Type = Technical Guides, Technical Tools, What's New,; Topic = Multienterprise Information Network Tower (MINT), Technical Documentation,;Persona = Solution Designer, TraceLink Administrator, User, Orchestration Architect, Solution Partner, Technology Partner,; Orchestration = Manufacturing, Logistics, Commerce, Transportation, Clinical Supply,; Function = IT, Quality, Procurement,

Product transfer account adjustment response canonical guidelines

A Product Transfer Account Adjustment Response is the formal reply issued by a manufacturer or supplier to a previously submitted adjustment request, typically related to a chargeback claim from a wholesaler or distributor. This response confirms whether the requested financial adjustment—often submitted via a product transfer account adjustment transaction—has been approved, partially approved, or rejected, and provides explanations for any changes made.

Canonical Element Type Definition Description IDoc mapping X12 mapping EDIFACT mapping
Canonical Element – JSon object type/root element. – – –
  controlFileHeader – Canonical control file header to store data for control segments and envelopes of IDocs, and X12 and EDIFACT EDI messages. – – –
  canonicalProductTransferAccountAdjustmentResponseHeader – Payload for canonical Product Transfer Account Adjustment Response message. – segment BRC –
    processingFunctionTypeCode string

Processing function, transaction set purpose code.

Valid values include:

ORIGINAL - Original

CREATE - Add

DELETE - Delete

RESEND - Manufacturer response to chargeback resubmission

REISSUE - Manufacturer response to a credit and rebill of original chargeback request.

CORRECTEDVERIFIED - Manufacturer response to a chargeback request where original sale was at wholesaler cost/no original chargeback

FOLLOWUP - Followup transaction, Look for line level details for transaction type identification.

 –

BRC01 =

  • 00 (ORIGINAL) or

  • 01 (CREATE) or

  • 03 (DELETE) or

  • 15 (RESEND) or

  • 18 (REISSUE) or

  • 41 (CORRECTEDVERIFIED) or

  • 45 (FOLLOWUP)

Use Java call-out to enumeration lookup table CL_ProcessingFunctionTypeCode.txt

 –
    dateReported string Date of Response(Processing) to Product Transfer Account Adjustment date in format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available. – BRC02 (Date) & BRC05 (Time) –
    epochDateReported integer Date transaction created in epoch integer date format. Each string date recorded will have an epoch date format generated by a java exit. – – –
    ediMailBoxId string Edi mail box id – – –
    isRegularVersion boolean

Denotes line items will be generated for all submitted chargeback lines, including accepted.

True - Lines will be generated for only error and warning.

False - Lines will be generated for all submitted chargeback lines including accepted.

 – – –
    transactionReferenceIdentifierList array Transaction references for Product Transfer Account Adjustment Response at header level that affects the entire message – segment BRC –
      b2bTransactionIdentifierType string

Referenced document type.

Valid values:

  • CREDITMEMO - Credit Memo

  • TRANSACTIONREFERENCE - Transaction Reference Number

  • PRODUCTTRANSFERACCOUNTADJUSTMENTRESPONSE (Required)

  • DEBITMEMO - Sellers Debit memo document number

  • ADJUSTMENTMEMO - Chargeback adjustment memo sent via chargeback request(844)

 –

BRC03 =

  • CM (CREDITMEMO) or

  • TN (TRANSACTIONREFERENCE)

REF01 =

  • DL (DEBITMEMO) or

  • AM (ADJUSTMENTMEMO)

 –
      b2bTransactionIdentifierValue string Document identifier for transaction referenced by b2bTransactionIdentifierType. –

BRC04 whenb2bTransactionIdentifierType = PRODUCTTRANSFERACCOUNTADJUSTMENTRESPONSE (Required) and ("CREDITMEMO" or "TRANSACTIONREFERENCE")

REF02 whereb2bTransactionIdentifierType =

  • DEBITMEMO or

  • ADJUSTMENTMEMO

 –
      transactionDate string Date of Response(Processing) to Product Transfer Account Adjustment date in format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available. – – –
      epochTransactionDate integer Date transaction created in epoch integer date format. Each string date recorded will have an epoch date format generated by a java exit. – – –
      lineItemNumber string Line item number in customer purchase order. Line item level only. – – –
    transactionReferenceInformation array Reference information for identifiers that are not related to transaction documents. This group would map to X12 segments REF and N9 and EDIFACT RFF for information other than transaction documents. – segment REF –
      transactionReferenceType string

Transaction reference type for X12 segments REF and N9 and EDIFACT RFF for general reference data that is not a transaction document identifier. HDA mapping.

Valid values include:

  • RESUBMITNUMBER - Number assigned by the manufacturer to identify a previously submitted chargeback that was rejected due to error.

  • CUSTOM - Mutually defined

 –

REF01 =

  • RX (RESUBMITNUMBER) or

  • ZZ (CUSTOM)

 –
      transactionReferenceIdentifier string Transaction reference identifier value as defined by enumeration in transactionReferenceType. – REF02 –
      description string Identifier or description defined by qualifier code in transactionReferenceIdentifier (REF02). – – –
      transactionReferenceDate string Transaction reference date and time, if time available, in date format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available.. – – –
      epochTransactionReferenceDate integer Transaction reference date and time in EPOCH date time format. – – –
    mpcDates array Dates relevant for Product Transfer Account Adjustment Response header. – – –
      dateType string Date type at header level for price authorization in date format YYYYMMDD and time format (IDoc, X12) HHMMSS. – – –
      dateValue string Date defined by referenced date type in date format YYYY-MM-DD. Transform will pass thru whatever it finds in IDoc date and time fields.. – – –
      epochDateValue integer Date defined by referenced date type generated in epoch integer date format. Each string date recorded will have an epoch date format generated by a java exit. – – –
      timeZone string Time zone for referenced dates – – –
    mpCurrency array Currency – segment CUR –
      currencyCode string Currency Code. – CUR02 –
      exchangeRateCurrencyCode string Exchange Rate Currency Code – – –
      exchangeRate string Exchange Rate – – –
      validityRate string Validity Date – – –
      currencyEntityCode string Currency Entity Code – CUR01 –
    chargeBackClaimResponse array Validation response to product transfer request at header level. –

Segment AAA

Notes: Rejection codes listed as per HDA guideline, any missing of these in schema to be added manually.

 –
      responseCode string

Code indicating response.

valid values:

  • YES - Request is accepted

  • NO - Rejected

  • UNKNOWN - Unknwon

  • NOTAPPLICABLE - Not applicable.

 –

AAA01 =

  • Y (YES) or

  • N (NO) or

  • U (UNKNOWN) or

  • W (NOTAPPLICABLE)

 –
      agencyCode string

Code identifying the agency assigning the code values, X12 pass through.

The valid value is DR - National Wholesale Druggists Association.

 – AAA02 –
      rejectReasonCode string

Rejection reason code identifier,

Valid values list include: as per HDA guideline and other healthcare partners.

