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MedImpact CO FFS Medicaid Payer Sheet

MedImpact Colorado Medicaid Payer Sheet

NCPDP Version D.Ø

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Table of Contents

General Information


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Claim Billing Request Transaction
 

Transaction Header Segment – Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
1Ø1-A1BIN NUMBER018902M 
1Ø2-A2VERSION / RELEASE NUMBERD.ØM 
1Ø3-A3TRANSACTION CODEB1MB3 (Rebill) is not supported
1Ø4-A4PROCESSOR CONTROL NUMBERP303018902M 
1Ø9-A9TRANSACTION COUNT MPer D.Ø standard, up to 4
transactions supported, except for compounds, which allow only 1.
2Ø2-B2SERVICE PROVIDER ID QUALIFIER01=NPIMNPI Only
2Ø1-B1SERVICE PROVIDER ID M 
4Ø1-D1DATE OF SERVICE M 
11Ø-AKSOFTWARE VENDOR / CERTIFICATION ID MLeave blank if unknown

 

Insurance Segment (111-AM = “Ø4”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
3Ø2-C2CARDHOLDER ID MCO Medicaid identification number
3Ø9-C9ELIGIBILITY CLARIFICATION CODE RWRequired when needed to clarify member eligibility.
312-CCCARDHOLDER FIRST NAME   
313-CDCARDHOLDER LAST NAME   
3Ø1-C1GROUP IDCOMEDICAIDR 
3Ø3-C3PERSON CODE RWUse value printed on card to identify specific person when cardholder ID is for family.
3Ø6-C6PATIENT RELATIONSHIP CODE   
36Ø-2BMEDICAID INDICATOR RW 

 

Patient Segment (111-AM = “Ø1”) Mandatory 

Field #NCPDP Field NameValuePayer UsagePayer Situation
3Ø4-C4DATE OF BIRTH R 
3Ø5-C5PATIENT GENDER CODE R 
31Ø-CAPATIENT FIRST NAME R 
311-CBPATIENT LAST NAME R 
322-CMPATIENT STREET ADDRESS RW 
323-CNPATIENT CITY ADDRESS RW 
324-COPATIENT STATE / PROVINCE ADDRESS RW 
325-CPPATIENT ZIP / POSTAL ZONE RWWhen submitted value should only contain numeric characters. A dash is not allowed.
3Ø7-C7PLACE OF SERVICE RW 
384-4XPATIENT RESIDENCE RWImp Guide: Required if this field could result in different coverage, pricing, or patient
financial responsibility. Required when LTC processing edits and payment are desired.
335-2CPREGNANCY INDICATOR RWImp Guide: Required if this field could result in different coverage, pricing, or patient
financial responsibility.

 

Claim Segment (111-AM = “Ø7”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
455-EMPRESCRIPTION / SERVICE
REFERENCE NUMBER QUALIFIER
1 = Rx BillingM 
4Ø2-D2PRESCRIPTION / SERVICE REFERENCE NUMBER M 
436-E1PRODUCT / SERVICE ID QUALIFIER03 = NDCMFor multi-ingredient compounds this should be 00 (two zeros).
4Ø7-D7PRODUCT / SERVICE ID MFor multi-ingredient compounds this should be 0 (one zero).
442-E7QUANTITY DISPENSED R 
4Ø3-D3FILL NUMBER R 
4Ø5-D5DAYS SUPPLY R 
4Ø6-D6COMPOUND CODE R 
4Ø8-D8DISPENSE AS WRITTEN (DAW) / PRODUCT SELECTION CODE RValues other than 0, 1, 8 and 9 will deny.
414-DEDATE PRESCRIPTION WRITTEN R 
415-DFNUMBER OF REFILLS AUTHORIZED RRequired for all transactions. CII Claim will deny when value is greater than zero.
419-DJPRESCRIPTION ORIGIN CODE RRequired for all prescriptions regardless of whether NEW or REFILL.
354-NXSUBMISSION CLARIFICATION CODE
COUNT
Maximum count of 3RWRequired if Submission Clarification Code (42Ø-DK) is used.
42Ø-DKSUBMISSION CLARIFICATION CODE RW

Required to indicate the need for special handling to override normal processing.

08 - Process Compound For Approved Ingredients

20 - must be submitted when 340B drugs are dispensed to Managed Medicaid and Fee-For-Service Medicaid members.

 

Claim Segment (111-AM = “Ø7”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
46Ø-ETQUANTITY PRESCRIBED RWImp Guide: Required when the transmission is for a Schedule I drug as defined in 21 CFR 1308.12 and per CMS-0055-F
(Compliance Date 9/21/2020. Refer to the Version D.Ø Editorial Document).

Payer Requirement:
Effective 9/21/2020, field is required for Schedule II drugs
3Ø8-C8OTHER COVERAGE CODE RWRequired for Coordination of Benefits or non-primary claim submissions.

8 is not accepted and will result in a denial.
429-DTSPECIAL PACKAGING INDICATOR RWRequired for LTC claims for brand oral solid drugs.
6ØØ-28UNIT OF MEASURE R 
     
418-DILEVEL OF SERVICE RW 
461-EUPRIOR AUTHORIZATION TYPE CODE RWRequired to indicate the need for special handling.
462-EVPRIOR AUTHORIZATION NUMBER SUBMITTED RWRequired to indicate the need for special handling to override a normal processing rejection.
995-E2ROUTE OF ADMINISTRATIONSNOMED CodeRWRequired when needed by plan for proper adjudication. See Plan Profile Sheets.
996-G1COMPOUND TYPE RWRequired when billing for a compound.
147-U7PHARMACY SERVICE TYPE RWRequired for Mail Order, LTC, and Specialty pharmacies for proper reimbursement.

