of Other Payer Coverage Type is not equal to 01, 02, or 03. RE COB/Other Payments 338-5C OTHER PAYER COVERAGE TYPE

25302 The second iteration of Other Payer Coverage Type is missing but Other Payer

ID, Other Payer Date, Other Payer Amount Paid Qualifier, Other Payer Amount

Paid, and/or Other Payer Reject Codes are present.

RE COB/Other Payments 338-5C OTHER PAYER COVERAGE TYPE

25303 The third iteration through ninth iteration of Other Payer Coverage Type is not

equal to 01, 02, or 03.

RE COB/Other Payments 338-5C OTHER PAYER COVERAGE TYPE Edit changed 1/1/2012

25304 The third iteration through ninth iteration of Other Payer Coverage Type is

missing but Other Payer ID, Other Payer Date, Other Payer Amount Paid

Qualifier, Other Payer Amount Paid, and/or Other Payer Reject Codes are

present.


25305 An Other Payer Coverage Type of 01 (Primary) is missing. RE COB/Other Payments 338-5C OTHER PAYER COVERAGE TYPE

25306 More than one iteration of Other Payer Coverage Type with value of 01

(Primary) exists.


25307 More than one iteration of Other Payer Coverage Type with value of 02

(Secondary) through 09 (Tertiary) exists.


25308 Other Payer Coverage Type of 03 through 09 (Tertiary) is present but Other

Payer Coverage Type of 02 (Secondary) through 08 (Tertiary) is not present.


25309 The first iteration of Other Payer ID is missing and the first Other Payer

iteration is present.

RE COB/Other Payments 340-7C OTHER PAYER ID

25312 The second iteration of Other Payer ID is missing and the second Other Payer


RE COB/Other Payments 340-7C OTHER PAYER ID

25315 The third iteration through ninth iteration of Other Payer ID is missing and the

third Other Payer iteration through ninth Other Payer iteration is present.

RE COB/Other Payments 340-7C OTHER PAYER ID Edit changed 1/1/2012

25318 None of the Other Payer ID's are valid Capitated Plans based on the Group ID

submitted.

RE COB/Other Payments 340-7C,

301-C1

OTHER PAYER ID Edit changed 1/1/2012

25319 There is an invalid combination of MHP or MICHILD plan Other Payer ID's or

invalid combination of Group ID and Health Plan ID.

RE COB/Other Payments 340-7C OTHER PAYER ID Edit changed 8/1/2011

25320 The first iteration of Other Payer Date is missing and the first Other Payer


RE COB/Other Payments 443-E8 OTHER PAYER DATE

25321 The first iteration of Other Payer Date is present - Invalid date or date is not in

the format CCYYMMDD.


25322 The first iteration of Other Payer Date is not less than or equal to the run date of

this Edit Run.


of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


25323 The second iteration of Other Payer Date is missing and the second Other Payer



25324 The second iteration of Other Payer Date is present - Invalid date or date is not

in the format CCYYMMDD.


25325 The second iteration of Other Payer Date is not less than or equal to the run date

of this Edit Run.


25326 The third iteration through ninth iteration of Other Payer Date is missing and

the third Other Payer iteration through ninth Other Payer iteration is present.

RE COB/Other Payments 443-E8 OTHER PAYER DATE Edit changed 1/1/2012

25327 The third iteration through ninth iteration of Other Payer Date is present -

Invalid date or date is not in the format CCYYMMDD.


25328 The third iteration through ninth iteration of Other Payer Date is less than or

equal to the run date of this Edit Run.


25330 First Other Payer Amount Paid Qualifier is missing but the first Other Payer

Amount Paid is present for the first Other Payer iteration.

IO COB/Other Payments 342-HC OTHER PAYER AMOUNT PAID QUALIFIER

25331 First Other Payer Amount Paid Qualifier for the first Other Payer iteration is not

a valid NCPDP value (i.e., 04, 05 or 07).

IO COB/Other Payments 342-HC OTHER PAYER AMOUNT PAID QUALIFIER Edit changed 1/1/2012

25332 Second Other Payer Amount Paid Qualifier is missing but the second Other

Payer Amount Paid is present for the first Other Payer iteration.


25333 Second Other Payer Amount Paid Qualifier for the first Other Payer iteration is

not a valid NCPDP value (i.e., 04, 05 or 07).


25334 Third Other Payer Amount Paid Qualifier is missing but the third Other Payer



25335 Third Other Payer Amount Paid Qualifier for the first Other Payer iteration is



25336 Fourth Other Payer Amount Paid Qualifier is missing but the fourth Other Payer



25337 Fourth Other Payer Amount Paid Qualifier for the first Other Payer iteration is



25338 Fifth Other Payer Amount Paid Qualifier is missing but the fifth Other Payer



25339 Fifth Other Payer Amount Paid Qualifier for the first Other Payer iteration is not

a valid NCPDP value (i.e., 04, 05 or 07).