  • INCORRECTCONTRACT - Contract number incorrect, contract number supplied does not match any valid contract number in manufacturer database

  • INVALIDPRICEAUTHORIZATION - Price authorization Invalid

  • QUANTITYEXCEEDED - Authorized quantity exceeded

  • INVALIDINVOICEDATE - Invoice date for chargeback claim is missing or invalid

  • CUSTOMERNOTCOVERED - Manufacturer does not find contract submitted for this customer.

  • DRUGNOTELIGIBLE - Drug not yet eligible, Invoice date precedes date of inclusion of drug on this contract

  • WHOLESALERNOTCOVERED - Wholesaler not covered/ID not recognized, manufacturer has no record of inclusion of this distributor on this contract or cannot identify them

  • INVALIDQUANTITY - Quantity invalid or not supplied, quantity on invoice invalid or not supplied as required

  • CORRECTEDCONTRACTPRICE - Contract price not supplied or incorrect - Corrected in this 849 response transaction

  • DRUGNOTCOVERED - Drug not covered, drug for this chargeback not ever covered on this contract

 – AAA03 Use Java call-out to enumeration lookup table CL_RejectionReasonCode.txt –
      followupActionCode string

Action code identifies consequent action has to be taken by receiver of this message.

Valid values include: as per HDA guidelines

  • CORRECTANDRESUBMIT - Please correct and resubmit

  • RESUBMISSIONNOTALLOWED - Resubmission not allowed

  • RESUBMITORIGINALTRANSACTION - Please resubmit original transaction

  • RESUBMISSIONALLOWED - Resubmission allowed

  • DONOTRESUBMITINQUIRYINITIATED - Do not resubmit; Inquiry initiated to a third party

  • RESUBMITAFTER30DAYS - Please wait 30 days and resubmit

  • RESUBMITAFTER10DAYS - Please wait 10 days and resubmit

  • RESPONSEONHOLD - Do not resubmit; We will hold your request and respond again Shortly

  • RESUBMITENTIRECLAIM - Resubmit entire claim, the entire claim has to be resubmitted

 – AAA04 Use Java call-out to enumeration lookup table CL_FollowupActionCode –
    customerBusinessInformation – Customer or buyer party company identifiers and address information. – N101 = "BY" –
      businessName string Business name for partner or location – N102 –
      mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
        isIdentifierPresentInEvent boolean Is identifier present in event boolean – – –
        companyIdentifierType string

Company identifier type for business partner,

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 – N103 Use Java call-out to enumeration lookup table CL_CompanyIdentifierType –
        companyIdentifierValue string Company identifier value for business partner – N104 –
        alternateCompanyLocationIdentifierValue string Alternate company location identifier value – – –
      address – Party address information – – –
        address1 string Main street address – N301 –
        address2 string Supplemental street address – N302 –
        city string City – N401 –
        district string District – – –
        state string State or region code – N402 –
        postalCode string Postal code – N403 –
        country string Country code – N404 –
        telephone string Telephone number – – –
        fax string Fax number – – –
        url string Website URL – – –
        buildingNumber string Building number – – –
        plantNumber string Plant number – – –
        floorNumber string Floor number in building – – –
        lscAddressIdentifier string LSC address identifier – – –
        village string Village name – – –
        houseNumber string House number – – –
        township string Township – – –
        premisesCode string Premises code – – –
      companyLocationContactInformation – – – Hard code PER01 to "AJ" primary contact –
        contactName string Contact name – PER02 –
        contactTitle string Title of contact – – –
        contactPhone string Contact phone number – PER04 where PER03 = "TE" –
        contactEmail string Contact email address – PER06 where PER05 = "EM" –
    shipToBusinessInformation – Ship to party company identifiers and address information. – N101 = "ST" –
      businessPartyInformation – Contract party information. – N101 = "ST" –
        businessName string Business name for partner or location – N102 –
        mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
          isIdentifierPresentInEvent boolean Is identifier present in event boolean – – –
          companyIdentifierType string

Company identifier type for business partner,

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 – N103 Use Java call-out to enumeration lookup table CL_CompanyIdentifierType –
          companyIdentifierValue string Company identifier value for business partner – N104 –
          alternateCompanyLocationIdentifierValue string Alternate company location identifier value – – –
        address – Party address information – – –
          address1 string Main street address – N301 –
          address2 string Supplemental street address – N302 –
          city string City – N401 –
          district string District – – –
          state string State or region code – N402 –
          postalCode string Postal code – N403 –
          country string Country code – N404 –
          telephone string Telephone number – – –
          fax string Fax number – – –
          url string Website URL – – –
          buildingNumber string Building number – – –
          plantNumber string Plant number – – –
          floorNumber string Floor number in building – – –
          lscAddressIdentifier string LSC address identifier – – –
          village string Village name – – –
          houseNumber string House number – – –
          township string Township – – –
          premisesCode string Premises code – – –
        companyLocationContactInformation – – – Hard code PER01 to "AJ" primary contact –
          contactName string Contact name – PER02 –
          contactTitle string Title of contact – – –
          contactPhone string Contact phone number – PER04 where PER03 = "TE" –
          contactEmail string Contact email address – PER06 where PER05 = "EM" –
        transactionReferenceInformation array Reference information for identifiers that are not related to transaction documents. This group would map to X12 segments REF and N9 and EDIFACT RFF for information other than transaction documents. – loop N1-N3-N4-REF –
          transactionReferenceType string Transaction reference type for X12 segments REF and N9 and EDIFACT RFF for general reference data that is not a transaction document identifier. – – –
          transactionReferenceIdentifier string

Transaction reference identifier value as defined by enum in transactionReferenceType.

HDA: Contract header type code defining identifier/description in description attribute (REF03).

 – – –
          description string Identifier or description defined by qualifier code in transactionReferenceIdentifier (REF02) – – –
          transactionReferenceDate string Transaction reference date and time, if time available, in date format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available. – – –
          epochTransactionReferenceDate integer Transaction reference date and time in EPOCH date time format. – – –
        mpcDates array Dates relevant for inventory adjustment header – – –
          dateType string Date type at header level for inventory balance in date format YYYYMMDD and time format (IDoc, X12) HHMMSS. – – –
          dateValue string Date defined by referenced date type in date format YYYY-MM-DD. Transform will pass thru whatever it finds in IDoc date and time fields. – – –
          epochDateValue integer

Date defined by referenced date type generated in epoch integer date format.

Each string date recorded will have an epoch date format generated by a java exit.

 – – –
          timeZone string Time zone for referenced dates – – –
    supplierBusinessInformation   Supplier party company identifiers and address information. – N101 = "SU" –
      businessName string Business name for partner or location – N102 –
      mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
        isIdentifierPresentInEvent boolean Is identifier present in event boolean – – –
        companyIdentifierType string

Company identifier type for business partner.