 

Pricing Segment (111-AM = “11”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
4Ø9-D9INGREDIENT COST SUBMITTED R 
412-DCDISPENSING FEE SUBMITTED RWRequired if necessary as a component of Gross Amount Due
433-DXPATIENT PAID AMOUNT SUBMITTED Not UsedThis field is not used for COB billing.
Claim will deny if value is other than $0.
438-E3INCENTIVE AMOUNT SUBMITTED RWRequired when pharmacy is entitled to a Vaccine Administration Fee.
478-H7OTHER AMOUNT CLAIMED SUBMITTED COUNT RW 
479-H8OTHER AMOUNT CLAIMED SUBMITTED QUALIFIER RW 
48Ø-H9OTHER AMOUNT CLAIMED SUBMITTED RW 
481-HAFLAT SALES TAX AMOUNT SUBMITTED RW

Flat Sales Tax Amount should be submitted when a governing jurisdiction requires the collection of a fixed amount for all applicable prescriptions.

Pharmacy is responsible for submission of accurate flat tax values for use in payment calculation.

Required when flat sales tax is applicable to product dispensed.

 

Pricing Segment (111-AM = “11”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
482-GEPERCENTAGE SALES TAX AMOUNT SUBMITTED RWRequired when percentage
sales tax is applicable to product dispensed.

Pharmacy is responsible for submission of accurate percentage tax values for use in payment calculation.

NOTE: For payment of Percentage Tax, all 3 Percentage Tax fields must be submitted:
-    PERCENTAGE SALES TAX AMOUNT SUBMITTED
-    PERCENTAGE SALES TAX RATE SUBMITTED
-    PERCENTAGE SALES TAX BASIS SUBMITTED
483-HEPERCENTAGE SALES TAX RATE SUBMITTED RWRequired when sales tax is applicable to product dispensed to provide the rate for use in payment calculation.
484-JEPERCENTAGE SALES TAX BASIS SUBMITTED RWRequired when sales tax is applicable to product dispensed to provide the basis for use in
payment calculation.
426-DQUSUAL AND CUSTOMARY CHARGE RRequired on all claim submissions.

In the case of a Vaccine where the product is also administered to the patient, U&C value should include the Administration Fee so any comparison to Usual and Customary calculates correctly.

 

Pricing Segment (111-AM = “11”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
43Ø-DUGROSS AMOUNT DUE RMust summarize according to NCPDP criteria.

Ingredient Cost Submitted (4Ø9-D9) +
Dispensing Fee Submitted (412-DC) +
Flat Sales Tax Amt Submitted (481-HA) +
Percentage Sales Tax Amt Submitted (482-GE) + Incentive Amount Submitted (438-E3) +
Other Amount Claimed (48Ø- H9)
423-DNBASIS OF COST DETERMINATION RWImp Guide: Required if needed for receiver claim/encounter adjudication.

05 (Acquisition)
08 (340B/Disproportionate Share Pricing/Public Health Service required when billing 340B transactions.

 

Prescriber Segment (111-AM = “Ø3”) Mandatory 

Field #NCPDP Field NameValuePayer UsagePayer Situation
466-EZPRESCRIBER ID QUALIFIER01 = National
Provider Identifier (NPI)
RRequired to identify the
prescriber of the product dispensed.
411-DBPRESCRIBER ID RRequired to identify the
prescriber of the product dispensed.
427-DRPRESCRIBER LAST NAME RWRequired to identify the prescriber of the product dispensed.
498-PMPRESCRIBER PHONE NUMBER   
468-2EPRIMARY CARE PROVIDER ID QUALIFIER   
421-DLPRIMARY CARE PROVIDER ID   
47Ø-4EPRIMARY CARE PROVIDER LAST NAME   
364-2JPRESCRIBER FIRST NAME   
365-2KPRESCRIBER STREET ADDRESS   
366-2MPRESCRIBER CITY ADDRESS   
367-2NPRESCRIBER STATE / PROVINCE ADDRESS   
368-2PPRESCRIBER ZIP / POSTAL ZONE  When submitted value should only contain numeric characters. A dash is not allowed.

 

Coordination of Benefits/Other Payments Segment (OPAP) (111-AM = “Ø5”) Situational

Required only for secondary, tertiary, etc. claims. Will reject if the Segment is sent on primary claim
Field #NCPDP Field NameValuePayer UsagePayer Situation
337-4CCOORDINATION OF BENEFITS / OTHER PAYMENTS COUNTMaximum count of 9M 
338-5COTHER PAYER COVERAGE TYPE M 
339-6COTHER PAYER ID QUALIFIER03 = BIN NumberR 
34Ø-7COTHER PAYER ID RIf no BIN exists due to billing of a non-online payer, please use value 999999 as the BIN of the Other Payer.
443-E8OTHER PAYER DATE R 
341-HBOTHER PAYER AMOUNT PAID COUNTMaximum count of 9RWImp Guide: Required if Other Payer Amount Paid Qualifier (342-HC) is used.

