Reject Code definition

Reject Code a code for a transaction that has been declined for various reasons;
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Examples of Reject Code in a sentence

  • If a MEVS Denial Code has a comparable NCPDP Reject Code, both codes will be returned.

  • The following chart indicates the relationship between the MEVS Denial Code and any comparable NCPDP Reject Code, if one applies.

  • Reject codes may appear in one or more of the following fields: NCPDP Reject Codes will be returned in the Reject Code (511-FB) field.

  • If a claim is rejected, an NCPDP Reject Code will always be returned in the Reject Code (511-FB) field and may have a corresponding MEVS Code placed in the Additional Message Info (526-FQ) field to further clarify the error.

  • If identical data exists only in certain fields, your claim will be rejected for NCPDP Reject Code 83 “Duplicate Paid/Captured Claim” unless prior approval was obtained for one of the two conflicting transactions (meaning Prior Auth Number Submitted (462-EV) field would need to contain a PA Number on one claim, and no PA Number for the other claim.) If the original transaction was non-ECCA and the duplicate transaction is ECCA, the transaction response will be the original non-ECCA response.

  • When submitting claims with value “3” in the (Other Coverage Code) field 308-C8, the NCPDP reject code or code(s) from the Other Payer(s) must also be entered in field 472- 6E (Other Payer Reject Code).

  • Pharmacies can override the Soft Reject where clinically appropriate to expedite successful adjudication of THERDOSE rejections (e.g. DUR Reject Code 76 or 88) at POS (point-of-sale).

  • If a Pharmacist receives this specific type of error (DUR Reject Code 88), the following steps should be followed.

  • Claims submitted without a valid individual Prescriber NPI will reject with NCPDP Reject Code 619 — Prescriber Type 1 NPI Required, or 56 — “NPI EXISTS.

  • If the Claim rejects (Reject Code 76 or 78) for this reason, please contact the Pharmacy Help Desk to determine if the Member’s Benefit Plan will allow for an override.Do not ‘split’ the Prescription into multiple Claims.

Related to Reject Code

  • Object Code means computer software, substantially or entirely in binary form, which is intended to be directly executable by a computer after suitable processing and linking but without the intervening steps of compilation or assembly.

  • Sort code means the 6-digit code that identifies a particular bank and bank branch in the Republic of Ireland;

  • Executable Code means the fully compiled version of a software program that can be executed by a computer and used by an end user without further compilation.

  • Procurement Code means §§ 13-1-28 to 13-1-199 NMSA 1978. “Public School Finance Act” means §§ 22-8-1 to 22-8-49 NMSA 1978. “Secretary” means the cabinet secretary of the Department.

  • Software Application means a digital product or service as defined in Article 2, point 13, of Regulation (EU) …/… [on contestable and fair markets in the digital sector (Digital Markets Act)];

  • Assembler means any person engaged in the business of assembling, replacing, or installing one or more components into an X-ray system or subsystem. The term includes the owner of an X-ray system or the employee or agent who assembles components into an X-ray system that is subsequently used to provide professional or commercial services.

  • Modules means the Base Modules and Extended Modules.

  • Access Code means the Railways (Access) Code 2000;

  • Grid Code / “IEGC” or “State Grid Code” shall mean the Grid Code specified by the Central Commission under clause (h) of sub-section (1) of Section 79 of the Electricity Act and/or the State Grid Code as specified by the concerned State Commission referred under clause (h) of sub-section (1) of Section 86 of the Electricity Act, as applicable;

  • APIs means SAP application programming interface and accompanying or related Documentation, source code, tools, executable applications, libraries, subroutines, widgets and other materials made available by SAP or through SAP tools or SAP Software Development Kit (and all derivative works or modifications thereof) to Provider that allow Provider to integrate the Provider Service with the Cloud Service, including any access code, authentication keys or similar mechanisms to enable access of the APIs.

  • Toll Center Code means the three digit access tandem code (“ATC”) that uniquely identifies a tandem switch in the Local Exchange Routing Guide (LERG) designated as providing access to operator services functions.

  • Application Software means Software formulated to perform specific business or technical functions and interface with the business or technical users of the System and is identified as such in Appendix4 of the Contract Agreement and such other Software as the parties may agree in writing to be Application Software.

  • Firmware means software sold or licensed only in conjunction with machines, designed for execution only on a machine with which it is provided, designed only for machines other than a dedicated computer, and embedded into or installed on the machine by the machine’s manufacturer or seller.

  • Originating Point Code (OPC) means a code assigned to identify CLEC’s system(s) that originate SS7 messages, including LIDB Service Queries.

  • Source Code for a work means the preferred form of the work for making modifications to it. “Object code” means any non-source form of a work.

  • Contract Player means any Player (other than a Player on a Scholarship) who is eligible to play under a written contract of employment with a Club.

  • Customer Application means a software program in Object Code format that Customer has created and which integrates, in whole or in part, Value Added Technology, a Source Code Output File and/or a Binary Output File.

  • MSAA Indicator Technical Specifications document means, as the context requires, either or both of the document entitled “Multi-Sector Service Accountability Agreement (MSAA) 2019-20 Indicator Technical Specifications November 5, 2018 Version 1.3” and the document entitled “Multi-Sector Service Accountability Agreement (MSAA) 2019-20 Target and Corridor-Setting Guidelines” as they may be amended or replaced from time to time;

  • SIC code as used in this chapter means the Standard Industrial Classification Code contained in the latest edition of the Standard Industrial Classification Manual published by the Federal Office of Management and Budget;

  • Network Code means the document now known as the Network Code and formerly known as the Railtrack Track Access Conditions 1995;

  • Network Interface Device or "NID" is a Network Element (including all of its features, functions and capabilities) that includes any means of Interconnection of End User Customer premises wiring to Qwest's distribution plant, such as a cross connect device used for that purpose. "New Service Provider" means the Party to which an End User Customer switches its local Exchange Service or the Party to which an End User Customer is porting its telephone number(s).

  • Network Data Mover (NDM) or “Connect Direct” means the industry standard protocol for transferring information electrically.

  • Uniform Network Code means the uniform network code as defined in Standard Special Condition A11(6) of National Grid’s transporters licence, as such code may be amended from time to time in accordance with the terms thereof.

  • Mail order pharmacy means a pharmacy licensed by this

  • Access Codes means the username and password provided by the Company to the Client for accessing his Trading Account through the Company’s electronic systems.

  • Contractor Software means software which is proprietary to the Contractor, including software which is or will be used by the Contractor for the purposes of providing the Services.