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 –

N103 Use Java call-out to enumeration

lookup table CL_CompanyIdentifierType

 –
        companyIdentifierValue string Company identifier value for business partner – N104 –
        alternateCompanyLocationIdentifierValue string Alternate company location identifier value – – –
      address – Party address information – – –
        address1 string Main street address – N301 –
        address2 string Supplemental street address – N302 –
        city string City – N401 –
        district string District – – –
        state string State or region code – N402 –
        postalCode string Postal code – N403 –
        country string Country code – N404 –
        telephone string Telephone number – – –
        fax string Fax number – – –
        url string Website URL – – –
        buildingNumber string Building number – – –
        plantNumber string Plant number – – –
        floorNumber string Floor number in building – – –
        lscAddressIdentifier string LSC address identifier – – –
        village string Village name – – –
        houseNumber string House number – – –
        township string Township – – –
        premisesCode string Premises code – – –
      companyLocationContactInformation – – – Hard code PER01 to "AJ" primary contact –
        contactName string Contact name – PER02 –
        contactTitle string Title of contact – – –
        contactPhone string Contact phone number – PER04 where PER03 = "TE" –
        contactEmail string Contact email address – PER06 where PER05 = "EM" –
    manufacturerBusinessInformation – Manufacturer company identifiers and address information. – N101 = "MF" –
      businessName string Business name for partner or location – N102 –
      mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
        isIdentifierPresentInEvent boolean Is identifier present in event boolean – – –
        companyIdentifierType string

Company identifier type for business partner,

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 – N103 Use Java call-out to enumeration lookup table CL_CompanyIdentifierType –
        companyIdentifierValue string Company identifier value for business partner – N104 –
        alternateCompanyLocationIdentifierValue string Alternate company location identifier value – – –
      address – Party address information – – –
        address1 string Main street address – N301 –
        address2 string Supplemental street address – N302 –
        city string City – N401 –
        district string District – – –
        state string State or region code – N402 –
        postalCode string Postal code – N403 –
        country string Country code – N404 –
        telephone string Telephone number – – –
        fax string Fax number – – –
        url string Website URL – – –
        buildingNumber string Building number – – –
        plantNumber string Plant number – – –
        floorNumber string Floor number in building – – –
        lscAddressIdentifier string LSC address identifier – – –
        village string Village name – – –
        houseNumber string House number – – –
        township string Township – – –
        premisesCode string Premises code – – –
      companyLocationContactInformation – – – Hard code PER01 to "AJ" primary contact –
        contactName string Contact name – PER02 –
        contactTitle string Title of contact – N/A –
        contactPhone string Contact phone number – PER04 where PER03 = "TE" –
        contactEmail string Contact email address – PER06 where PER05 = "EM" –
    distributorBusinessInformation – Distributor party company identifiers and address information. – N101 = "DS" –
      businessName string Business name for partner or location – N102 –
      mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
        isIdentifierPresentInEvent boolean Is identifier present in event boolean – – –
        companyIdentifierType string

Company identifier type for business partner.

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 – N103 Use Java call-out to enumeration lookup table CL_CompanyIdentifierType –
        companyIdentifierValue string Company identifier value for business partner – N104 –
        alternateCompanyLocationIdentifierValue string Alternate company location identifier value – – –
      address – Party address information – – –
        address1 string Main street address – N301 –
        address2 string Supplemental street address – N302 –
        city string City – N401 –
        district string District – – –
        state string State or region code – N402 –
        postalCode string Postal code – N403 –
        country string Country code – N404 –
        telephone string Telephone number – – –
        fax string Fax number – – –
        url string Website URL – – –
        buildingNumber string Building number – – –
        plantNumber string Plant number – – –
        floorNumber string Floor number in building – – –
        lscAddressIdentifier string LSC address identifier – – –
        village string Village name – – –
        houseNumber string House number – – –
        township string Township – – –
        premisesCode string Premises code – – –
      companyLocationContactInformation – – – Hard code PER01 to "AJ" primary contact –
        contactName string Contact name – PER02 –
        contactTitle string Title of contact –   –
        contactPhone string Contact phone number – PER04 where PER03 = "TE" –
        contactEmail string Contact email address – PER06 where PER05 = "EM" –
    distributorBranchformation – Distributor branch location identifiers and address information. – N101 = "DB" –
      businessName string Business name for partner or location – N102 –
      mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
        isIdentifierPresentInEvent boolean Is identifier present in event boolean – – –
        companyIdentifierType string

Company identifier type for business partner.

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 – N103 Use Java call-out to enumeration lookup table CL_CompanyIdentifierType –
        companyIdentifierValue string Company identifier value for business partner – N104 –
        alternateCompanyLocationIdentifierValue string Alternate company location identifier value – – –
      address – Party address information – – –
        address1 string Main street address – N301 –
        address2 string Supplemental street address – N302 –
        city string City – N401 –
        district string District – – –
        state string State or region code – N402 –
        postalCode string Postal code – N403 –
        country string Country code – N404 –
        telephone string Telephone number – – –
        fax string Fax number – – –
        url string Website URL – – –
        buildingNumber string Building number – – –
        plantNumber string Plant number – – –
        floorNumber string Floor number in building – – –
        lscAddressIdentifier string LSC address identifier – – –
        village string Village name – – –
        houseNumber string House number – – –
        township string Township – – –
        premisesCode string Premises code – – –
      companyLocationContactInformation – – – Hard code PER01 to "AJ" primary contact –
        contactName string Contact name – PER02 –
        contactTitle string Title of contact – – –
        contactPhone string Contact phone number – PER04 where PER03 = "TE" –
        contactEmail string Contact email address – PER06 where PER05 = "EM" –
    freeTextNote array Free text, instructions, notes, descriptions and other free text elements – – –
      textReferenceCode string Text reference or subject code. Will map whatever is found. – – –
      textFunctionCode string Text function code. Will map whatever is found. – – –
      language string Language of free text – – –
      textFormatCode string Format code for free text – – –
      freeFormText string Free test string – – –
    customFields array Name value pairs for mapping pass through elements that will not be processed in TL system but may be passed outbound. Header level. – – –
      name string Name of mapped field. – – –
      value string Value in named field. – – –
  canonicalProductTransferAccountAdjustmentResponseItemDetails array Product transfer account adjustment response Item details. – segment CON in CON loop –
    b2bTransactionIdentifierType string

Transaction reference type for X12 segments REF and N9 and EDIFACT RFF for general reference data that is not a transaction document identifier. HDA mapping.

Valid value is SUPPLIERCONTRACT -Supplier/Vendor contract number.

 – CON01 = VC (SUPPLIERCONTRACT) (Mandatory) –
    b2bTransactionIdentifierValue string

Transaction reference identifier value as defined by enum in b2bTransactionIdentifierValue.

HDA: Contract header type code defining identifier/description in description attribute (REF03).

 – CON02 (Mandatory) –
    contractStatusCode string Contract status code. Pass thru mapping. – CON03 (Mandatory) –
    chargeBackClaimResponse array Validation response to product transfer request at contract level, and authorized followup action. –

segment CON- AAA

Notes: Rejection codes listed as per HDA guideline, any missing of these in schema to be added manually.

 –
      responseCode string

Code indicating response.

Valid values:

  • YES - Request is accepted

  • NO -Rejected

  • UNKNOWN - Unknwon

  • NOTAPPLICABLE - Not applicable.

