Get the free ncpdp payer sheet template - Blue Cross & Blue Shield of Mississippi
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ADVANCED HEALTH SYSTEMS (AHS)BLUE CROSS & BLUE SHIELD OF MISSISSIPPI PAYER SPECIFICATION SHEET GENERAL INFORMATION Payer Name: Advanced Health Systems (AHS) A subsidiary of Blue Date: November 18,
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How to fill out ncpdp payer sheet template
How to fill out ncpdp payer sheet template
01
To fill out the NCPDP payer sheet template, follow these steps:
02
Begin by providing the basic information about the payer, such as the name, address, and contact details.
03
Specify the payer's ID numbers, including the NCPDP Processor ID, BIN Number, and PCN Number.
04
Define the claim submission requirements, including the accepted transaction codes, claim forms, and any special requirements.
05
Provide the pharmacy network and reimbursement information, such as the preferred pharmacies, pricing rules, and reimbursement limitations.
06
Include any additional information or instructions that may be necessary for proper claim processing.
07
Validate the filled-out payer sheet template for accuracy and completeness before finalizing it.
08
Once complete, distribute the payer sheet template to the intended parties, such as pharmacies, healthcare providers, and software vendors.
09
Keep a copy of the payer sheet template for record-keeping purposes and future updates.
Who needs ncpdp payer sheet template?
01
The NCPDP payer sheet template is needed by healthcare payers, such as insurance companies, pharmacy benefit managers (PBMs), and government agencies, who want to communicate their specific requirements for electronic prescription claims processing.
02
Pharmacies and healthcare providers also need the payer sheet template to ensure they comply with the payer's guidelines and successfully submit accurate claims.
03
Additionally, software vendors who develop electronic prescription claim processing systems or pharmacy management software may require the payer sheet template to configure their software according to the payer's specifications.
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