Αποτελέσματα Αναζήτησης
National drug code information for drug-related medical claims. The current industry standard is to include the National Drug Code (NDC), NDC units, and NDC unit qualifier on all drug-related medical claims. NDC information helps differentiate and identify medications that share the same Healthcare Common Procedure Coding System (HCPCS) code ...
10 Ιουν 2016 · Blue Cross and Blue Shield of Texas (BCBSTX) requests the use of NDCs and related information when drugs are billed on professional and ancillary electronic (ANSI 837P) and paper (CMS-1500) claims.
When submitting NDCs on professional/ancillary electronic (ANSI 837P) or paper (CMS-1500) claims, you must also include the following related information in order for your claim to be accepted and reviewed for possible benefits at the NDC level: The applicable HCPCS or CPT code. Number of HCPCS/CPT units.
related information on electronic and paper claims: The NDC must be submitted along with the applicable HCPCS/CPT code(s) and the number of HCPCS/CPT units. The NDC must follow the 5digit4digit2digit format (11-digit billing format, with no spaces, hyphens or special characters).
When should NDCs be entered on claims? DMBA requires the use of NDCs and related information when drugs are billed on professional, ancillary and facility electronic (ANSI 837P), and paper (CMS-1500) claims.
The NDC must follow the 5digit4digit2digit format (11-digit billing format, with no spaces, hyphens or special characters). If the NDC on the package label is less than 11 digits, a leading zero must be added to the appropriate segment to create a 5-4-2 configuration. The NDC must be active for the date of service.
The following chart provides a crosswalk for several blocks on the 1500 paper claim form and the equivalent electronic data in the ANSI ASC X12N format, version 5010. The blocks listed are the blocks required for electronic claims.