 –

AAA01 =

  • Y (YES) or

  • N (NO) or

  • U (UNKNOWN) or

  • W (NOTAPPLICABLE)

 –
      agencyCode string

Code identifying the agency assigning the code values, X12 pass through.

The valid value is DR - National Wholesale Druggists Association.

 – AAA02 –
      rejectReasonCode string

Rejection reason code identifier.

Valid values list include: as per HDA guideline and other healthcare partners.

  • INCORRECTCONTRACT - Contract number incorrect, contract number supplied does not match any valid contract number in manufacturer database

  • INVALIDPRICEAUTHORIZATION - Price authorization Invalid

  • QUANTITYEXCEEDED - Authorized quantity exceeded

  • INVALIDINVOICEDATE - Invoice date for chargeback claim is missing or invalid

  • CUSTOMERNOTCOVERED - Manufacturer does not find contract submitted for this customer.

  • DRUGNOTELIGIBLE - Drug not yet eligible, Invoice date precedes date of inclusion of drug on this contract

  • WHOLESALERNOTCOVERED - Wholesaler not covered/ID not recognized, manufacturer has no record of inclusion of this distributor on this contract or cannot identify them

  • INVALIDQUANTITY - Quantity invalid or not supplied, quantity on invoice invalid or not supplied as required

  • CORRECTEDCONTRACTPRICE - Contract price not supplied or incorrect - Corrected in this 849 response transaction

  • DRUGNOTCOVERED - Drug not covered, drug for this chargeback not ever covered on this contract

 – AAA03 Use Java call-out to enumeration lookup table CL_RejectionReasonCode.txt –
      followupActionCode string

Action code identifies consequent action has to be taken by receiver of this message,

valid values include: as per HDA guidelines

  • CORRECTANDRESUBMIT - Please correct and resubmit

  • RESUBMISSIONNOTALLOWED - Resubmission not allowed

  • RESUBMITORIGINALTRANSACTION - Please resubmit original transaction

  • RESUBMISSIONALLOWED - Resubmission allowed

  • DONOTRESUBMITINQUIRYINITIATED - Do not resubmit; Inquiry initiated to a third party

  • RESUBMITAFTER30DAYS - Please wait 30 days and resubmit

  • RESUBMITAFTER10DAYS - Please wait 10 days and resubmit

  • RESPONSEONHOLD - Do not resubmit; We will hold your request and respond again Shortly

  • RESUBMITENTIRECLAIM - Resubmit entire claim, the entire claim has to be resubmitted

 – AAA04 Use Java call-out to enumeration lookup table CL_FollowupActionCode –
    transactionReferenceInformation array

Reference information for identifiers that are not related to transaction documents.

This group would map to X12 segments REF and N9 and EDIFACT RFF for information other than transaction documents.

 – segment CON-REF –
      transactionReferenceType string

Transaction reference type for X12 segments REF and N9 and EDIFACT RFF for general reference data that is not a transaction document identifier. HDA mapping.

The valid value is CORRECTEDCONTRACT - Corrected Contract Number.

 –

REF01 = C8 (CORRECTEDCONTRACT)

Use Java call-out to enumeration lookup table CL_TransactionReferenceType

 –
      transactionReferenceIdentifier string Transaction reference identifier value as defined by enumeration in transactionReferenceType. – REF02 –
      description string Identifier or description defined by qualifier code in transactionReferenceIdentifier (REF02). – REF03 –
      transactionReferenceDate string Transaction reference date and time, if time available, in date format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available. – – –
      epochTransactionReferenceDate integer Transaction reference date and time in EPOCH date time format. – – –
    mpcDates array Dates relevant for contract. – segment CON-DTM –
      dateType string Date type at item level for Product Transfer Account Adjustment Response in date format YYYYMMDD and time format (IDoc, X12) HHMMSS. – – –
      dateValue string Date defined by referenced date type in date format YYYY-MM-DD. Transform will pass thru whatever it finds in IDoc date and time fields. – – –
      epochDateValue integer

Date defined by referenced date type generated in epoch integer date format.

Each string date recorded will have an epoch date format generated by a java exit.

 – – –
      timeZone string Time zone for referenced dates. – – –
    billToBusinessInformation –

Bill to company identifiers and address information extended with reference and date type identifiers.

HDA usage note: This N1 loop at the Detail Level in the CON loop is required to identify customers belonging to the buying group or individual parties involved in chargeback contract.

 – segment CON-N1 –
      businessPartyInformation – Bill to party company identifiers and address information. – N101 = "BT" –
        businessName string Business name for partner or location – N102 –
        mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
          isIdentifierPresentInEvent boolean Is identifier present in event boolean. – – –
          companyIdentifierType string

Company identifier type for business partner.

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 – N103 Use Java call-out to enumeration lookup table CL_CompanyIdentifierType –
          companyIdentifierValue string Company identifier value for business partner. – N104 –
          alternateCompanyLocationIdentifierValue string Alternate company location identifier value. – – –
        address – Party address information. – – –
          address1 string Main street address. – N301 –
          address2 string Supplemental street address. – N302 –
          city string City – N401 –
          district string District – N/A –
          state string State or region code – N402 –
          postalCode string Postal code – N403 –
          country string Country code – N404 –
          telephone string Telephone number – – –
          fax string Fax number – – –
          url string Website URL – – –
          buildingNumber string Building number – – –
          plantNumber string Plant number – – –
          floorNumber string Floor number in building – – –
          lscAddressIdentifier string LSC address identifier – – –
          village string Village name – – –
          houseNumber string House number – – –
          township string Township – – –
          premisesCode string Premises code – – –
        companyLocationContactInformation – – – – –
          contactName string Contact name – – –
          contactTitle string Title of contact – – –
          contactPhone string Contact phone number – – –
          contactEmail string Contact email address – – –
      transactionReferenceInformation array

Reference information for identifiers that are not related to transaction documents.

This group would map to X12 segments REF and N9 and EDIFACT RFF for information other than transaction documents.

HDA Description: This REF segment at the Detail Level in the CON/N1 loop is used in response to chargeback request to provide other information regarding the customers involved in reconciliation process including: Payer identification number (340 programs), DEA, Health industry number, GLN and Product line numbers. REF01 and REF02 must be present and in some instances, REF03 may be appropriate for description clarification.

 – loop CON-N1-N3-N4-REF –
        transactionReferenceType string

Transaction reference type for X12 segments REF and N9 and EDIFACT RFF for general reference data that is not a transaction document identifier. HDA mapping.

Valid values:

  • PAYERIDENTIFIER - Payer Identification Number for 340B Programs

  • DEA - Drug Enforcement Administration Number

  • HIN - Health Industry Number (HIN)

  • LETTERS - Letters or notes, This code would qualify any optional notes and comments pertaining to an original or resubmitted chargeback line. These notes or comments should be placed in REF03.

  • LOCATIONIDENTIFIER- GS1-US Global Location Number (GLN)

 –

REF01 =

  • 2U (PAYERIDENTIFIER) or

  • DH (DEA) or

  • HI (HIN) or

  • L1 (LETTERS) or

  • LU (LOCATIONIDENTIFIER) or

Use Java call-out to enumeration lookup table CL_TransactionReferenceType

 –
        transactionReferenceIdentifier string Transaction reference identifier value as defined by enum in transactionReferenceType. – REF02 –
        description string

Identifier or description defined by qualifier code in transactionReferenceIdentifier.