Required with Other Coverage Code 2 or 4.
342-HCOTHER PAYER AMOUNT PAID QUALIFIER RWImp Guide: Required if Other Payer Amount Paid (431-DV) is used.

Required with Other Coverage Code 2 or 4.
431-DVOTHER PAYER AMOUNT PAIDRequired even if the value is zero.RWRequired with Other Coverage Code 2 or 4.

OCC=2: Submit amount > $0.00

OCC=4: Submit amount = $0.00

OCC=4: Negative value is accepted and treated as zero.
353-NROTHER PAYER-PATIENT RESPONSIBILITY AMOUNT COUNTMaximum count of 25RWImp Guide: Required if Other Payer-Patient
Responsibility Amount Qualifier (351-NP) is used.

Required with Other Coverage Code 2 or 4.

 

Coordination of Benefits/Other Payments Segment (OPAP) (111-AM = “Ø5”) Situational

Required only for secondary, tertiary, etc. claims. Will reject if the Segment is sent on primary claim
Field #NCPDP Field NameValuePayer UsagePayer Situation
351-NPOTHER PAYER-PATIENT RESPONSIBILITY AMOUNT QUALIFIER RWImp Guide: Required if Other Payer-Patient Responsibility Amount (352- NQ) is used.

Required with Other Coverage Code 2 or 4.
352-NQOTHER PAYER-PATIENT RESPONSIBILITY AMOUNT RWRequired with Other Coverage Code 2 or 4.
471-5EOTHER PAYER REJECT COUNTMaximum count of 5RWRequired with Other Coverage Code 3.
472-6EOTHER PAYER REJECT CODENCPDP Reject CodesRWRequired with Other Coverage Code 3.

 

DUR/PPS Segment (111-AM = “Ø8”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
473-7EDUR / PPS CODE COUNTERMaximum count of 9R 
439-E4REASON FOR SERVICE CODE RWPayer Requirement: Required when needed by plan for proper adjudication.
44Ø-E5PROFESSIONAL SERVICE CODE RWPayer Requirement: Required when needed by plan for proper adjudication.
441-E6RESULT OF SERVICE CODE RWPayer Requirement: Required when needed by plan for proper adjudication.
474-8EDUR/PPS LEVEL OF EFFORT RWPayer Requirement: Required when needed by plan for proper adjudication.
475-J9DUR CO-AGENT ID QUALIFIER S 
476-H6DUR CO-AGENT ID S 

 

Compound Segment (111-AM = “1Ø”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
45Ø-EFCOMPOUND DOSAGE FORM DESCRIPTION CODE M 
451-EGCOMPOUND DISPENSING UNIT FORM INDICATOR M 
447-ECCOMPOUND INGREDIENT COMPONENT COUNTMaximum 25 ingredientsM 
488-RECOMPOUND PRODUCT ID QUALIFIER03 = NDCM 
489-TECOMPOUND PRODUCT ID M 
448-EDCOMPOUND INGREDIENT QUANTITY M 
449-EECOMPOUND INGREDIENT DRUG COST R 
49Ø-UECOMPOUND INGREDIENT BASIS OF COST
DETERMINATION
 R 

 

Clinical Segment (111-AM = “13”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
491-VEDIAGNOSIS CODE COUNTMaximum count of 5RW 
492-WEDIAGNOSIS CODE QUALIFIER02 = ICD-10RW 
424-DODIAGNOSIS CODE RWDecimal point should not be included in the ICD-10 value.


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Emergency Preparedness

In the event of a ‘declared emergency’, the following guidelines will be followed:
 

Patient Segment (111-AM = “Ø1”)

Field #NCPDP Field NameValuePayer UsagePayer Situation
322-CMPATIENT STREET ADDRESS RW 
323-CNPATIENT CITY ADDRESS RW 
324-COPATIENT STATE / PROVINCE ADDRESS RW 
325-CPPATIENT ZIP / POSTAL ZONE RWWhen submitted value should only contain numeric characters. A dash is not allowed.


NOTE: Patient Segment is for the demographic information from which the patient has been displaced. This may/may not be where the patient is residing during the emergency.
 

Claim Segment (111-AM = “Ø7”)

Field #NCPDP Field NameValuePayer UsagePayer Situation
42Ø-DKSUBMISSION CLARIFICATON CODE13 = Payer- Recognized Emergency / Disaster Assistance RequestRWThe pharmacist is indicating that an override is needed based on an emergency/disaster situation recognized by the payer.

 

Prescriber Segment (111-AM = “Ø3”)

Field #NCPDP Field NameValuePayer UsagePayer Situation
411-DBPRESCRIBER ID RWIn a ‘declared emergency situation’ when the pharmacist prescribes, the organizational (type 2) NPI of the pharmacy may be submitted.


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Vaccine Billing

If a pharmacy is contracted for vaccine billing, the following guidelines will be followed:
 

Claim Segment (111-AM = “Ø7”)

Field #NCPDP Field NameValuePayer UsagePayer Situation
455-EMPRESCRIPTION / SERVICE
REFERENCE NUMBER QUALIFIER
1 = Rx BillingR 
4Ø2-D2PRESCRIPTION / SERVICE REFERENCE NUMBER R 
436-E1PRODUCT / SERVICE QUALIFIER03 = NDCR 
4Ø7-D7PRODUCT / SERVICE ID R 


NOTE: Other claim segment fields are required per normal claim billing.
 

