| Table 4: SDMCD Claim Rejected Response Format | ||
| FROM CURRENT CLAIM | NCPDP CLAIM REJECTED RESPONSE OUTPUT | NCPDP FIELD NUMBER |
| Constant value ‘32' or ‘3C’ | VERSION NUMBER | 102 |
| The NCPDP TRANS CODE submitted for the claim being rejected. | TRANS CODE | 103 |
| Constant value ‘A’ | HEADER STATUS | 501 |
| Constant value SPACES | PLAN ID | 524 |
| Constant value ‘R’ | RESPONSE STATUS | 501 |
| Up to 20 NCPDP reject codes can be returned for a single claim. | REJECT CODE 01 through REJECT CODE 20 | 511 |
| DUR messages pertaining to the claim (See Table 9) | DUR RESPONSE | 525 |
| SDMCD Reference Number for the rejected claim | REJECTED REFERENCE NUMBER | 504 |
| ‘NOT PAID’ or a single specific SDMCD reject message that does not convert to a NCPDP reject code | REJECT MESSAGE | 504 |