HAD usage description: This element can contain any optional notes or comments pertaining to an original or resubmitted line on a chargeback.

 – REF03 –
        transactionReferenceDate string Transaction reference date and time, if time available, in date format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available. –   –
        epochTransactionReferenceDate integer Transaction reference date and time in EPOCH date time format. –   –
      mpcDates array Dates relevant for contract party. – loop CON-N1-N3-N4-DTM –
        dateType string Date type in date format YYYYMMDD and time format (IDoc, X12) HHMMSS. –   –
        dateValue string Date defined by referenced date type in date format YYYY-MM-DD. Transform will pass thru whatever it finds in IDoc date and time fields. –   –
        epochDateValue integer Date defined by referenced date type generated in epoch integer date format. Each string date recorded will have an epoch date format generated by a java exit. –   –
        timeZone string Time zone for referenced dates –   –
    shipToBusinessInformation –

Ship to location identifiers and address information extended with reference and date type identifiers.

HDA usage note: This N1 loop at the Detail Level in the CON loop is required to identify customers belonging to the buying group or individual parties involved in chargeback contract

 – segment CON-N1 –
      businessPartyInformation – Ship to party company identifiers and address information. – N101 = "ST" –
        businessName string Business name for partner or location – N102 –
        mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
          isIdentifierPresentInEvent boolean Is identifier present in event boolean – – –
          companyIdentifierType string

Company identifier type for business partner.

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 – N103Use Java call-out to enumeration lookup table CL_CompanyIdentifierType –
          companyIdentifierValue string Company identifier value for business partner – N104 –
          alternateCompanyLocationIdentifierValue string Alternate company location identifier value – – –
        address – – Party address information – – –
          address1 string Main street address – N301 –
          address2 string Supplemental street address – N302 –
          city string City – N401 –
          district string District – – –
          state string State or region code – N402 –
          postalCode string Postal code – N403 –
          country string Country code – N404 –
          telephone string Telephone number – – –
          fax string Fax number – – –
          url string Website URL – – –
          buildingNumber string Building number – – –
          plantNumber string Plant number – – –
          floorNumber string Floor number in building – – –
          lscAddressIdentifier string LSC address identifier – – –
          village string Village name – – –
          houseNumber string House number – – –
          township string Township – – –
          premisesCode string Premises code – – –
        companyLocationContactInformation – – – – –
          contactName string Contact name – – –
          contactTitle string Title of contact – – –
          contactPhone string Contact phone number – – –
          contactEmail string Contact email address – – –
      transactionReferenceInformation array

Reference information for identifiers that are not related to transaction documents.

This group would map to X12 segments REF and N9 and EDIFACT RFF for information other than transaction documents.

HDA Description: This REF segment at the Detail Level in the CON/N1 loop is used in response to chargeback request to provide other information regarding the customers involved in reconciliation process including: Payer identification number (340 programs), DEA, Health industry number, GLN and Product line numbers. REF01 and REF02 must be present and in some instances, REF03 may be appropriate for description clarification.

 – loop CON-N1-N3-N4-REF –
        transactionReferenceType string

Transaction reference type for X12 segments REF and N9 and EDIFACT RFF for general reference data that is not a transaction document identifier. HDA mapping.

Valid values:

  • PAYERIDENTIFIER - Payer Identification Number for 340B Programs

  • DEA - Drug Enforcement Administration Number

  • HIN - Health Industry Number (HIN)

  • LETTERS - Letters or notes, This code would qualify any optional notes and comments pertaining to an original or resubmitted chargeback line. These notes or comments should be placed in REF03.

  • LOCATIONIDENTIFIER- GS1-US Global Location Number (GLN)

 –

REF01 =

  • 2U (PAYERIDENTIFIER) or

  • DH (DEA) or

  • HI (HIN) or

  • L1 (LETTERS) or

  • LU (LOCATIONIDENTIFIER) or

Use Java call-out to enumeration lookup table CL_TransactionReferencType

 –
        transactionReferenceIdentifier string Transaction reference identifier value as defined by enumeration in transactionReferenceType. Pass thru X12 mapping. – REF02 –
        description string

Identifier or description defined by qualifier code in transactionReferenceIdentifier (REF02).

HAD usage description: This element can contain any optional notes or comments pertaining to an original or resubmitted line on a chargeback.

 – REF03 –
        transactionReferenceDate string Transaction reference date and time, if time available, in date format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available. – – –
        epochTransactionReferenceDate integer Transaction reference date and time in EPOCH date time format. – – –
      mpcDates array Dates relevant for contract party. – loop CON-N1-N3-N4-DTM –
        dateType string Date type in date format YYYYMMDD and time format (IDoc, X12) HHMMSS. – – –
        dateValue string Date defined by referenced date type in date format YYYY-MM-DD. Transform will pass thru whatever it finds in IDoc date and time fields. – – –
        epochDateValue integer

Date defined by referenced date type generated in epoch integer date format.

Each string date recorded will have an epoch date format generated by a java exit.

 – – –
        timeZone string Time zone for referenced dates. – – –
    partnerBusinessInformation Loop

Partner business identifiers and address information extended with reference and date type identifiers.

HDA usage note: This N1 loop at the Detail Level in the CON loop is required to identify customers belonging to the buying group or individual parties involved in chargeback contract.

 – segment CON-N1 Loop –
      businessPartyInformation – Ship to party company identifiers and address information. – N1 –
        partnerEntityType string

Denotes type of the entity involved in this business transaction.

The valid value is CUSTOMER - Customer.

 – N101 Use java call-out table CL_PartnerEntityType.txt –
        businessName string Business name for partner or location. – N102 –
        mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
          isIdentifierPresentInEvent boolean Is identifier present in event boolean. – – –
          companyIdentifierType string

Company identifier type for business partner.

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 – N103Use Java call-out to enumeration lookup table CL_CompanyIdentifierType –
          companyIdentifierValue string Company identifier value for business partner – N104 –
          alternateCompanyLocationIdentifierValue string Alternate company location identifier value – – –
        address   – Party address information – – –
          address1 string Main street address – N301 –
          address2 string Supplemental street address – N302 –
          city string City – N401 –
          district string District – – –
          state string State or region code – N402 –
          postalCode string Postal code – N403 –
          country string Country code – N404 –
          telephone string Telephone number – – –
          fax string Fax number – – –
          url string Website URL – – –
          buildingNumber string Building number – – –
          plantNumber string Plant number – – –
          floorNumber string Floor number in building – – –
          lscAddressIdentifier string LSC address identifier – – –
          village string Village name – – –
          houseNumber string House number – – –
          township string Township – – –
          premisesCode string Premises code – – –
        companyLocationContactInformation – – – – –
          contactName string Contact name – – –
          contactTitle string Title of contact – – –
          contactPhone string Contact phone number – – –
          contactEmail string Contact email address – – –
      transactionReferenceInformation array

Reference information for identifiers that are not related to transaction documents.

