Table 8: SDMCD Reversal Response - Rejected - Format

The following data elements are moved from the current claim to the NCPDP rejected reversal response format for return to the pharmacist through POS when a reversal is rejected.

From Current Claim NCPDP Claim Rejected Reversal Output

NCPDP Field Number

Constant value ‘32' or ‘3C’ VERSION NUMBER

102

The NCPDP TRANS CODE submitted for the claim being reversed. TRANS CODE

103

Constant value ‘R’ HEADER STATUS

501

Constant value ‘REVERSAL NOT PROCESSED’ MESSAGE

504

Constant value ‘CLAIM NOT FOUND’ or ‘ALREADY REVERSED OR ADJUSTED’ MESSAGE

504

Constant NCPDP reject value 87 REJECT CODE (1)

511

Constant value 01 or 02 REJECT COUNT

510

If the reject count is equal to 02 move constant NCPDP reject value 86 REJECT CODE (2)

511

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