25340 Sixth Other Payer Amount Paid Qualifier is missing but the sixth Other Payer



25341 Sixth Other Payer Amount Paid Qualifier for the first Other Payer iteration is



25342 Seventh Other Payer Amount Paid Qualifier is missing but the seventh Other

Payer Amount Paid is present for the first Other Payer iteration.


25343 Seventh Other Payer Amount Paid Qualifier for the first Other Payer iteration is



25344 Eighth Other Payer Amount Paid Qualifier is missing but the eighth Other Payer



of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


25345 Eighth Other Payer Amount Paid Qualifier for the first Other Payer iteration is



25346 Ninth Other Payer Amount Paid Qualifier is missing but the ninth Other Payer



25347 Ninth Other Payer Amount Paid Qualifier for the first Other Payer iteration is




Amount Paid is present for the second Other Payer iteration.


25349 First Other Payer Amount Paid Qualifier for the second Other Payer iteration is




Payer Amount Paid is present for the second Other Payer iteration.


25351 Second Other Payer Amount Paid Qualifier for the second Other Payer iteration

is not a valid NCPDP value (i.e., 04, 05 or 07).





25353 Third Other Payer Amount Paid Qualifier for the second Other Payer iteration is






25355 Fourth Other Payer Amount Paid Qualifier for the second Other Payer iteration






25357 Fifth Other Payer Amount Paid Qualifier for the second Other Payer iteration is






25359 Sixth Other Payer Amount Paid Qualifier for the second Other Payer iteration is




Payer Amount Paid is present for the second Other Payer iteration.


25361 Seventh Other Payer Amount Paid Qualifier for the second Other Payer iteration






25363 Eighth Other Payer Amount Paid Qualifier for the second Other Payer iteration






25365 Ninth Other Payer Amount Paid Qualifier for the second Other Payer iteration is



of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data



Amount Paid is present for the third Other Payer iteration.


25367 First Other Payer Amount Paid Qualifier for the third Other Payer iteration is




Payer Amount Paid is present for the third Other Payer iteration.


25369 Second Other Payer Amount Paid Qualifier for the third Other Payer iteration is






25371 Third Other Payer Amount Paid Qualifier for the third Other Payer iteration is






25373 Fourth Other Payer Amount Paid Qualifier for the third Other Payer iteration is






25375 Fifth Other Payer Amount Paid Qualifier for the third Other Payer iteration is






25377 Sixth Other Payer Amount Paid Qualifier for the third Other Payer iteration is




Payer Amount Paid is present for the third Other Payer iteration.


25379 Seventh Other Payer Amount Paid Qualifier for the third Other Payer iteration is






25381 Eighth Other Payer Amount Paid Qualifier for the third Other Payer iteration is




Amount Paid is present for the third Other Payer iteration; (or) Tenth through

94th Other Payer Amount Paid Qualifier is missing but the tenth through 94th

Other Payer Amount Paid is present for the first through third Other Payer

iteration; (or) First through 94th Other Payer Amount Paid Qualifier is missing

but the first through 94th Other Payer Amount Paid is present for the fourth

through ninth Other Payer iteration.


of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


25383 Ninth Other Payer Amount Paid Qualifier for the third Other Payer iteration is

not a valid NCPDP value (i.e., 04, 05 or 07); (or) Tenth through 94th Other

Payer Amount Paid Qualifier for the first through third Other Payer iteration is

not a valid NCPDP value (i.e., 04, 05 or 07); (or) First through 94th Other Payer

Amount Paid Qualifier for the fourth through ninth Other Payer iteration is not a

valid NCPDP value (i.e., 04, 05 or 07).


25384 There is an Other Payer ID present in the first iteration that is a valid Medicaid

Health Plan ID but does not have a valid combination of Other Payer Amount

Paid Qualifiers. The valid combination requires an Other Payer Amount Paid

Qualifier of 04 & 07

RE COB/Other Payments 342-HC OTHER PAYER AMOUNT PAID QUALIFIER Edit changed 1/1/2012;

Rejectable edit as of 1/1/2012

25385 There is an Other Payer ID (Carrier ID) present in the first iteration that is not a

valid Medicaid Health Plan ID and does not have a valid combination of Other

Payer Amount Paid Qualifiers. The valid combination requires one, and only

one, Other Payer Amount Paid Qualifier of 05.


25386 There is an Other Payer ID present in the second iteration that is a valid

Medicaid Health Plan ID but does not have a valid combination of Other Payer

Amount Paid Qualifiers. The valid combination requires an Other Payer

Amount Paid Qualifier of 04 & 07



25387 There is an Other Payer ID (Carrier ID) present in the second iteration that is

not a valid Medicaid Health Plan ID and does not have a valid combination of

Other Payer Amount Paid Qualifiers. The valid combination requires one, and

only one, Other Payer Amount Paid Qualifier of 05.