This group would map to X12 segments REF and N9 and EDIFACT RFF for information other than transaction documents.

HDA Description: This REF segment at the Detail Level in the CON/N1 loop is used in response to chargeback request to provide other information regarding the customers involved in reconciliation process including: Payer identification number (340 programs), DEA, Health industry number, GLN and Produc line numbers. REF01 and REF02 must be present and in some instances, REF03 may be appropriate for description clarification.

 – loop CON-N1-N3-N4-REF –
        transactionReferenceType string

Transaction reference type for X12 segments REF and N9 and EDIFACT RFF for general reference data that is not a transaction document identifier. HDA mapping.

Valid values:

  • PAYERIDENTIFIER - Payer Identification Number for 340B Programs

  • DEA - Drug Enforcement Administration Number

  • HIN - Health Industry Number (HIN)

  • LETTERS - Letters or notes, This code would qualify any optional notes and comments pertaining to an original or resubmitted chargeback line. These notes or comments should be placed in REF03.

  • LOCATIONIDENTIFIER- GS1-US Global Location Number (GLN)

 –

REF01 =

  • 2U (PAYERIDENTIFIER) or

  • DH (DEA) or

  • HI (HIN) or

  • L1 (LETTERS) or

  • LU (LOCATIONIDENTIFIER) or

Use Java call-out to enumeration lookup table CL_TransactionReferencType

 –
        transactionReferenceIdentifier string Transaction reference identifier value as defined by enum in transactionReferenceType. Pass thru X12 mapping. – REF02 –
        description string

Identifier or description defined by qualifier code in transactionReferenceIdentifier (REF02).

HAD usage description: This element can contain any optional notes or comments pertaining to an original or resubmitted line on a chargeback

 – REF03 –
        transactionReferenceDate string Transaction reference date and time, if time available, in date format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available. – – –
        epochTransactionReferenceDate integer Transaction reference date and time in EPOCH date time format. – – –
      mpcDates array Dates relevant for contract party. – loop CON-N1-N3-N4-DTM –
        dateType string Date type in date format YYYYMMDD and time format (IDoc, X12) HHMMSS. – – –
        dateValue string Date defined by referenced date type in date format YYYY-MM-DD. Transform will pass thru whatever it finds in IDoc date and time fields. – – –
        epochDateValue integer

Date defined by referenced date type generated in epoch integer date format.

Each string date recorded will have an epoch date format generated by a java exit.

 – – –
        timeZone string Time zone for referenced dates – – –
    distributorBusinessInformation –

Distributor party company identifiers and address information extended with dates and reference identifiers.

HDA usage note: This N1 loop at the Detail Level in the CON loop is required to identify customers belonging to the buying group or individual parties involved in chargeback contract

 – segment CON-N1 –
      businessPartyInformation – Distributor group party information. – N101 = "DS" –
        businessName string Business name for partner or location. – N102 –
        mpcCompanyLocationIdentifierList array Identifier list for business party. – – –
          isIdentifierPresentInEvent boolean Is identifier present in event boolean. – – –
          companyIdentifierType string

Company identifier type for business partner,

Valid values:

  • DUNS - D-U-N-S number/ Dun and Bradstreet

  • SCAC - Standard Carrier Alpha Code

  • DUNS4 - D-U-N-S + 4r/ Dun and Bradstreet number plus suffix

  • DEA - Drug Enforcement Agency registration number

  • HIN - Health Industry Number

  • COMPANYID - Assigned by seller company identifier

  • COMPANYSITEID - Assigned by buyer company site identifier

  • GLN - Global Location Number

  • US_340B_ID - HDA payer identifier for 340B identifier.

 – N103 Use Java call-out to enumeration lookup table CL_CompanyIdentifierType –
          companyIdentifierValue string Company identifier value for business partner – N104 –
          alternateCompanyLocationIdentifierValue string Alternate company location identifier value – – –
        address – Party address information – – –
          address1 string Main street address – N301 –
          address2 string Supplemental street address – N302 –
          city string City – N401 –
          district string District – – –
          state string State or region code – N402 –
          postalCode string Postal code – N403 –
          country string Country code – N404 –
          telephone string Telephone number – – –
          fax string Fax number – – –
          url string Website URL – – –
          buildingNumber string Building number – – –
          plantNumber string Plant number – – –
          floorNumber string Floor number in building – – –
          lscAddressIdentifier string LSC address identifier – – –
          village string Village name – – –
          houseNumber string House number – – –
          township string Township – – –
          premisesCode string Premises code – – –
        companyLocationContactInformation – – – – –
          contactName string Contact name – – –
          contactTitle string Title of contact – – –
          contactPhone string Contact phone number – – –
          contactEmail string Contact email address – – –
      transactionReferenceInformation array

Reference information for identifiers that are not related to transaction documents.

This group would map to X12 segments REF and N9 and EDIFACT RFF for information other than transaction documents.

HDA Description: This REF segment at the Detail Level in the CON/N1 loop is used in response to chargeback request to provide other information regarding the customers involved in reconciliation process including: Payer identification number (340 programs), DEA, Health industry number, GLN and Product line numbers. REF01 and REF02 must be present and in some instances, REF03 may be appropriate for description clarification.

 – loop CON-N1-N3-N4-REF –
        transactionReferenceType string

Transaction reference type for X12 segments REF and N9 and EDIFACT RFF for general reference data that is not a transaction document identifier. HDA mapping.

Valid values:

  • PAYERIDENTIFIER - Payer Identification Number for 340B Programs

  • DEA - Drug Enforcement Administration Number

  • HIN - Health Industry Number (HIN)

  • LETTERS - Letters or notes, This code would qualify any optional notes and comments pertaining to an original or resubmitted chargeback line. These notes or comments should be placed in REF03.

  • LOCATIONIDENTIFIER- GS1-US Global Location Number (GLN)

 –

REF01 =

  • 2U (PAYERIDENTIFIER) or

  • DH (DEA) or

  • HI (HIN) or

  • L1 (LETTERS) or

  • LU (LOCATIONIDENTIFIER) or

Use Java call-out to enumeration lookup table CL_TransactionReferencType

 –
        transactionReferenceIdentifier string Transaction reference identifier value as defined by enumeration in transactionReferenceType. Pass thru X12 mapping. – REF02 –
        description string

Identifier or description defined by qualifier code in transactionReferenceIdentifier (REF02).

HAD usage description: This element can contain any optional notes or comments pertaining to an original or resubmitted line on a chargeback

 – REF03 –
        transactionReferenceDate string Transaction reference date and time, if time available, in date format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available. – – –
        epochTransactionReferenceDate integer Transaction reference date and time in EPOCH date time format. – – –
      mpcDates array Dates relevant for contract party. – loop CON-N1-N3-N4-DTM –
        dateType string Date type in date format YYYYMMDD and time format (IDoc, X12) HHMMSS. – – –
        dateValue string Date defined by referenced date type in date format YYYY-MM-DD. Transform will pass thru whatever it finds in IDoc date and time fields. – – –
        epochDateValue integer

Date defined by referenced date type generated in epoch integer date format.

