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STATE of HAWAII DEPARTMENT of HUMAN SERVICES REQUEST DIVISIONNCPDP Post Adjudicated History (PAH) 2.2 Companion Guide March 2023 Version 1.7State of Hawaii, Department of Human Services, Request DivisionNCPDP
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How to fill out ncpdp post adjudicated history

How to fill out ncpdp post adjudicated history
01
Obtain the NCPDP post adjudicated history form from the appropriate source.
02
Fill in the patient's identifying information, such as name, date of birth, and patient ID.
03
Provide details of the pharmacy where the claim was adjudicated, including the pharmacy's name and contact information.
04
Enter the prescription details, such as drug name, dosage, and quantity.
05
Include information on the prescriber, including name, NPI number, and contact information.
06
Record the date the claim was adjudicated and any relevant notes or comments.
07
Submit the completed form to the designated recipient for review and processing.
Who needs ncpdp post adjudicated history?
01
Healthcare providers
02
Insurance companies
03
Pharmacies
04
Medical billing companies
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What is ncpdp post adjudicated history?
NCPDP Post Adjudicated History is a record of processed prescription claims showing medications dispensed, payments made, and any adjustments or denials.
Who is required to file ncpdp post adjudicated history?
Pharmacies, pharmacy benefit managers (PBMs), and insurance companies are required to file NCPDP Post Adjudicated History.
How to fill out ncpdp post adjudicated history?
NCPDP Post Adjudicated History can be filled out electronically through the NCPDP format or by manually entering the information into the designated form.
What is the purpose of ncpdp post adjudicated history?
The purpose of NCPDP Post Adjudicated History is to provide a detailed record of prescription claims for auditing, reconciliation, and reporting purposes.
What information must be reported on ncpdp post adjudicated history?
Information such as patient demographics, prescriber information, drug details, quantity dispensed, payment information, and any adjustments or denials must be reported on NCPDP Post Adjudicated History.
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