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Data Elements

The heart of the registry is the data element; a basic unit of information collected about anything of interest—for example, a pharmaceutical name or the city in which a patient lives. The data in the registry is not the drug name itself or the actual city name, but rather the metadata about how information is collected. Metadata is often defined as "data about data", a definition which is technically correct, but does not convey the richness of data information which must be recorded. In order to use a piece of data, one must know specific things precisely placing the data item in terms of meaning, quality, context, chronology, and source. The specific things—metadata—are expressed in the form of attributes.

The content of the attributes for each data element is found at the most specific level of the registry on the Data Element Details page. Not all attributes may be collected by each organization for each data element, although there is a subset, which is generally considered best practice and, for standards purposes, is required. Data elements within the Registry are documented within a standard format, using the ISO/IEC international standard 11179, "Information technology — Metadata Registries — Part 3, Registry Metamodel and basic attributes." According to the registry metamodel standard, a data element is essentially a unit of data for which the definition, identification, representation, and permissible values are specified by means of a set of attributes.


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Average Generic Unit Price Average Generic Price per unit as defined by processor. NCPDP 10-2011
Average Generic Unit Price Average Generic Price per unit as defined by processor. NCPDP 04-2014
Average Wholesale Unit Price Average Wholesale Price per unit for the drug as defined by processor. NCPDP 10-2011
Average Wholesale Unit Price Average Wholesale Price per unit for the drug as defined by processor. NCPDP 04-2014
Balance Forward Indicates an amount from a previous payment cycle that will be applied in the current cycle's claim activity. This field will not be populated if the amount is not being applied in the current payment cycle NCPDP 10-2011
Bank Account Identifies the bank account used to deposit funds when ACH deposits are made instead of checks. NCPDP 10-2011
Bank Routing ID Identifies the bank routing ID when ACH deposits are used instead of checks. NCPDP 10-2011
Basis Of Calculation-Copay Code indicating how the Copay reimbursement amount was calculated for 'Patient Pay Amount' (505-F5). NCPDP 10-2011
Basis Of Calculation-Dispensing Fee Code indicating how the reimbursement amount was calculated for 'Dispensing Fee Paid' (507-F7). NCPDP 10-2011
Basis Of Calculation-Dispensing Fee Code indicating how the reimbursement amount was calculated for 'Dispensing Fee Paid' (507-F7). NCPDP 04-2014
Basis Of Calculation-Flat Sales Tax Code indicating how the reimbursement amount was calculated for 'Flat Sales Tax Amount Paid' (558-AW). NCPDP 10-2011
Basis Of Calculation-Percentage Sales Tax Code indicating how the reimbursement amount was calculated for 'Percentage Sales Tax Amount Paid' (559-AX). NCPDP 10-2011
Basis of Calculation -Coinsurance Code indicating how the Coinsurance reimbursement amount was calculated for 'Patient Pay Amount' (505-F5). NCPDP 10-2011
Basis of Calculation - Coinsurance Code indicating how the Coinsurance reimbursement amount was calculated for 'Patient Pay Amount' (5(5-F5). NCPDP 04-2014
Basis Of Calculation - Copay Code indicating how the Copay reimbursement amount was calculated for 'Patient Pay Amount' (505-F5). NCPDP 04-2014
Basis Of Calculation - Flat Sales Tax Code indicating how the reimbursement amount was calculated for 'Flat Sales Tax Amount Paid' (558-AW). NCPDP 04-2014
Basis Of Calculation - Percentage Sales Tax Code indicating how the reimbursement amount was calculated for 'Percentage Sales Tax Amount Paid' (559-AX). NCPDP 04-2014
Basis Of Cost Determination Code indicating the method by which 'Ingredient Cost Submitted' (Field 409-D9) was calculated. NCPDP 10-2011
