| 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. |
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| 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 |