25388 There is an Other Payer ID present in the third iteration through ninth iteration

that is a valid Medicaid Health Plan ID but does not have a valid combination of

Other Payer Amount Paid Qualifiers. The valid combination requires an Other

Payer Amount Paid Qualifier of 04 & 07



25389 There is an Other Payer ID (Carrier ID) present in the third iteration through

ninth iteration that is not a valid Medicaid Health Plan ID and does not have a

valid combination of Other Payer Amount Paid Qualifiers. The valid

combination requires one, and only one, Other Payer Amount Paid Qualifier of

05.


25390 First Other Payer Amount Paid is missing but the first Other Payer Amount Paid

Qualifier is present for the first Other Payer iteration.

RE COB/Other Payments 431-DV OTHER PAYER AMOUNT PAID Rejectable edit as of 10/1/2010

25391 First Other Payer Amount Paid for the first Other Payer Iteration is less than 0

(zero) or not numeric.


25392 Second Other Payer Amount Paid is missing but the second Other Payer

Amount Paid Qualifier is present for the first Other Payer iteration.


25393 Second Other Payer Amount Paid for the first Other Payer Iteration is less than

0 (zero) or not numeric.


25394 Third Other Payer Amount Paid is missing but the third Other Payer Amount

Paid Qualifier is present for the first Other Payer iteration.


25395 Third Other Payer Amount Paid for the first Other Payer Iteration is less than 0



of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


25396 Fourth Other Payer Amount Paid is missing but the fourth Other Payer Amount



25397 Fourth Other Payer Amount Paid for the first Other Payer Iteration is less than 0



25398 Fifth Other Payer Amount Paid is missing but the fifth Other Payer Amount



25399 Fifth Other Payer Amount Paid for the first Other Payer Iteration is less than 0



25400 Sixth Other Payer Amount Paid is missing but the sixth Other Payer Amount



25401 Sixth Other Payer Amount Paid for the first Other Payer Iteration is less than 0



25402 Seventh Other Payer Amount Paid is missing but the seventh Other Payer

Amount Paid Qualifier is present for the first Other Payer iteration.


25403 Seventh Other Payer Amount Paid for the first Other Payer Iteration is less than



25404 Eighth Other Payer Amount Paid is missing but the eighth Other Payer Amount



25405 Eighth Other Payer Amount Paid for the first Other Payer Iteration is less than 0



25406 Ninth Other Payer Amount Paid is missing but the ninth Other Payer Amount



25407 Ninth Other Payer Amount Paid for the first Other Payer Iteration is less than 0




Qualifier is present for the second Other Payer iteration.


25409 First Other Payer Amount Paid for the second Other Payer Iteration is less than




Amount Paid Qualifier is present for the second Other Payer iteration.


25411 Second Other Payer Amount Paid for the second Other Payer Iteration is less

than 0 (zero) or not numeric.



Paid Qualifier is present for the second Other Payer iteration.


25413 Third Other Payer Amount Paid for the second Other Payer Iteration is less than






25415 Fourth Other Payer Amount Paid for the second Other Payer Iteration is less






of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


25417 Fifth Other Payer Amount Paid for the second Other Payer Iteration is less than






25419 Sixth Other Payer Amount Paid for the second Other Payer Iteration is less than




Amount Paid Qualifier is present for the second Other Payer iteration.


25421 Seventh Other Payer Amount Paid for the second Other Payer Iteration is less






25423 Eighth Other Payer Amount Paid for the second Other Payer Iteration is less






25425 Ninth Other Payer Amount Paid for the second Other Payer Iteration is less than




Qualifier is present for the third Other Payer iteration.


25427 First Other Payer Amount Paid for the third Other Payer Iteration is less than 0




Amount Paid Qualifier is present for the third Other Payer iteration.


25429 Second Other Payer Amount Paid for the third Other Payer Iteration is less than




Paid Qualifier is present for the third Other Payer iteration.


25431 Third Other Payer Amount Paid for the third Other Payer Iteration is less than 0






25433 Fourth Other Payer Amount Paid for the third Other Payer Iteration is less than






25435 Fifth Other Payer Amount Paid for the third Other Payer Iteration is less than 0






25437 Sixth Other Payer Amount Paid for the third Other Payer Iteration is less than 0



of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data



Amount Paid Qualifier is present for the third Other Payer iteration.


25439 Seventh Other Payer Amount Paid for the third Other Payer Iteration is less than






25441 Eighth Other Payer Amount Paid for the third Other Payer iteration is less than




Paid Qualifier is present for the third Other Payer iteration; (or) Tenth through

94th Other Payer Amount Paid is missing but the ninth through 94th Other

Payer Amount Paid Qualifier is present for the first through third Other Payer

iteration; (or) First through 94th Other Payer Amount Paid is missing but the

first through 94th Other Payer Amount Paid Qualifier is present for the fourth

through ninth Other Payer iteration.

