Beginning January 30, 2018 CalOptima’s Medi-Cal Line of Business will require the use of the Patient Residence Code, which is found in field 384-4X of the Commercial NCPDP Payer Sheet, to be listed on ALL CalOptima Medi-Cal claims.

Should the Residence code not be submitted by the submitting pharmacy, the submitting pharmacy will receive the following NCPDP Reject code of 4X-M/I Patient Residence. For assistance please contact MedImpact’s Customer Service Help Desk at 844-587-7384.

*Please see attached for more information.