Pricing Segment (111-AM = “11”)

Field #NCPDP Field NameValuePayer UsagePayer Situation
4Ø9-D9INGREDIENT COST SUBMITTED R 
412-DCDISPENSING FEE SUBMITTED RW 
438-E3INCENTIVE AMOUNT SUBMITTED RWThis should be the contracted Administration Fee.
43Ø-DUGROSS AMOUNT DUE RThis must be the sum of Ingredient Cost Submitted (4Ø9-D9) +
Dispensing Fee Submitted (412-DC) +
Flat Sales Tax Amt Submitted (481-HA) +
Percentage Sales Tax Amt Submitted (482-GE) + Incentive Amount Submitted (438-E3) +
Other Amount Claimed (48Ø- H9)
426-DQUSUAL AND CUSTOMARY CHARGE RU&C must include the Vaccine Administration Fee so lesser than logic works properly.


DUR/PPS Segment (111-AM = “Ø8”)

Field #NCPDP Field NameValuePayer UsagePayer Situation
473-7EDUR / PPS CODE COUNTER1RW 
44Ø-E5PROFESSIONAL SERVICE
CODE
MA – Medication
Administered
RWIf this is not submitted the Administrative Fee will be ignored.


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Claim Response Transaction (Accepted/Paid or Dup. of Paid)
 

Transaction Header Segment – Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
1Ø2-A2VERSION / RELEASE NUMBERM 
1Ø3-A3TRANSACTION CODEB1M 
1Ø9-A9TRANSACTION COUNTSame value as in request.M 
5Ø1-F1HEADER RESPONSE STATUSA = AcceptedM 
2Ø2-B2SERVICE PROVIDER ID QUALIFIERSame value as in request.M 
2Ø1-B1SERVICE PROVIDER IDSame value as in request.M 
4Ø1-D1DATE OF SERVICESame value as in request.M 


Response Message Segment (111-AM = “2Ø”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
5Ø4-F4MESSAGE RWWhen claim(s) are PAID, transmission related messaging may be sent for pharmacy review.

 

Response Insurance Segment (111-AM = “25”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
3Ø1-C1GROUP ID RW 
524-FOPLAN ID RW 
545-2FNETWORK REIMBURSEMENT ID RW 
568-J7PAYER ID QUALIFIER RW 
569-J8PAYER ID RW 

 

 

 

 

 

 

 

Response Patient Segment (111-AM = “29”) Situational

Field #NCPDP Field NameValuePayer UsagePayer Situation
31Ø-CAPATIENT FIRST NAME RWReturned when enrollment file match occurs to indicate the First Name on the file for the Member ID.
311-CBPATIENT LAST NAME RWReturned when enrollment file match occurs to indicate the Last Name on the file for the Member ID.
3Ø4-C4DATE OF BIRTH RW 

 

Response Status Segment (111-AM = “21”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
112-ANTRANSACTION RESPONSE STATUSP = Paid
D = Duplicate of Paid
M 
5Ø3-F3AUTHORIZATION NUMBER RWWhen calling the Help Desk,
this ID is the fastest means to identify the claim.
547-5FAPPROVED MESSAGE CODE COUNTMaximum count of 5RW 
548-6FAPPROVED MESSAGE CODE RWUsed for Transition of Care messaging when applicable.
13Ø-UFADDITIONAL MESSAGE INFORMATION COUNTMaximum count of 25RW 
132-UHADDITIONAL MESSAGE INFORMATION QUALIFIER01 – 09 for the number of lines of messaging

10 – Next Refill Date (format CCYYMMDD)

19 – Remaining Quantity; Remaining amount of a maximum quantity limit based on quantity amounts accumulated.
RW 
526-FQADDITIONAL MESSAGE INFORMATION RW 
131-UGADDITIONAL MESSAGE INFORMATION CONTINUITY RW 
987-MAURL RWFuture Use

 

Response Claim Segment (111-AM = “22”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
455-EMPRESCRIPTION / SERVICE
REFERENCE NUMBER QUALIFIER
1 = Rx BillingM 
4Ø2-D2PRESCRIPTION / SERVICE REFERENCE NUMBER M 

 

Response Pricing Segment (111-AM = “23”) Mandatory 

Field #NCPDP Field NameValuePayer UsagePayer Situation
5Ø5-F5PATIENT PAY AMOUNT R 
5Ø6-F6INGREDIENT COST PAID R 
5Ø7-F7DISPENSING FEE PAID RW 
557-AVTAX EXEMPT INDICATOR RW 
558-AWFLAT SALES TAX AMOUNT PAID RW 
559-AXPERCENTAGE SALES TAX AMOUNT PAID RW 
56Ø-AYPERCENTAGE SALES TAX RATE PAID RW 
561-AZPERCENTAGE SALES TAX BASIS PAID RW 
521-FLINCENTIVE AMOUNT PAID RW 
563-J2OTHER AMOUNT PAID COUNTMaximum count of 3RWReturned when values related to the following reimbursements are returned.
564-J3OTHER AMOUNT PAID QUALIFIER RWValues provided per trading partner agreements.
565-J4OTHER AMOUNT PAID RW 
566-J5OTHER PAYER AMOUNT RECOGNIZED RWReturned on COB payment response when OPAP dollars used to reduce primary claim payment.
5Ø9-F9TOTAL AMOUNT PAID R 
522-FMBASIS OF REIMBURSEMENT DETERMINATION RW 

 