RE COB/Other Payments 431-DV OTHER PAYER AMOUNT PAID Edit changed 1/1/2012;


25443 Ninth Other Payer Amount Paid for the third Other Payer iteration is less than 0

(zero) or not numeric; (or) Tenth through 94th Other Payer Amount Paid for the

first through third Other Payer iteration is less than 0 (zero) or not numeric; (or)

First through 94th Other Payer Amount Paid for the fourth through ninth Other

Payer iteration is less than 0 (zero) or not numeric.

RE COB/Other Payments 431-DV OTHER PAYER AMOUNT PAID Edit changed 1/1/2012;


25444 First Other Payer Reject Code is not a valid NCPDP Reject Code for the first

Other Payer iteration.

IO COB/Other Payments 472-6E OTHER PAYER REJECT CODE

25445 Second Other Payer Reject Code is not a valid NCPDP Reject Code for the first



25446 Third Other Payer Reject Code is not a valid NCPDP Reject Code for the first



25447 Fourth Other Payer Reject Code is not a valid NCPDP Reject Code for the first



25448 Fifth Other Payer Reject Code is not a valid NCPDP Reject Code for the first



25449 The first Other Payer iteration contains both Other Payer Paid Amounts and

Other Payer Reject Codes.


25450 First Other Payer Reject Code is not a valid NCPDP Reject Code for the second



25451 Second Other Payer Reject Code is not a valid NCPDP Reject Code for the

second Other Payer iteration.


25452 Third Other Payer Reject Code is not a valid NCPDP Reject Code for the



25453 Fourth Other Payer Reject Code is not a valid NCPDP Reject Code for the



25454 Fifth Other Payer Reject Code is not a valid NCPDP Reject Code for the second



of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


25455 The second Other Payer iteration contains both Other Payer Paid Amounts and

Other Payer Reject Codes.


25456 First Other Payer Reject Code is not a valid NCPDP Reject Code for the third



25457 Second Other Payer Reject Code is not a valid NCPDP Reject Code for the third



25458 Third Other Payer Reject Code is not a valid NCPDP Reject Code for the third



25459 Fourth Other Payer Reject Code is not a valid NCPDP Reject Code for the third



25460 Fifth Other Payer Reject Code is not a valid NCPDP Reject Code for the third

Other Payer iteration; (or) Sixth through ninth Other Payer Reject Code is not a

valid NCPDP Reject Code for the first through third Other Payer iteration; (or)

First through ninth Other Payer Reject Code is not a valid NCPDP Reject Code

for the fourth through ninth Other Payer iteration.

IO COB/Other Payments 472-6E OTHER PAYER REJECT CODE Edit changed 1/1/2012

25461 The third Other Payer iteration through ninth Other Payer iteration contains

both Other Payer Paid Amounts and Other Payer Reject Codes.

IO COB/Other Payments 472-6E OTHER PAYER REJECT CODE Edit changed 1/1/2012

25462 Payment Date must be greater than Service Date RE COB/Other Payments 443-E8 OTHER PAYER DATE New edit 12/1/2012

25470 Other Payer Patient Responsibility amount qualifier is invalid. Valid values are

'00', '01', '02', '03', '04', '05', '06', '07', '08', '09', '10', '11', '12', '13'

IO COB/Other Payments 351-NP OTHER PAYER PATIENT RESPONSIBILITY AMOUNT

QUALIFIER

New edit 1/1/2012

25471 Other Payer Patient Responsibility amount is not numeric or is less than zero IO COB/Other Payments 352-NQ OTHER PAYER PATIENT RESPONSIBILITY AMOUNT New edit 1/1/2012

25475 Benefit Stage Qualifier is invalid, Valid values are '00', '01', '02', '03', '04' IO COB/Other Payments 393-MV BENEFIT STAGE QUALIFIER New edit 1/1/2012

25476 Benefit Stage Amount is not numeric or is less than zero IO COB/Other Payments 394-MW BENEFIT STAGE AMOUNT New edit 1/1/2012

25501 First Reason for Service Code is not a valid NCPDP Reason for Service Code. IO DUR/PPS 439-E4 REASON FOR SERVICE CODE

25502 Second Reason for Service Code is not a valid NCPDP Reason for Service

Code.

IO DUR/PPS 439-E4 REASON FOR SERVICE CODE

25503 Third Reason for Service Code is not a valid NCPDP Reason for Service Code. IO DUR/PPS 439-E4 REASON FOR SERVICE CODE

25504 Fourth Reason for Service Code is not a valid NCPDP Reason for Service Code. IO DUR/PPS 439-E4 REASON FOR SERVICE CODE

25505 Fifth. Reason for Service Code is not a valid NCPDP Reason for Service Code. IO DUR/PPS 439-E4 REASON FOR SERVICE CODE

25506 Sixth Reason for Service Code is not a valid NCPDP Reason for Service Code. IO DUR/PPS 439-E4 REASON FOR SERVICE CODE

25507 Seventh Reason for Service Code is not a valid NCPDP Reason for Service

Code.