Each string date recorded will have an epoch date format generated by a java exit.

 – – –
        timeZone string Time zone for referenced dates. – – –
    productAdjustmentDetails array Product adjustment details. – segment loop CON-PAD –
      lineItemNumber string

Line item number for canonicalProductTransferAccountAdjustmentResponseItemDetails. Sequential number that begins with 1 and is incremented with each loop of the product adjustment details array.

The line item number restarts and resets to 1 for each new loop of the canonicalProductTransferAccountAdjustmentResponseItemDetails array.

 – PAD01 –
      productTransferTypeCode string Product transfer type code. X12 pass thru mapping. – PAD02 –
      adjustmentTypeCode string Change or reponse type code specifying the type of change recorded in the product adjustment details loop. –   –
      productCodesIdentifiers array Product code identifier types and values. Only one instance of productCodesIdentifiers per productAdjustmentDetails loop. –   –
        productCodeType string

Code to qualify product identifier type.

Valid values include:

  • EAN251

  • US_NDC442

  • US_NDC532

  • US_NDC541

  • US_NDC542

  • CASEUPC

  • GTIN14

  • VENDORCATALOG

  • US_NDC - US_NHRIC

  • PACKAGEUPC

– LIN02 Use Java call-out to enumeration lookup table CL_ProductCodeType.txt –
        productCodeValue string Product code identifier value. – LIN03 –
      chargeBackClaimResponse array Validation response to product transfer request at product adjustment level. – segment loop CON-PAD-AAA –
        responseCode string

Code indicating response,

The valid values:

  • YES - Request is accepted

  • NO - Rejected

  • UNKNOWN - Unknown

  • NOTAPPLICABLE - Not applicable.

 –

AAA01 =

  • Y (YES) or

  • N (NO) or

  • U (UNKNOWN) or

  • W (NOTAPPLICABLE)

 –
        agencyCode string

Code identifying the agency assigning the code values, X12 pass through.

The valid value is DR - National Wholesale Druggists Association.

 – AAA02 –
        rejectReasonCode string

Rejection reason code identifier.

Valid values list include: as per HDA guideline and other healthcare partners.

  • INCORRECTCONTRACT - Contract number incorrect, contract number supplied does not match any valid contract number in manufacturer database

  • INVALIDPRICEAUTHORIZATION - Price authorization Invalid

  • QUANTITYEXCEEDED - Authorized quantity exceeded

  • INVALIDINVOICEDATE - Invoice date for chargeback claim is missing or invalid

  • CUSTOMERNOTCOVERED - Manufacturer does not find contract submitted for this customer.

  • DRUGNOTELIGIBLE - Drug not yet eligible, Invoice date precedes date of inclusion of drug on this contract

  • WHOLESALERNOTCOVERED - Wholesaler not covered/ID not recognized, manufacturer has no record of inclusion of this distributor on this contract or cannot identify them

  • INVALIDQUANTITY - Quantity invalid or not supplied, quantity on invoice invalid or not supplied as required

  • CORRECTEDCONTRACTPRICE - Contract price not supplied or incorrect - Corrected in this 849 response transaction

  • DRUGNOTCOVERED - Drug not covered, drug for this chargeback not ever covered on this contract

 – AAA03 Use Java call-out to enumeration lookup table CL_RejectionReasonCode.txt –
        followupActionCode string

Action code identifies consequent action has to be taken by receiver of this message,

Valid values include as per HDA guidelines:

  • CORRECTANDRESUBMIT - Please correct and resubmit

  • RESUBMISSIONNOTALLOWED - Resubmission not allowed

  • RESUBMITORIGINALTRANSACTION - Please resubmit original transaction

  • RESUBMISSIONALLOWED - Resubmission allowed

  • DONOTRESUBMITINQUIRYINITIATED - Do not resubmit; Inquiry initiated to a third party

  • RESUBMITAFTER30DAYS - Please wait 30 days and resubmit

  • RESUBMITAFTER10DAYS - Please wait 10 days and resubmit

  • RESPONSEONHOLD - Do not resubmit; We will hold your request and respond again Shortly

  • RESUBMITENTIRECLAIM - Resubmit entire claim, the entire claim has to be resubmitted

 – AAA04 Use Java call-out to enumeration lookup table CL_FollowupActionCode –
      unitDetailInformation array

Specifies item unit details of a contract that is being requested / corrected in response.

HDA usage note: Four occurrences of this segment at the detail level in the productAdjustmentDetails loop are required to add an item in a response to chargeback request:to specify the contract price, submitted contract price, whole sale price and submittted wholesale price.

 – segment loop CON-PAD-UIT –
        unitOfMeasure string

Unit of measure for recorded product in adjustment.

Valid values include:

  • UN - Unit (HDA)

  • PK - Package

  • EA - Each

 –

UIT01 =

  • UN (UN) or

  • EA (EA) or

  • PK (PK)

Use Java call-out to enumeration lookup table UOM_TableLookup2.txt

 –
        itemUnitPrice number Unit price for product – UIT02 –
        unitPriceTypeCode string

Code identifying the type of unit price.

Valid values include:

  • CONTRACT

  • WHOLESALE

  • SUBMITTEDCONTRACT

  • SUBMITTEDWHOLESALE

–

UIT03 =

  • CT (CONTRACT) or

  • WH (WHOLESALE) or

  • SC (SUBMITTEDCONTRACT) or

  • SW (SUBMITTEDWHOLESALE)

 –
      adjustmentQuantity array

Quantity of item in response to chargeback claim.

Notes: Rebate returns are indicated by negative values in the QTY and AMT segments.

 – segment loop CON-PAD-QTY –
        quantityType string

Type of quantity recorded.

Valid value:

  • SOLD- Quantity Sold

  • RETURNED - Quantity rebate returned

  • SUBMITTEDSOLD - Submitted Quantity Sold

  • SUBMITTEDRETURNED - Submitted Quantity Returned

 –

QTY01 =

  • 32 (SOLD)

  • 76 (RETURNED)

  • 83 (SUBMITTEDSOLD)

  • 84 (SUBMITTEDRETURNED)

Use Java call-out to enumeration lookup table CL_QuantityType.txt

 –
        quantityValue number Quantity of product required for planning. – QTY02 –
        unitOfMeasure string

Unit or Basis for Measurement Code.

Unit of entry UOM's include: UN - Unit.

 – QTY03 Use Java call-out to enumeration lookup table UOM_TableLookup2.txt –
      productAdjustmentClaimAmount array

Amount claimed for chargeback request or response.

HDA Notes: The AMT segment is to be used only in cases where the amount cannot be computed from other detail.

Submitted chargeback claim amount is equal to the value of the chargeback claim amount at the summary level in the canonical productTransferAccountRequest — which was submitted by the distributor to the manufacturer. Adjusted chargeback claim amount is equal to the value of the credit memo issued by the manufacturer.

 – segment loop CON-PAD-AMT –
        pricingType string

Pricing type for invoice item.