Basis Of Cost Determination Code indicating the method by which 'Ingredient Cost Submitted' (Field 409-D9) was calculated. NCPDP 04-2014
Basis Of Days Supply Determination Code indicating the method by which the days supply was determined. NCPDP 10-2011
Basis Of Reimbursement Determination Code identifying how the reimbursement amount was calculated for 'Ingredient Cost Paid' (506-F6). NCPDP 10-2011
Basis Of Reimbursement Determination Code identifying how the reimbursement amount was calculated for 'Ingredient Cost Paid' (506-F6). NCPDP 04-2014
Basis Of Request Code describing the reason for prior authorization request. NCPDP 10-2011
Basis Of Request Code describing the reason for prior authorization request. NCPDP 04-2014
Batch Amount The amount being applied to the pharmacy batch amount equals 'Dollars Paid' (873-4A) plus 'Dollars Adjusted' (821-1M) plus 'Non-Claim Transmission Fee Dollars' (880-KP) plus 'Non-Claim Adjustment Dollars' (880-KQ) plus 'Balance Forward' (880-KC). NCPDP 10-2011
Batch Number This number is assigned by the processor/sender. For A,V,X: A number generated by the sender to uniquely identify this batch from others, especially when multiple batches may be sent in one day. NCPDP 10-2011
Batch Number This number is assigned by the processor/sender. NCPDP 04-2014
Batch Number A number generated by the sender to uniquely identify this batch from others, especially when multiple batches may be sent in one day. NCPDP 04-2014
Bed The bed of the patient. NCPDP 10-2011
Bed The bed of the patient. NCPDP 10-2011
Bed The bed of the patient. NCPDP 04-2014
Bed The bed of the patient. NCPDP 04-2014
BeeperExtension Extension of the beeper number. NCPDP 04-2014
BeeperNumber Beeper number of the entity. NCPDP 04-2014
BeeperSupportsSMS Indication the number accepts text messages. NCPDP 04-2014
Begin Therapy Date Date therapy begins. ASC X12 005010
Benefits Assignment Certification Indicator A code showing whether the provider has a signed form authorizing the third party payer to pay the provider. ASC X12 005010
Benefit Amount Represents the amount of the overridden amount to be applied in place of the standard plan benefit. NCPDP 10-2011
Benefit Amount Benefit amount as qualifed by the eligibility or benefit information and service type code ASC X12 005010
Benefit Amount Represents the amount of the overridden amount to be applied in place of the standard plan benefit. NCPDP 04-2014
Benefit Amount Time Period Defines how the Benefit Amount Type override is to be applied during a time period and corresponds to the plan's benefit accrual period. NCPDP 10-2011
Benefit Amount Time Period Defines how the Benefit Amount Type override is to be applied during a time period and corresponds to the plan's benefit accrual period. NCPDP 04-2014
Benefit Amount Type Represents which of the benefit accumulation types is being overridden and also has an option to override all benefit amounts. This amount is usually set to an amount outside of the normal plan benefit coverage level. NCPDP 10-2011
Benefit Amount Type Represents which of the benefit accumulation types is being overridden and also has an option to override all benefit amounts. This amount is usually set to an amount outside of the normal plan benefit coverage level. NCPDP 04-2014
Benefit Amount Used To-Date Indicates the aggregated amount of benefit used to date against a previously approved override amount. NCPDP 10-2011
Benefit Amount Used To-Date Indicates the aggregated amount of benefit used to date against a previously approved override amount. NCPDP 04-2014
Benefit Coverage Level Code Code indicating which family members are provided coverge for this insured. ASC X12 005010
Benefit Effective Date Effective date of the benefit submitted in 'Benefit ID' (757). NCPDP 10-2011
Benefit ID Assigned by processor to identify a set of parameters, benefits, or coverage criteria used to adjudicate a claim. NCPDP 10-2011
Benefit ID Assigned by processor to identify a set of parameters, benefits, or coverage criteria used to adjudicate a claim. NCPDP 04-2014
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