IO DUR/PPS 439-E4 REASON FOR SERVICE CODE

25508 Eighth Reason for Service Code is not a valid NCPDP Reason for Service Code. IO DUR/PPS 439-E4 REASON FOR SERVICE CODE

25509 Ninth Reason for Service Code is not a valid NCPDP Reason for Service Code. IO DUR/PPS 439-E4 REASON FOR SERVICE CODE

25521 First Professional Service Code is not a valid NCPDP Professional Service

Code.

IO DUR/PPS 440-E5 PROFESSIONAL SERVICE CODE

25522 Second Professional Service Code is not a valid NCPDP Professional Service

Code.


25523 Third Professional Service Code is not a valid NCPDP Professional Service

Code.


25524 Fourth Professional Service Code is not a valid NCPDP Professional Service

Code.


of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


25525 Fifth Professional Service Code is not a valid NCPDP Professional Service

Code.


25526 Sixth Professional Service Code is not a valid NCPDP Professional Service

Code.


25527 Seventh Professional Service Code is not a valid NCPDP Professional Service

Code.


25528 Eighth Professional Service Code is not a valid NCPDP Professional Service

Code.


25529 Ninth Professional Service Code is not a valid NCPDP Professional Service

Code.


25561 First Result of Service Code is not a valid NCPDP Result of Service Code. IO DUR/PPS 441-E6 RESULT OF SERVICE CODE

25562 Second Result of Service Code is not a valid NCPDP Result of Service Code. IO DUR/PPS 441-E6 RESULT OF SERVICE CODE

25563 Third Result of Service Code is not a valid NCPDP Result of Service Code. IO DUR/PPS 441-E6 RESULT OF SERVICE CODE

25564 Fourth Result of Service Code is not a valid NCPDP Result of Service Code. IO DUR/PPS 441-E6 RESULT OF SERVICE CODE

25565 Fifth Result of Service Code is not a valid NCPDP Result of Service Code. IO DUR/PPS 441-E6 RESULT OF SERVICE CODE

25566 Sixth Result of Service Code is not a valid NCPDP Result of Service Code. IO DUR/PPS 441-E6 RESULT OF SERVICE CODE

25567 Seventh Result of Service Code is not a valid NCPDP Result of Service Code. IO DUR/PPS 441-E6 RESULT OF SERVICE CODE

25568 Eighth Result of Service Code is not a valid NCPDP Result of Service Code. IO DUR/PPS 441-E6 RESULT OF SERVICE CODE

25569 Ninth Result of Service Code is not a valid NCPDP Result of Service Code. IO DUR/PPS 441-E6 RESULT OF SERVICE CODE

25601 Ingredient Cost Submitted is missing. IO Pricing 409-D9 INGREDIENT COST SUBMITTED

25602 Ingredient Cost Submitted is less than 0 (zero) or not numeric. IO Pricing 409-D9 INGREDIENT COST SUBMITTED

25605 Dispensing Fee Submitted is missing. IO Pricing 412-DC DISPENSING FEE SUBMITTED

25606 Dispensing Fee Submitted is less than 0 (zero) or not numeric. IO Pricing 412-DC DISPENSING FEE SUBMITTED

25615 Patient Paid Amount Submitted is missing. IO Pricing 433-DX PATIENT PAID AMOUNT SUBMITTED

25616 Patient Paid Amount Submitted is less than 0 (zero) or not numeric. IO Pricing 433-DX PATIENT PAID AMOUNT SUBMITTED

25620 Incentive Amount Submitted is missing. IO Pricing 438-E3 INCENTIVE AMOUNT SUBMITTED

25621 Incentive Amount Submitted is less than 0 (zero) or not numeric. IO Pricing 438-E3 INCENTIVE AMOUNT SUBMITTED

25625 Usual and Customary Charge is missing. RE Pricing 426-DQ USUAL AND CUSTOMARY CHARGE Rejectable edit as of 10/1/2010

25626 Usual and Customary Charge is less than 0 (zero) or not numeric. RE Pricing 426-DQ USUAL AND CUSTOMARY CHARGE Rejectable edit as of 10/1/2010

25630 Gross Amount Due is missing. IO Pricing 430-DU GROSS AMOUNT DUE

25631 Gross Amount Due is less than 0 (zero) or not numeric. IO Pricing 430-DU GROSS AMOUNT DUE

25632 Basis of Cost Determination is invalid. Valid values are ' ', '00', '01', '02', '03',

'04', '05', '06', '07', '08', '09', '10', '11', '12'

