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Claims Billing Tape Format


Name:Claims Billing Tape Format
Type:Model View
Definition:Claims Billing Tape Format Version 2 Release 0 - September 1993 Version 1 Release 0 - December 1981 The model tape format is compatible to and consistent with the standard Universal Claim Form to enable logical progression from a manual claims submissions system to an automated billing process. The form utilizes both data elements and program logic that include: the use of industry accepted data elements; contingency allowance for future enhancements; and compatibility of the format to most existing processing systems.
Registration Authority:National Council for Prescription Drug Programs
Status:Recorded
Administrative Attributes
Responsible Organization:National Council for Prescription Drug Programs
Submitting Organization:National Council for Prescription Drug Programs
Steward Organization:National Council for Prescription Drug Programs
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Relationship Organization Item
utilizes NCPDP Amount Billed   
utilizes NCPDP Basis Of Cost Determination   
utilizes NCPDP Basis Of Days Supply Determination   
utilizes NCPDP Batch Number   
utilizes NCPDP Cardholder First Name   
utilizes NCPDP Cardholder ID   
utilizes NCPDP Cardholder Last Name   
utilizes NCPDP Claim Count   
utilizes NCPDP Clinic ID Number   
utilizes NCPDP Co-Pay Amount   
utilizes NCPDP Comments-2   
utilizes NCPDP Compound Code   
utilizes NCPDP Date Of Birth   
utilizes NCPDP Date Of Service   
utilizes NCPDP Date Prescription Written   
utilizes NCPDP Days Supply   
utilizes NCPDP Destination Name   
utilizes NCPDP Destination Processor Number   
utilizes NCPDP Diagnosis Code   
utilizes NCPDP Dispense As Written (DAW)/ Product Selection Code   
utilizes NCPDP Dollars Billed   
utilizes NCPDP Drug Description   
utilizes NCPDP Drug Type   
utilizes NCPDP Eligibility Clarification Code   
utilizes NCPDP Expansion Area   
utilizes NCPDP Group ID   
utilizes NCPDP Home Plan   
utilizes NCPDP Host Plan   
utilizes NCPDP Metric Quantity   
utilizes NCPDP Number of Refills Authorized   
utilizes NCPDP P.A./M.C./S.C. Number   
utilizes NCPDP Patient First Name   
utilizes NCPDP Patient Last Name   
utilizes NCPDP Person Code   
utilizes NCPDP Pharmacy Address   
utilizes NCPDP Pharmacy Count   
utilizes NCPDP Pharmacy Location City   
utilizes NCPDP Pharmacy Location State   
utilizes NCPDP Pharmacy Name   
utilizes NCPDP Pharmacy Telephone Number   
utilizes NCPDP Pharmacy Zip Code   
utilizes NCPDP Postage Amount Claimed   
utilizes NCPDP Prescriber Last Name   
utilizes NCPDP Prior Authorization/ Medical Certification Code And Number   
utilizes NCPDP Processor Address   
utilizes NCPDP Processor Location City   
utilizes NCPDP Processor Location State   
utilizes NCPDP Processor Name   
utilizes NCPDP Processor Number   
utilizes NCPDP Processor Telephone Number   
utilizes NCPDP Processor Zip Code   
utilizes NCPDP Record Identifier   
utilizes NCPDP Resubmission Cycle Count   
utilizes NCPDP Run Date   
utilizes NCPDP Service Provider ID   
utilizes NCPDP Third Party Type   
utilizes NCPDP Unit Dose Indicator   
utilizes NCPDP Version/Release Number   
Relationship Organization Item
is a sub view of NCPDP Data Dictionary Compare these items   
is a sub view of NCPDP NCPDP High Level Outline Graphic Compare these items   
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