Response Pricing Segment (111-AM = “23”) Mandatory 

Field #NCPDP Field NameValuePayer UsagePayer Situation
COMPONENTS OF PATIENT PAY AMOUNT
523-FNAMOUNT ATTRIBUTED TO SALES TAX RW 
517-FHAMOUNT APPLIED TO PERIODIC DEDUCTIBLE RW 
518-FIAMOUNT OF COPAY RW 
52Ø-FKAMOUNT EXCEEDING
PERIODIC BENEFIT MAXIMUM
 RW 
571-NZAMOUNT ATTRIBUTED TO PROCESSOR FEE RW 
572-4UAMOUNT OF COINSURANCE RW 
129-UDHEALTH PLAN-FUNDED ASSISTANCE AMOUNT RW 
133-UJAMOUNT ATTRIBUTED TO PROVIDER NETWORK SELECTION RW 
134-UKAMOUNT ATTRIBUTED TO PRODUCT SELECTION / BRAND DRUG RW 
135-UMAMOUNT ATTRIBUTED TO PRODUCT SELECTION /
NON-PREFERRED FORMULARY SELECTION
 RW 
136-UNAMOUNT ATTRIBUTED TO PRODUCT SELECTION / BRAND NON-PREFERRED
FORMULARY SELECTION
 RW 
137-UPAMOUNT ATTRIBUTED TO COVERAGE GAP RW 
INFORMATIONAL FIELDS
512-FCACCUMULATED DEDUCTIBLE AMOUNT RWWhen applicable, the amount that has accumulated toward the deductible.
513-FDREMAINING DEDUCTIBLE AMOUNT RWWhen applicable, the amount of deductible that remains to be met.
514-FEREMAINING BENEFIT AMOUNT RWWhen applicable, the amount of benefit that has not yet been met.
575-EQPATIENT SALES TAX AMOUNT RW 
574-2YPLAN SALES TAX AMOUNT RW 

 

Response Pricing Segment (111-AM = “23”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
148-U8INGREDIENT COST
CONTRACTED / REIMBURSABLE AMOUNT
 RWReturned when payment is based on Patient Responsibility COB or Patient Pay Amount.
149-U9DISPENSING FEE
CONTRACTED / REIMBUSABLE AMOUNT
 RWReturned when payment is based on Patient Responsibility COB or Patient Pay Amount.
577-G3ESTIMATED GENERIC SAVINGS RW 
128-UCSPENDING ACCOUNT AMOUNT REMAINING RW 

 

Response DUR/PPS Segment (111-AM = “24”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
567-J6DUR / PPS RESPONSE CODE COUNTERMaximum of 9 occurrencesRW 
439-E4REASON FOR SERVICE CODE RW 
528-FSCLINICAL SIGNIFICANCE CODE RW 
529-FTOTHER PHARMACY INDICATOR RW 
53Ø-FUPREVIOUS DATE OF FILL RW 
531-FVQUANTITY OF PREVIOUS FILL RW 
532-FWDATABASE INDICATOR RW 
533-FXOTHER PRESCRIBER INDICATOR RW 
544-FYDUR FREE TEXT MESSAGE RW 
57Ø-NSDUR ADDITIONAL TEXT RW 

 

Response Coordination of Benefits/Other Payers Segment (111-AM = “28”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
355-NTOTHER PAYER ID COUNTMaximum count of 3M 
338-5COTHER PAYER COVERAGE TYPE M 
339-6COTHER PAYER ID QUALIFIER03 = BINRW 
34Ø-7COTHER PAYER ID RW 
991-MHOTHER PAYER PROCESSOR CONTROL NUMBER RW 
356-NUOTHER PAYER CARDHOLDER ID RW 
992-MJOTHER PAYER GROUP ID RW 
142-UVOTHER PAYER PERSON CODE RW 
127-UBOTHER PAYER HELP DESK PHONE NUMBER RW 
143-UWOTHER PAYER PATIENT RELATIONSHIP CODE RW 
144-UXOTHER PAYER BENEFIT EFFECTIVE DATE RW 
145-UYOTHER PAYER BENEFIT TERMINATION DATE RW 


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Claim Response Transaction (Accepted/Rejected)
 

Transaction Header Segment – Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
1Ø2-A2VERSION / RELEASE NUMBERM 
1Ø3-A3TRANSACTION CODEB1M 
1Ø9-A9TRANSACTION COUNTSame value as in request.M 
5Ø1-F1HEADER RESPONSE STATUSA = AcceptedM 
2Ø2-B2SERVICE PROVIDER ID QUALIFIERSame value as in request.M 
2Ø1-B1SERVICE PROVIDER IDSame value as in request.M 
4Ø1-D1DATE OF SERVICESame value as in request.M 

 

Response Message Segment (111-AM = “2Ø”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
5Ø4-F4MESSAGE RWWhen claim(s) are REJECTED, transmission related messaging may be sent for pharmacy review.