IO Pricing 423-DN BASIS OF COST DETERMINATION New edit 1/1/2012

26001 Compound Dosage Form Code is not a valid NCPDP Compound Dosage Form

Code

IO Compound 450-EF COMPOUND DOSAGE FORM DESCRIPTION CODE

26005 Compound Dispensing Unit Form Code is not a valid NCPDP Product Billing

Code

IO Compound 451-EG COMPOUND DISPENSING UNIT FORM INDICATOR

26100 First Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26101 First Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26102 Second Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26103 Second Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


26104 Third Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26105 Third Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26106 Fourth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26107 Fourth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26108 Fifth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26109 Fifth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26110 Sixth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26111 Sixth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26112 Seventh Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26113 Seventh Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26114 Eighth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26115 Eighth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26116 Ninth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26117 Ninth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26118 Tenth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26119 Tenth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26120 Eleventh Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26121 Eleventh Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26122 Twelfth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26123 Twelfth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26124 Thirteenth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26125 Thirteenth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26126 Fourteenth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26127 Fourteenth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26128 Fifteenth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26129 Fifteenth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26130 Sixteenth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26131 Sixteenth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26132 Seventeenth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26133 Seventeenth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26134 Eighteenth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26135 Eighteenth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26136 Nineteenth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26137 Nineteenth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26138 Twentieth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26139 Twentieth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26140 Twenty-first Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26141 Twenty-first Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26142 Twenty-second Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26143 Twenty-second Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26144 Twenty-third Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26145 Twenty-third Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


26146 Twenty-fourth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26147 Twenty-fourth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26148 Twenty-fifth Compound Product ID is an invalid National Drug Code. IO Compound 489-TE COMPOUND PRODUCT ID

26149 Twenty-fifth Compound Product ID is a NDC psychotropic drug. RE Compound 489-TE COMPOUND PRODUCT ID

26200 First Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26201 First Compound Ingredient Quantity is present but first Compound Product ID

is not present or the Compound Product ID Qualifier was not equal to 03.

IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26202 Second Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26203 Second Compound Ingredient Quantity is present but second Compound

Product ID is not present or the Compound Product ID Qualifier was not equal

to 03.


26204 Third Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26205 Third Compound Ingredient Quantity is present but third Compound Product ID



26206 Fourth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26207 Fourth Compound Ingredient Quantity is present but fourth Compound Product

ID is not present or the Compound Product ID Qualifier was not equal to 03.


26208 Fifth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26209 Fifth Compound Ingredient Quantity is present but fifth Compound Product ID



26210 Sixth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26211 Sixth Compound Ingredient Quantity is present but sixth Compound Product ID



26212 Seventh Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26213 Seventh Compound Ingredient Quantity is present but seventh Compound


to 03.


26214 Eighth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26215 Eighth Compound Ingredient Quantity is present but eighth Compound Product



26216 Ninth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26217 Ninth Compound Ingredient Quantity is present but ninth Compound Product



26218 Tenth Compound Ingredient Quantity is than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26219 Tenth Compound Ingredient Quantity is present but tenth Compound Product



26220 Eleventh Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26221 Eleventh Compound Ingredient Quantity is present but eleventh Compound


to 03.


26222 Twelfth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


26223 Twelfth Compound Ingredient Quantity is present but twelfth Compound


to 03.


26224 Thirteenth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26225 Thirteenth Compound Ingredient Quantity is present but thirteenth Compound


to 03.


26226 Fourteenth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26227 Fourteenth Compound Ingredient Quantity is present but fourteenth Compound


to 03.


26228 Fifteenth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26229 Fifteenth Compound Ingredient Quantity is present but fifteenth Compound


to 03.


26230 Sixteenth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26231 Sixteenth Compound Ingredient Quantity is present but sixteenth Compound


to 03.


26232 Seventeenth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26233 Seventeenth Compound Ingredient Quantity is present but seventeenth

Compound Product ID is not present or the Compound Product ID Qualifier was

not equal to 03.


26234 Eighteenth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26235 Eighteenth Compound Ingredient Quantity is present but eighteenth Compound


to 03.


26236 Nineteenth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26237 Nineteenth Compound Ingredient Quantity is present but nineteenth Compound


to 03.


26238 Twentieth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26239 Twentieth Compound Ingredient Quantity is present but twentieth Compound


to 03.


26240 Twenty-first Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26241 Twenty-first Compound Ingredient Quantity is present but twenty-first


not equal to 03.


26242 Twenty-second Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26243 Twenty-second Compound Ingredient Quantity is present but twenty-second


not equal to 03.


of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


26244 Twenty-third Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26245 Twenty-third Compound Ingredient Quantity is present but twenty-third


not equal to 03.


26246 Twenty-fourth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26247 Twenty-fourth Compound Ingredient Quantity is present but twenty-fourth


not equal to 03.


