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Rejected for Invalid Information NDC Number

Updated: 10/22/2020
Views: 8581

Rejection Message

REJECTED FOR INVALID INFORMATION NDC NUMBER. NDC NUMBER. NDC NUMBER

Rejection Details

This rejection indicates the claim includes a procedure (CPT/HCPCS) code with an invalid National Drug Code (NDC) number. 

Resolution

Follow the steps below depending on whether the National Drug Code (NDC) number was entered in the Procedure or Encounter record.

  • If the NDC number was entered in the Procedure record:
  1. Find and open the procedure. The Edit Procedure window opens.
  2. Under the Drug Information section, update the NDC Number to the correct 11-digit number (excluding hyphens).
    • If required by the payer, enter additional drug information related to the NDC Number.
      Note: When unsure, contact the payer to verify the required drug information to prevent further claim rejections.
      • Click the drop-down arrow and select the appropriate Unit of measure.
        Note: The MCG and MG qualifiers are only accepted on paper claims. 
      • Enter the Unit count.
  3. Click Save.

Then, rebill and resubmit all affected claims.

EditProcedure_NDCNumber.png

  • If the NDC number was entered in the Encounter record:
  1. Find and open the encounter. The Edit Encounter window opens. 
  2. Under the NDC column of the Procedures section, update the NDC number to the correct 11-digit number (excluding hyphens).
    • If the NDC column is not displayed, customize the Procedures section to add the NDC column.
    • If required by the payer, update or enter additional drug information related to the NDC number. 
      Note: When unsure, contact the payer to verify the required drug information to prevent further claim rejections.
      • UC: Enter the unit count (e.g., if 1 vial is 1 mL, the UC is 1).
      • UM: Enter the unit of measure (e.g., if 1 vial is 1 mL, the UM is ML).
        Note: The MCG and MG qualifiers are only accepted on paper claims. 
  3. Click Save.

Then, rebill and resubmit all affected claims.

EditEncounter_Procedures_NDC.png