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(2011-11-24 01:55:14)
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Related article: DME/DMS for HCFA 1500 billing - Exception: needles, syringes, blood glucose test strips Providers can reach the KDP prior authorization staff at 410-767-5000 or 5002, M-F, 8:00 am � 4:30 pm. SECTION XI EDITS ON-LINE CLAIMS PROCESSING MESSAGES: Following an on-line claim submission by a pharmacy, the system will return a message to indicate the outcome of processing. If the claim passes all edits, a �Paid� message will be returned with Maryland Medicaid�s allowed amount for the paid claim. A claim that fails an edit and is rejected (denied) will also return a message. Following is a list of the program�s error codes with their corresponding NCPDP reject codes. As shown below, the NCPDP error code is returned with the NCPDP message. Additionally, supplemental messages are sometimes returned in the additional message field of the claim that may be helpful in resolving the specific error. Where applicable, the NCPDP field that should be checked is referenced. Check the Solutions box if you are experiencing difficulties. For further assistance contact AFFILIATED COMPUTER SERVICES, INC. at: 1- 800-932-3918 (Nationwide Toll Free Number) POINT OF SALE REJECT CODES AND MESSAGES ~ All edits may not apply to this program ~ Reject Code 5.1 Reject Code NCPDP Error Description Exception Code Client or Base Edit Internal (long) message for Help Desk MD BCCDT KDP MADAP 01 M/I Bin 4001 B The BIN Number is missing or does not match one of the valid values (ie: 610084) D D D D 02 M/I Version Number 4002 B The Version Number is missing (spaces) or it does not match one of the valid values specified for the field D D D D 02 M/I Version Number 4003 B The Version Number is not one of the versions that the customer accepts for processing. D D D D 03 M/I Transaction Code 4004 B The Transaction Code is missing (zeros) or it does not match one of the valid values specified for the field in Lorazepam 2mg Solution Version 3.2. D
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