26248 Twenty-fifth Compound Ingredient Quantity is less than 0 or not numeric. IO Compound 448-ED COMPOUND INGREDIENT QUANTITY

26249 Twenty-fifth Compound Ingredient Quantity is present but twenty- fourth


not equal to 03.


26300 First Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26301 First Compound Ingredient Drug Cost is present but first Compound Product ID


IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26302 Second Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26303 Second Compound Ingredient Drug Cost is present but second Compound


to 03.


26304 Third Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26305 Third Compound Ingredient Drug Cost is present but third Compound Product



26306 Fourth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26307 Fourth Compound Ingredient Drug Cost is present but fourth Compound


to 03.


26308 Fifth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26309 Fifth Compound Ingredient Drug Cost is present but fifth Compound Product



26310 Sixth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26311 Sixth Compound Ingredient Drug Cost is present but sixth Compound Product



26312 Seventh Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26313 Seventh Compound Ingredient Drug Cost is present but seventh Compound


to 03.


26314 Eighth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26315 Eighth Compound Ingredient Drug Cost is present but eighth Compound


to 03.


26316 Ninth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26317 Ninth Compound Ingredient Drug Cost is present but ninth Compound Product



of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


26318 Tenth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26319 Tenth Compound Ingredient Drug Cost is present but tenth Compound Product



26320 Eleventh Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26321 Eleventh Compound Ingredient Drug Cost is present but eleventh Compound


to 03.


26322 Twelfth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26323 Twelfth Compound Ingredient Drug Cost is present but twelfth Compound


to 03.


26324 Thirteenth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26325 Thirteenth Compound Ingredient Drug Cost is present but thirteenth Compound


to 03.


26326 Fourteenth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26327 Fourteenth Compound Ingredient Drug Cost is present but fourteenth


not equal to 03.


26328 Fifteenth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26329 Fifteenth Compound Ingredient Drug Cost is present but fifteenth Compound


to 03.


26330 Sixteenth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26331 Sixteenth Compound Ingredient Drug Cost is present but sixteenth Compound


to 03.


26332 Seventeenth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26333 Seventeenth Compound Ingredient Drug Cost is present but seventeenth


not equal to 03.


26334 Eighteenth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26335 Eighteenth Compound Ingredient Drug Cost is present but eighteenth


not equal to 03.


26336 Nineteenth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26337 Nineteenth Compound Ingredient Drug Cost is present but nineteenth


not equal to 03.


26338 Twentieth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26339 Twentieth Compound Ingredient Drug Cost is present but twentieth Compound


to 03.


of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


26340 Twenty-first Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26341 Twenty-first Compound Ingredient Drug Cost is present but twenty-first


not equal to 03.


26342 Twenty-second Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26343 Twenty-second Compound Ingredient Drug Cost is present but twenty-second


not equal to 03.


26344 Twenty-third Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26345 Twenty-third Compound Ingredient Drug Cost is present but twenty-third


not equal to 03.


26346 Twenty-fourth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26347 Twenty-fourth Compound Ingredient Drug Cost is present but twenty-fourth


not equal to 03.


26348 Twenty-fifth Compound Ingredient Drug Cost is less than 0 or not numeric. IO Compound 449-EE COMPOUND INGREDIENT DRUG COST

26349 Twenty-fifth Compound Ingredient Drug Cost is present but twenty-fifth


not equal to 03.


26400 First Compound Ingredient Basis of Cost Determination is not a valid NCPDP

value.

IO Compound 490-UE COMPOUND INGREDIENT BASIS OF COST

DETERMINATION

26401 First Compound Ingredient Basis of Cost Determination is present but first


not equal to 03.


DETERMINATION

26402 Second Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26403 Second Compound Ingredient Basis of Cost Determination is present but

second Compound Product ID is not present or the Compound Product ID

Qualifier was not equal to 03.


DETERMINATION

26404 Third Compound Ingredient Basis of Cost Determination is not a valid NCPDP

value.


DETERMINATION

26405 Third Compound Ingredient Basis of Cost Determination is present but third


not equal to 03.


DETERMINATION

26406 Fourth Compound Ingredient Basis of Cost Determination is not a valid NCPDP

value.


DETERMINATION

26407 Fourth Compound Ingredient Basis of Cost Determination is present but fourth


not equal to 03.


DETERMINATION

26408 Fifth Compound Ingredient Basis of Cost Determination is not a valid NCPDP

value.


DETERMINATION

of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


26409 Fifth Compound Ingredient Basis of Cost Determination is present but fifth


not equal to 03.


DETERMINATION

26410 Sixth Compound Ingredient Basis of Cost Determination is not a valid NCPDP

value.


DETERMINATION

26411 Sixth Compound Ingredient Basis of Cost Determination is present but sixth


not equal to 03.


DETERMINATION

26412 Seventh Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26413 Seventh Compound Ingredient Basis of Cost Determination is present but

seventh Compound Product ID is not present or the Compound Product ID



DETERMINATION

26414 Eighth Compound Ingredient Basis of Cost Determination is not a valid NCPDP

value.


