Edit 00528

Missing or Invalid Quantity Dispensed

HIPAA Claim Adjustment Reason Code: 16
            Remark Code: M123
HIPAA Healthcare Claim Status Code: 221
            Entity Identifier Code: N/A

Potential Causes:
If the Drug Quantity submitted for an NDC code is blank or zeros, the edit is failed.

Solution:
Ensure the correct quantity is submitted. The quantity to send in the CTP segment is based on the definition of the NDC code rather than the HCPCS code.