 

Response Insurance Segment (111-AM = “25”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
3Ø1-C1GROUP ID RW 
524-FOPLAN ID RW 
545-2FNETWORK REIMBURSEMENT ID RW 

 

 

 

 

 

Response Patient Segment (111-AM = “29”) Situational

Field #NCPDP Field NameValuePayer UsagePayer Situation
31Ø-CAPATIENT FIRST NAME RWReturned when enrollment file match occurs to indicate the First Name on the file for the Member ID.
311-CBPATIENT LAST NAME RWReturned when enrollment file match occurs to indicate the Last Name on the file for the Member ID.
3Ø4-C4DATE OF BIRTH RW 

 

Response Status Segment (111-AM = “21”) Mandatory 

Field #NCPDP Field NameValuePayer UsagePayer Situation
112-ANTRANSACTION RESPONSE STATUSR = RejectM 
5Ø3-F3AUTHORIZATION NUMBER RWWhen calling the Help Desk, this ID is the fastest means to identify the claim.
51Ø-FAREJECT COUNTMaximum count of 5R 
511-FBREJECT CODE R 
546-4FREJECT FIELD OCCURRENCE INDICATOR RWMedImpact will be using the Reject Occurrence Indicator to indicate repeating field rejections.

-    In the case of COMPOUNDS this will be used to indicate an ingredient level rejection. Example: Reject Code 70 with the Occurrence Indicator of 3 will indicate that the Product submitted as the third ingredient is Not Covered / Plan Benefit Exclusion.

-    In the case of COB, this will direct the provider to the PAYER LOOP in error.

 

Response Status Segment (111-AM = “21”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
13Ø-UFADDITIONAL MESSAGE INFORMATION COUNTMaximum count of 25RW 
132-UHADDITIONAL MESSAGE INFORMATION QUALIFIER01 – 09 for the number of lines of messaging

10 – Next Refill Date (format CCYYMMDD)

19 – Remaining Quantity; Remaining amount of a maximum quantity limit based on quantity amounts accumulated.
RW 
526-FQADDITIONAL MESSAGE INFORMATION RW 
131-UGADDITIONAL MESSAGE INFORMATION CONTINUITY RW 
549-7FHELP DESK PHONE NUMBER QUALIFIER RW 
55Ø-8FHELP DESK PHONE NUMBER RW 
987-MAURL RWFuture Use

 

Response Claim Segment (111-AM = “22”) Mandatory 

Field #NCPDP Field NameValuePayer UsagePayer Situation
455-EMPRESCRIPTION / SERVICE
REFERENCE NUMBER QUALIFIER
1 = Rx BillingM 
4Ø2-D2PRESCRIPTION / SERVICE REFERENCE NUMBER M 

 

Response DUR/PPS Segment (111-AM = “24”) Situational

Field #NCPDP Field NameValuePayer UsagePayer Situation
567-J6DUR / PPS RESPONSE CODE COUNTERMaximum of 9 occurrencesRW 
439-E4REASON FOR SERVICE CODE RW 
528-FSCLINICAL SIGNIFICANCE CODE RW 
529-FTOTHER PHARMACY INDICATOR RW 
53Ø-FUPREVIOUS DATE OF FILL RW 
531-FVQUANTITY OF PREVIOUS FILL RW 
532-FWDATABASE INDICATOR RW 
533-FXOTHER PRESCRIBER INDICATOR RW 
544-FYDUR FREE TEXT MESSAGE RW 
57Ø-NSDUR ADDITIONAL TEXT RW 

 

Response Coordination of Benefits/Other Payer Segment (111-AM = “28”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
335-NTOTHER PAYER ID COUNTMaximum count of 3M 
338-5COTHER PAYER COVERAGE TYPE M 
339-6COTHER PAYER ID QUALIFIER03 = BIN NumberRW 
34Ø-7COTHER PAYER ID RW 
991-MHOTHER PAYER PROCESSOR CONTROL NUMBER RW 
356-NUOTHER PAYER CARDHOLDER ID RW 
992-MJOTHER PAYER GROUP ID RW 
142-UVOTHER PAYER PERSON CODE RW 
127-UBOTHER PAYER HELP DESK PHONE NUMBER RW 
143-UWOTHER PAYER PATIENT RELATIONSHIP CODE RW 
144-UXOTHER PAYER BENEFIT EFFECTIVE DATE RW 
145-UYOTHER PAYER BENEFIT TERMINATION DATE RW 


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Claim Response Transaction (Rejected/Rejected)
 

Transaction Header Segment – Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
1Ø2-A2VERSION / RELEASE NUMBERM 
1Ø3-A3TRANSACTION CODEB1M 
1Ø9-A9TRANSACTION COUNTSame value as in request.M 
5Ø1-F1HEADER RESPONSE STATUSR = RejectedM 
2Ø2-B2SERVICE PROVIDER ID QUALIFIERSame value as in request.M 
2Ø1-B1SERVICE PROVIDER IDSame value as in request.M 
4Ø1-D1DATE OF SERVICESame value as in request.M 

 

Response Message Segment (111-AM = “2Ø”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
5Ø4-F4MESSAGE RWWhen claim(s) are REJECTED, transmission related messaging may be sent for pharmacy review.

 

Response Status Segment (111-AM = “21”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
112-ANTRANSACTION RESPONSE STATUSR = RejectM 
5Ø3-F3AUTHORIZATION NUMBER RWWhen calling Help Desk, this ID is the fastest means to identify the claim.
51Ø-FAREJECT COUNTMaximum count of 5R 
511-FBREJECT CODE R 
546-4FREJECT FIELD OCCURRENCE INDICATOR RW 
13Ø-UFADDITIONAL MESSAGE INFORMATION COUNTMaximum count of 25RWWhen supplied, count will equal the number of sets associated with UH, FQ and UG  fields.
132-UHADDITIONAL MESSAGE INFORMATION QUALIFIER01 – 09 for the number of lines of messaging

10 – Next Refill Date (format CCYYMMDD)

19 – Remaining Quantity; Remaining amount of a maximum quantity limit based on quantity amounts accumulated.
RW 
526-FQADDITIONAL MESSAGE INFORMATION RW 
131-UGADDITIONAL MESSAGE INFORMATION CONTINUITY RW 


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Claim Reversal Request Transaction

Reversals must be submitted with the same Rx number as was submitted on the original paid claim.

