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NDC Number on Claims Fact Sheet for Health Care Professionals June 1, 2012Beginning September 1, 2012, we will require the National Drug Code (NDC) in addition to the Healthcare Common Procedure Coding
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How to fill out ndc number on claims
How to fill out NDC number on claims:
01
First, locate the NDC number on the medication packaging or label. It is a 10-digit code that identifies the drug, the manufacturer, and the package size.
02
Enter the NDC number in the designated field on the claim form. This is usually found in the section where you input the drug name and dosage information.
03
Make sure to enter the NDC number accurately, without any spaces or hyphens. It should be a continuous 10-digit number.
04
Double-check the NDC number for any errors before submitting the claim. Mistakes in the NDC number can lead to claim rejections or delays in processing.
05
Keep a record of the NDC number for future reference or as proof of the medication dispensed.
Who needs NDC number on claims:
01
Pharmacies: When submitting claims to insurance companies or third-party payers, pharmacies are required to include the NDC number for each medication dispensed. This helps in identifying the specific drug and ensuring accurate reimbursement.
02
Insurance Companies: NDC numbers are essential for insurance companies to process claims accurately and determine the appropriate reimbursement amount. It allows them to track the drug utilization and ensure that the medication matches the prescribed treatment.
03
Healthcare Providers: Healthcare providers, such as doctors, nurses, or medical billing staff, may need the NDC number to accurately document and bill for the medications prescribed to patients. It helps in maintaining accurate medical records and billing processes.
04
Patients: Patients may also be asked to provide the NDC number when submitting claims for reimbursement from their insurance company. It helps the insurance company verify the medication and ensure appropriate coverage.
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What is ndc number on claims?
NDC number on claims is the National Drug Code number assigned to a medication for identification.
Who is required to file ndc number on claims?
Healthcare providers, pharmacies, and any entity submitting pharmacy claims are required to file NDC numbers on claims.
How to fill out ndc number on claims?
The NDC number should be entered in the designated field on the claim form following the specified format.
What is the purpose of ndc number on claims?
The purpose of NDC numbers on claims is to uniquely identify the specific medication that was dispensed to a patient.
What information must be reported on ndc number on claims?
The NDC number, the quantity of the medication dispensed, and the date it was filled must be reported on the NDC number on claims.
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