DETERMINATION

26415 Eighth Compound Ingredient Basis of Cost Determination is present but eighth


not equal to 03.


DETERMINATION

26416 Ninth Compound Ingredient Basis of Cost Determination is not a valid NCPDP

value.


DETERMINATION

26417 Ninth Compound Ingredient Basis of Cost Determination is present but ninth

Compound Product ID is not present.


DETERMINATION

26418 Tenth Compound Ingredient Basis of Cost Determination is not a valid NCPDP

value.


DETERMINATION

26419 Tenth Compound Ingredient Basis of Cost Determination is present but tenth


not equal to 03.


DETERMINATION

26420 Eleventh Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26421 Eleventh Compound Ingredient Basis of Cost Determination is present but

eleventh Compound Product ID is not present or the Compound Product ID



DETERMINATION

26422 Twelfth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26423 Twelfth Compound Ingredient Basis of Cost Determination is present but

twelfth Compound Product ID is not present or the Compound Product ID



DETERMINATION

26424 Thirteenth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26425 Thirteenth Compound Ingredient Basis of Cost Determination is present but

thirteenth Compound Product ID is not present or the Compound Product ID



DETERMINATION

of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


26426 Fourteenth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26427 Fourteenth Compound Ingredient Basis of Cost Determination is present but

fourteenth Compound Product ID is not present or the Compound Product ID



DETERMINATION

26428 Fifteenth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26429 Fifteenth Compound Ingredient Basis of Cost Determination is present but

fifteenth Compound Product ID is not present or the Compound Product ID



DETERMINATION

26430 Sixteenth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26431 Sixteenth Compound Ingredient Basis of Cost Determination is present but

sixteenth Compound Product ID is not present or the Compound Product ID



DETERMINATION

26432 Seventeenth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26433 Seventeenth Compound Ingredient Basis of Cost Determination is present but

seventeenth Compound Product ID is not present or the Compound Product ID



DETERMINATION

26434 Eighteenth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26435 Eighteenth Compound Ingredient Basis of Cost Determination is present but

eighteenth Compound Product ID is not present or the Compound Product ID



DETERMINATION

26436 Nineteenth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26437 Nineteenth Compound Ingredient Basis of Cost Determination is present but

nineteenth Compound Product ID is not present or the Compound Product ID



DETERMINATION

26438 Twentieth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26439 Twentieth Compound Ingredient Basis of Cost Determination is present but

twentieth Compound Product ID is not present or the Compound Product ID



DETERMINATION

26440 Twenty-first Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26441 Twenty-first Compound Ingredient Basis of Cost Determination is present but

twenty-first Compound Product ID is not present or the Compound Product ID



DETERMINATION

26442 Twenty-second Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

of 21 Revised 8/20/2013

Error


Msg

Type Segment

Data


26443 Twenty-second Compound Ingredient Basis of Cost Determination is present

but twenty-second Compound Product ID is not present.


DETERMINATION

26444 Twenty-third Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26445 Twenty-third Compound Ingredient Basis of Cost Determination is present but

twenty-third Compound Product ID is not present or the Compound Product ID



DETERMINATION

26446 Twenty-fourth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26447 Twenty-fourth Compound Ingredient Basis of Cost Determination is present but

twenty-fourth Compound Product ID is not present or the Compound Product

ID Qualifier was not equal to 03.


DETERMINATION

26448 Twenty-fifth Compound Ingredient Basis of Cost Determination is not a valid

NCPDP value.


DETERMINATION

26449 Twenty-fifth Compound Ingredient Basis of Cost Determination is present but

twenty-fifth Compound Product ID is not present or the Compound Product ID



DETERMINATION

26500 First Diagnosis Code is not a valid diagnosis code or Diagnosis Code Qualifier

is not equal to "01" (ICD-9).

IO Clinical 424-DO DIAGNOSIS CODE

26501 Second Diagnosis Code is not a valid diagnosis code or Diagnosis Code

Qualifier is not equal to "01" (ICD-9).


26502 Second Diagnosis Code is present but the first Diagnosis Code is missing. IO Clinical 424-DO DIAGNOSIS CODE

26503 Third Diagnosis Code is not a valid diagnosis code or Diagnosis Code Qualifier



26504 Third Diagnosis Code is present but the first and/or second Diagnosis Code is

missing.


26505 Fourth Diagnosis Code is not a valid diagnosis code or Diagnosis Code

Qualifier is not equal to "01" (ICD-9).


26506 Fourth Diagnosis Code is present but the first, second and/or third Diagnosis

Code is missing.


26507 Fifth Diagnosis Code is not a valid diagnosis code or Diagnosis Code Qualifier



26508 Fifth Diagnosis Code is present but the first, second, third and/or fourth

Diagnosis Code is missing.


of 21 Revised 8/20/2013

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