Reversals of COB claims should be performed in the correct “back out order”, meaning LAST claim billed must be reversed first until getting to the primary claim or a claim to be re-submitted.

  • If a claim has been billed as Primary, Secondary, or Tertiary and the pharmacy wishes to reprocess the secondary claim, the tertiary claim must be reversed first, then the secondary reversal. At this point the pharmacy may reprocess the secondary claim as required (the tertiary claim as well).
  • The reversal of a COB claim must contain the COB segment with Other Payer Coverage Type so in the case where MedImpact is the payer of more than one claim for the Pharmacy, Rx, Date of Service and Fill Number, the claim for reversal can be correctly identified.
     

Transaction Header Segment – Mandatory 

Field #NCPDP Field NameValuePayer UsagePayer Situation
1Ø1-A1BIN NUMBER018902M 
1Ø2-A2VERSION / RELEASE NUMBERM 
1Ø3-A3TRANSACTION CODEB2M 
1Ø4-A4PROCESSOR CONTROL NUMBERP303018902MShould be same value as submitted on B1 claim.
1Ø9-A9TRANSACTION COUNT1 through 4 supportedM 
2Ø2-B2SERVICE PROVIDER ID QUALIFIER01 = NPIM 
2Ø1-B1SERVICE PROVIDER ID M 
4Ø1-D1DATE OF SERVICE M 
11Ø-AKSOFTWARE VENDOR / CERTIFICATION IDBlanksM 

 

Insurance Segment (111-AM = “Ø4”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
3Ø2-C2CARDHOLDER ID  MValue submitted on claim should be included on reversal.
3Ø1-C1GROUP IDCOMEDICAIDRValue submitted on claim should be included on reversal.
3Ø6-C6PATIENT RELATIONSHIP CODE   

 

Claim Segment (111-AM = “Ø7”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
455-EMPRESCRIPTION / SERVICE REFERENCE NUMBER QUALIFIER1 = Rx BillingM 
4Ø2-D2PRESCRIPTON / SERVICE REFERENCE NUMBER M 
436-E1PRODUCT / SERVICE ID QUALIFIER03 = NDCM 
4Ø7-D7PRODUCT / SERVICE ID M 
4Ø3-D3FILL NUMBER RUsed as a ‘tie break’ if multiple fills of the same Rx/DOS allowed.
3Ø8-C8OTHER COVERAGE CODE RWRequired when reversing a COB claim.

Used as a ‘tie break’ if multiple fills of same Rx/DOS allowed.
147-U7PHARMACY SERVICE TYPE RW 


Pricing Segment (111-AM = “11”) Situational

Field #NCPDP Field NameValuePayer UsagePayer Situation
4Ø9-D9INGREDIENT COST SUBMITTED   
412-DCDISPENSING FEE SUBMITTED   
438-E3INCENTIVE AMOUNT SUBMITTED   
426-DQUSUAL AND CUSTOMARY CHARGE   
43Ø-DUGROSS AMOUNT DUE   
423-DNBASIS OF COST DETERMINATION   

 

 

 

 

 

 

 

 

Coordination of Benefit/Other Payment Segment (111-AM = “Ø5”) Situational

Required for reversal of a COB claim
Field #NCPDP Field NameValuePayer UsagePayer Situation
337-4CCOORDINATION OF
BENEFITS / OTHER PAYMENTS COUNT
Maximum count of
9
RWRequired when original claim
was COB.
338-5COTHER PAYER COVERAGE TYPE RWRequired when original claim was COB.
339-6COTHER PAYER ID QUALIFIER   
34Ø-7COTHER PAYER ID   
443-E8OTHER PAYER DATE   
341-HBOTHER PAYER AMOUNT PAID COUNT   
342-HCOTHER PAYER AMOUNT PAID QUALIFIER   
431-DVOTHER PAYER AMOUNT PAID   
471-5EOTHER PAYER REJECT COUNT   
472-6EOTHER PAYER REJECT CODE   
353-NROTHER PAYER-PATIENT RESPONSIBILITY AMOUNT COUNT   
351-NPOTHER PAYER-PATIENT RESPONSIBILITY AMOUNT QUALIFIER   
352-NQOTHER PAYER-PATIENT RESPONSIBILITY AMOUNT   


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Claim Reversal Response Transaction (Accepted/Approved)
 

Transaction Header Segment – Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
1Ø2-A2VERSION / RELEASE NUMBERM 
1Ø3-A3TRANSACTION CODEB2M 
1Ø9-A9TRANSACTION COUNTSame value as in request.M 
5Ø1-F1HEADER RESPONSE STATUSA = AcceptedM 
2Ø2-B2SERVICE PROVIDER ID QUALIFIERSame value as in request.M 
2Ø1-B1SERVICE PROVIDER IDSame value as in request.M 
4Ø1-D1DATE OF SERVICESame value as in request.M 

 

Response Message Segment (111-AM = “2Ø”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
5Ø4-F4MESSAGE RWWhen reversals are successful, transmission related messaging may be sent for pharmacy review.

