Claim Rejections

Drug Quantity / Drug Measure (RC139)

Rejection: Drug Quantity Required (RC139) Drug Measure Required (RC140)

What happened:?The quantity (NDC Qty) or the quantity qualifier (NDC QtyQual) was not in the grey section above the line items in box 24j.

Resolution: Put in the quantity or quantity qualifier in box 24j. If the claim is being sent in print image format, please contact our customer service department (360-975-7000 opt 1)?so our reps can offer assistance on how to send this information.

ndc qty and qty qual.jpg