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Claim Payment Tape Format


Name:Claim Payment Tape Format
Type:Model View
Definition:Payment Reconciliation Payment 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 industry´s remittance advices returned by the payers to the provider. This format will enable logical progression from the paper remittance advices to an automated method for reporting if a claim is paid, adjusted, rejected or pended. This format 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 Adjustment/Reject Code-1   
utilizes NCPDP Adjustment/Reject Code-2   
utilizes NCPDP Adjustment/Reject Code-3   
utilizes NCPDP Amount Adjusted   
utilizes NCPDP Amount Billed   
utilizes NCPDP Amount Paid   
utilizes NCPDP Amount Rejected   
utilizes NCPDP Basis Of Days Supply Determination   
utilizes NCPDP Batch Number   
utilizes NCPDP Carrier Address   
utilizes NCPDP Carrier Correction Notice Fields   
utilizes NCPDP Carrier Location City   
utilizes NCPDP Carrier Location State   
utilizes NCPDP Carrier Name   
utilizes NCPDP Carrier Telephone Number   
utilizes NCPDP Carrier Zip Code   
utilizes NCPDP Claim Count   
utilizes NCPDP Clinic ID Number   
utilizes NCPDP Co-Pay Amount   
utilizes NCPDP Comments-1   
utilizes NCPDP Compound Code   
utilizes NCPDP Date Of Service   
utilizes NCPDP Destination Name   
utilizes NCPDP Destination Processor Number   
utilizes NCPDP Dollars Adjusted   
utilizes NCPDP Dollars Billed   
utilizes NCPDP Dollars Paid   
utilizes NCPDP Dollars Rejected   
utilizes NCPDP Drug Type   
utilizes NCPDP Eligibility Clarification Code   
utilizes NCPDP Expansion Area   
utilizes NCPDP Ingredient Cost Billed   
utilizes NCPDP Ingredient Cost Paid   
utilizes NCPDP Master Sequence Number   
utilizes NCPDP Number of Refills Authorized   
utilizes NCPDP Person Code   
utilizes NCPDP Pharmacy Count   
utilizes NCPDP Postage Amount Claimed   
utilizes NCPDP Prescriber Last Name   
utilizes NCPDP Processor Number   
utilizes NCPDP Record Identifier   
utilizes NCPDP Run Date   
utilizes NCPDP Service Provider ID   
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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