 

Response Status Segment (111-AM = “21”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
112-ANTRANSACTION RESPONSE STATUSA = ApprovedM 
5Ø3-F3AUTHORIZATION NUMBER RWWhen calling Help Desk, this ID is the fastest means to identify the claim.
13Ø-UFADDITIONAL MESSAGE INFORMATION COUNTMaximum count of 25RW 
132-UHADDITIONAL MESSAGE INFORMATION QUALIFIER01 – 09 for the number of lines of messaging

10 – Next Refill Date (format CCYYMMDD)

19 – Remaining Quantity; Remaining amount of a maximum quantity limit based on quantity amounts accumulated.
RW 
526-FQADDITIONAL MESSAGE INFORMATION RW 
131-UGADDITIONAL MESSAGE INFORMATION CONTINUITY RW 

 

Response Claim Segment (111-AM = “22”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
455-EMPRESCRIPTION / SERVICE
REFERENCE NUMBER QUALIFIER
1 = Rx BillingM 
4Ø2-D2PRESCRIPTION/SERVICE REFERENCE NUMBER M 


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Claim Reversal Response Transaction (Accepted/Rejected)
 

Transaction Header Segment – Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
1Ø2-A2VERSION / RELEASE NUMBERM 
1Ø3-A3TRANSACTION CODEB2M 
1Ø9-A9TRANSACTION COUNTSame value as in request.M 
5Ø1-F1HEADER RESPONSE STATUSA = AcceptedM 
2Ø2-B2SERVICE PROVIDER ID QUALIFIERSame value as in request.M 
2Ø1-B1SERVICE PROVIDER IDSame value as in request.M 
4Ø1-D1DATE OF SERVICESame value as in request.M 

 

Response Message Segment (111-AM = “2Ø”) Situational 

Field #NCPDP Field NameValuePayer UsagePayer Situation
5Ø4-F4MESSAGE RWWhen reversals are REJECTED, transmission related messaging may be sent for pharmacy review.

 

Response Status Segment (111-AM = “21”) Mandatory 

Field #NCPDP Field NameValuePayer UsagePayer Situation
112-ANTRANSACTION RESPONSE STATUSR = RejectM 
5Ø3-F3AUTHORIZATION NUMBER RWWhen calling Help Desk, this ID is the fastest means to identify the claim.
51Ø-FAREJECT COUNTMaximum count of 5R 
511-FBREJECT CODE R 
546-4FREJECT FIELD OCCURRENCE INDICATOR RW 
13Ø-UFADDITIONAL MESSAGE INFORMATION COUNTMaximum count of 25RW 
132-UHADDITIONAL MESSAGE INFORMATION QUALIFIER01 – 09 for the number of lines of messaging

10 – Next Refill Date (format CCYYMMDD)

19 – Remaining Quantity; Remaining amount of a maximum quantity limit based on quantity amounts accumulated.
RW 
526-FQADDITIONAL MESSAGE INFORMATION RW 
131-UGADDITIONAL MESSAGE INFORMATION CONTINUITY RW 

 

Response Claim Segment (111-AM = “22”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
455-EMPRESCRIPTION / SERVICE REFERENCE NUMBER
QUALIFIER
1 = Rx BillingM 
4Ø2-D2PRESCRIPTION/SERVICE REFERENCE NUMBER M 


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Claim Reversal Response Transaction (Rejected/Rejected)
 

Transaction Header Segment – Mandatory 

Field #NCPDP Field NameValuePayer UsagePayer Situation
1Ø2-A2VERSION / RELEASE NUMBERM 
1Ø3-A3TRANSACTION CODEB2M 
1Ø9-A9TRANSACTION COUNTSame value as in request.M 
5Ø1-F1HEADER RESPONSE STATUSR = RejectedM 
2Ø2-B2SERVICE PROVIDER ID QUALIFIERSame value as in request.M 
2Ø1-B1SERVICE PROVIDER IDSame value as in request.M 
4Ø1-D1DATE OF SERVICESame value as in request.M 

 

Response Message Segment (111-AM = “2Ø”) Situational

Field #NCPDP Field NameValuePayer UsagePayer Situation
5Ø4-F4MESSAGE RWWhen claim transmission is REJECTED, contains information to further explain the reason for the rejection.

 

Response Status Segment (111-AM = “21”) Mandatory

Field #NCPDP Field NameValuePayer UsagePayer Situation
112-ANTRANSACTION RESPONSE STATUSR = RejectM 
5Ø3-F3AUTHORIZATION NUMBER RWWhen calling Help Desk, this ID is the fastest means to identify the claim.
51Ø-FAREJECT COUNTMaximum count of 5R 
511-FBREJECT CODE R 
546-4FREJECT FIELD OCCURRENCE INDICATOR RW 
13Ø-UFADDITIONAL MESSAGE INFORMATION COUNTMaximum count of 25RW 
132-UHADDITIONAL MESSAGE INFORMATION QUALIFIER01 – 09 for the number of lines of messaging

10 – Next Refill Date (format CCYYMMDD)

19 – Remaining Quantity; Remaining amount of a maximum quantity limit based on quantity amounts accumulated.
RW 
526-FQADDITIONAL MESSAGE INFORMATION RW 
131-UGADDITIONAL MESSAGE INFORMATION CONTINUITY RW 


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Revision History

Revision DateVersionSummary of Changes
May 19, 20251.0Created