NCPDP 5.1 ERROR CODES
| Error Code |
Explanation |
| AA | Patient Spenddown Not Met |
| AB | Date Written Is After Date Filled |
| AC | Product Not Covered Non-Participating Manufacturer |
| AD | Billing Provider Not Eligible To Bill This Claim Type |
| AE | QMB (Qualified Medicare Beneficiary)-Bill Medicare |
| AF | Patient Enrolled Under Managed Care |
| AG | Days Supply Limitation For Product/Service |
| AH | Unit Dose Packaging Only Payable For Nursing Home Recipients |
| AJ | Generic Drug Required |
| AK | M/I Software Vendor/Certification ID |
| AM | M/I Segment Identification |
| A9 | M/I Transaction Count |
| BE | M/I Professional Service Fee Submitted |
| B2 | M/I Service Provider ID Qualifier |
| CA | M/I Patient First Name |
| CB | M/I Patient Last Name |
| CC | M/I Cardholder First Name |
| CD | M/I Cardholder Last Name |
| CE | M/I Home Plan |
| CF | M/I Employer Name |
| CG | M/I Employer Street Address |
| CH | M/I Employer City Address |
| CI | M/I Employer State/Province Address |
| CJ | M/I Employer Zip Postal Zone |
| CK | M/I Employer Phone Number |
| CL | M/I Employer Contact Name |
| CM | M/I Patient Street Address |
| CN | M/I Patient City Address |
| CO | M/I Patient State/Province Address |
| CP | M/I Patient Zip/Postal Zone |
| CQ | M/I Patient Phone Number |
| CR | M/I Carrier ID |
| CW | M/I Alternate ID |
| CX | M/I Patient ID Qualifier |
| CY | M/I Patient ID |
| CZ | M/I Employer ID |
| DC | M/I Dispensing Fee Submitted |
| DN | M/I Basis Of Cost Determination |
| DQ | M/I Usual And Customary Charge |
| DR | M/I Prescriber Last Name |
| DT | M/I Unit Dose Indicator |
| DU | M/I Gross Amount Due |
| DV | M/I Other Payer Amount Paid |
| DX | M/I Patient Paid Amount Submitted |
| DY | M/I Date Of Injury |
| DZ | M/I Claim/Reference ID |
| EA | M/I Originally Prescribed Product/Service Code |
| EB | M/I Originally Prescribed Quantity |
| EC | M/I Compound Ingredient Component Count |
| ED | M/I Compound Ingredient Quantity |
| EE | M/I Compound Ingredient Drug Cost |
| EF | M/I Compound Dosage Form Description Code |
| EG | M/I Compound Dispensing Unit Form Indicator |
| EH | M/I Compound Route Of Administration |
| EJ | M/I Originally Prescribed Product/Service ID Qualifier |
| EK | M/I Scheduled Prescription ID Number |
| EM | M/I Prescription/Service Reference Number Qualifier |
| EN | M/I Associated Prescription/Service Reference Number |
| EP | M/I Associated Prescription/Service Date |
| ER | M/I Procedure Modifier Code |
| ET | M/I Quantity Prescribed |
| EU | M/I Prior Authorization Type Code |
| EV | M/I Prior Authorization Number Submitted |
| EW | M/I Intermediary Authorization Type ID |
| EX | M/I Intermediary Authorization ID |
| EY | M/I Provider ID Qualifier |
| EZ | M/I Prescriber ID Qualifier |
| E1 | M/I Product/Service ID Qualifier |
| E3 | M/I Incentive Amount Submitted |
| E4 | M/I Reason For Service Code |
| E5 | M/I Professional Service Code |
| E6 | M/I Result Of Service Code |
| E7 | M/I Quantity Dispensed |
| E8 | M/I Other Payer Date |
| E9 | M/I Provider ID |
| FO | M/I Plan ID |
| GE | M/I Percentage Sales Tax Amount Submitted |
| HA | M/I Flat Sales Tax Amount Submitted |
| HB | M/I Other Payer Amount Paid Count |
| HC | M/I Other Payer Amount Paid Qualifier |
| HD | M/I Dispensing Status |
| HE | M/I Percentage Sales Tax Rate Submitted |
| HF | M/I Quantity Intended To Be Dispensed |
| HG | M/I Days Supply Intended To Be Dispensed |
| H1 | M/I Measurement Time |
| H2 | M/I Measurement Dimension |
| H3 | M/I Measurement Unit |
| H4 | M/I Measurement Value |
| H5 | M/I Primary Care Provider Location Code |
| H6 | M/I DUR Co-Agent ID |
| H7 | M/I Other Amount Claimed Submitted Count |
| H8 | M/I Other Amount Claimed Submitted Qualifier |
| H9 | M/I Other Amount Claimed Submitted |