Valid value:

  • ADJUSTEDCHARGEBACK - Adjusted Chargeback Claim Amount

  • SUBMITTEDCHARGEBACK - Adjusted Chargeback Claim Amount

 –

AMT01 =

  • A (ADJUSTEDCHARGEBACK) or

  • S (SUBMITTEDCHARGEBACK)

 –
        pricingAmount string Net or extended price claimed for return including total disbursements, plus interest and minus deductions from claim. – AMT02 –
        isCreditOrDebit boolean

Credit or debit boolean. Only populated if identified. HDA optional value.

Valid values:

  • True - Credit

  • False - Debit Not populated (default)

 – AMT03 = C (true) D (false) –
      mpcDates array

Dates relevant for product adjustment item. Optional segment. HDA usage description:

This date segment at the detail level in the canonical productAdjustmentDetails array (X12CON/PAD loop) is only used to provide the item Invoiced and PO Received date.

 – loop CON-PAD-DTM –
        dateType string

Date type at item level for responsed to chargeback request in date format YYYYMMDD and time format (IDoc, X12) HHMMSS.

Valid values:

  • INVOICE - Invoice date

  • PO_RECEIVED - Purchase order received date

 –

DTM01 =

  • 003 (INVOICE) or

  • 008 (PO_RECEIVED)

 –
        dateValue string

Date defined by referenced date type in date format YYYY-MM-DD. Transform will pass thru whatever it finds in IDoc date and time fields.

HAD Note: Since product transfer account adjustment request can be sent to a manufacturer again when a distributor customer is re-billed due to a contract price discrepancy, it is strongly recommended that this date be based on the original sale date, not the invoice date.

 – DTM02 –
        epochDateValue integer Date defined by referenced date type generated in epoch integer date format. Each string date recorded will have an epoch date format generated by a java exit. – – –
        timeZone string Time zone for referenced dates. – – –
      transactionReferenceInformation array

Reference information for identifiers that are not related to transaction documents. This group would map to X12 segments REF and N9 and EDIFACT RFF for information other than transaction documents.

HDA Description: This REF segment at the Detail Level in the CON/PAD loop is used to provide other references information regarding to chargeback related transactions involved in reconciliation process including: Transaction type, Distributor invoice number Produce line number..etc.

REF01 and REF02 must be present and in some instances, REF03 may be appropriate for description clarification.

 –

loop CON-PAD-REFNotes:

if REF01 =8X then transaction type REF02 will replace BRC01 REF02 =

  • 00 - Original,

  • 15 - for resubmission,

  • 18 - credit / rebill with original,

  • 41 - credit / rebill with out original

 –
        transactionReferenceType string

Transaction reference type for X12 segments REF and N9 and EDIFACT RFF for general reference data that is not a transaction document identifier. HDA mapping.

Valid values include:

  • PAYERIDENTIFIER - Payer Identification Number for 340B Programs

  • DEA - Drug Enforcement Administration Number

  • HIN - Health Industry Number (HIN)

  • LETTERS - Letters or notes, This code would qualify any optional notes and comments pertaining to an original or resubmitted chargeback line. These notes or comments should be placed in REF03.

  • LOCATIONIDENTIFIER - GS1-US Global Location Number (GLN)

  • PRODUCTLINENUMBER - Chargeback detail line number

  • TRANSACTIONTYPE - Processing funcion type or transaction category code

  • DISTRIBUTORINVOICE - Distributor invoice number

  • LINEITEMNUMBER - Line item number to pass through for LIN01 segment.

 –

REF01 =

  • 2U (PAYERIDENTIFIER) or

  • DH (DEA) or

  • HI (HIN) or

  • L1 (LETTERS) or

  • LU (LOCATIONIDENTIFIER) or

  • P7 (PRODUCTLINENUMBER)

  • 8X (TRANSACTIONTYPE) or

  • DI (DISTRIBUTORINVOICE)

LIN01 when transactionReferenceType = LINEITEMNUMBER

Use Java call-out to enumeration lookup table CL_TransactionReferenceType

 –
        transactionReferenceIdentifier string Transaction reference identifier value as defined by enumeration in transactionReferenceType. Pass thru X12 mapping. – REF02 –
        description string Identifier or description defined by qualifier code in transactionReferenceIdentifier (REF02). HAD usage description: This element can contain any optional notes or comments pertaining to an original or resubmitted line on a chargeback. – REF03 –
        transactionReferenceDate string Transaction reference date and time, if time available, in date format YYYY-MM-DD or YYYY-MM-DDTHH:MM:SS.nnnZ if time available. – – –
        epochTransactionReferenceDate integer Transaction reference date and time in EPOCH date time format. – – –
    freeTextNote array Free text, instructions, notes, descriptions and other free text elements. – – –
      textReferenceCode string Text reference or subject code. Will map whatever is found. – – –
      textFunctionCode string Text function code. Will map whatever is found. – – –
      language string Language of free text – – –
      textFormatCode string Format code for free text – – –
      freeFormText string Free test string – – –
    customFields array Name value pairs for mapping pass through elements that will not be processed in TL system but may be passed outbound. Line item level. – – –
      name string Name of mapped field. – – –
      value string Value in named field. – – –
  canonicalProductTransferAccountAdjustmentClaimAmounts array

Amount claimed for chargeback request or response summary level.

HDA Notes: The AMT segment is to be used only in cases where the amount cannot be computed from other detail. Submitted chargeback claim Amount is equal to the value of the chargeback claim amount at the Summary level in the Product Transfer Account Adjustment Response — which was submitted by the distributor to the manufacturer.

Adjusted chargeback claim Amount is equal to the value of the credit memo issued by the manufacturer.

 – segment loop AMT –
    pricingType string

Pricing type for invoice item.

Valid value:

  • ADJUSTEDCHARGEBACK - Adjusted Chargeback Claim Amount

  • SUBMITTEDCHARGEBACK - Adjusted Chargeback Claim Amount

  • NETADJUSTMENT - Net Adjustment amount

 –

AMT01 =

  • A (ADJUSTEDCHARGEBACK) or

  • S (SUBMITTEDCHARGEBACK) or

  • NA (NETADJUSTMENT)

 –
    pricingAmount string Net or extended price claimed for return including total disbursements, plus interest and minus deductions from claim.. – AMT02 –
    isCreditOrDebit boolean

Credit or debit boolean. Only populated if identified. HDA optional value.

Valid values:

  • True - Credit

  • False - Debit Not populated (default)

 –

AMT03 =

  • C (true)

  • D (false)

 –
  canonicalProductTransferAccountAdjustmentResponseSummary array Summary totals for Product Transfer Account Adjustment Response. – CTT –
    summaryType string

Summary type for Product Transfer Account Adjustment Response. Number of line items.

The valid value is NUMBEROFITEMS.

 – CTT01 –
    summaryValue string Summary value. – CTT02 –
    summaryValueUnit string Summary value unit of measure. – CTT04 –
  customFields array Name value pairs for mapping pass through elements that will not be processed in TL system but may be passed outbound. Line item level. – – –
    name string Name of mapped field. – – –
    value string Value in named field. – – –

Tag end