| JE | M/I Percentage Sales Tax Basis Submitted |
| J9 | M/I DUR Co-Agent ID Qualifier |
| KE | M/I Coupon Type |
| M1 | Patient Not Covered In This Aid Category |
| M2 | Recipient Locked In |
| M3 | Host PA/MC Error |
| M4 | Prescription/Service Reference Number/Time Limit Exceeded |
| M5 | Requires Manual Claim |
| M6 | Host Eligibility Error |
| M7 | Host Drug File Error |
| M8 | Host Provider File Error |
| ME | M/I Coupon Number |
| MZ | Error Overflow |
| NE | M/I Coupon Value Amount |
| NN | Transaction Rejected At Switch Or Intermediary |
| PA | PA Exhausted/Not Renewable |
| PB | Invalid Transaction Count For This Transaction Code |
| PC | M/I Claim Segment |
| PD | M/I Clinical Segment |
| PE | M/I COB/Other Payments Segment |
| PF | M/I Compound Segment |
| PG | M/I Coupon Segment |
| PH | M/I DUR/PPS Segment |
| PJ | M/I Insurance Segment |
| PK | M/I Patient Segment |
| PM | M/I Pharmacy Provider Segment |
| PN | M/I Prescriber Segment |
| PP | M/I Pricing Segment |
| PR | M/I Prior Authorization Segment |
| PS | M/I Transaction Header Segment |
| PT | M/I Workers’ Compensation Segment |
| PV | Non-Matched Associated Prescription/Service Date |
| PW | Non-Matched Employer ID |
| PX | Non-Matched Other Payer ID |
| PY | Non-Matched Unit Form/Route of Administration |
| PZ | Non-Matched Unit Of Measure To Product/Service ID |
| P1 | Associated Prescription/Service Reference Number Not Found |
| P2 | Clinical Information Counter Out Of Sequence |
| P3 | Compound Ingredient Component Count Does Not Match Number Of Repetitions |
| P4 | Coordination Of Benefits/Other Payments Count Does Not Match Number Of Repetitions |
| P5 | Coupon Expired |
| P6 | Date Of Service Prior To Date Of Birth |
| P7 | Diagnosis Code Count Does Not Match Number Of Repetitions |
| P8 | DUR/PPS Code Counter Out Of Sequence |
| P9 | Field Is Non-Repeatable |
| RA | PA Reversal Out Of Order |
| RB | Multiple Partials Not Allowed |
| RC | Different Drug Entity Between Partial & Completion |
| RD | Mismatched Cardholder/Group ID-Partial To Completion |
| RE | M/I Compound Product ID Qualifier |
| RF | Improper Order Of ‘Dispensing Status’ Code On Partial Fill Transaction |
| RG | M/I Associated Prescription/service Reference Number On Completion Transaction |
| RH | M/I Associated Prescription/Service Date On Completion Transaction |
| RJ | Associated Partial Fill Transaction Not On File |
| RK | Partial Fill Transaction Not Supported |
| RM | Completion Transaction Not Permitted With Same‘Date Of Service’ As Partial Transaction |
| RN | Plan Limits Exceeded On Intended Partial Fill Values |
| RP | Out Of Sequence ‘P’ Reversal On Partial Fill Transaction |
| RS | M/I Associated Prescription/Service Date On Partial Transaction |
| RT | M/I Associated Prescription/Service Reference Number On Partial Transaction |
| RU | Mandatory Data Elements Must Occur Before Optional Data Elements In A Segment |
| R1 | Other Amount Claimed Submitted Count Does Not Match Number Of Repetitions |
| R2 | Other Payer Reject Count Does Not Match Number Of Repetitions |
| R3 | Procedure Modifier Code Count Does Not Match Number Of Repetitions |
| R4 | Procedure Modifier Code Invalid For Product/Service ID |
| R5 | Product/Service ID Must Be Zero When Product/Service ID Qualifier Equals |
| R6 | Product/Service Not Appropriate For This Location |
| R7 | Repeating Segment Not Allowed In Same Transaction |
| R8 | Syntax Error |
| R9 | Value In Gross Amount Due Does Not Follow Pricing Formulae |
| SE | M/I Procedure Modifier Code Count |
| TE | M/I Compound Product ID |
| UE | M/I Compound Ingredient Basis Of Cost Determination |
| VE | M/I Diagnosis Code Count |
| WE | M/I Diagnosis Code Qualifier |
| XE | M/I Clinical Information Counter |
| ZE | M/I Measurement Date |
