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Missing NDC numbers causing claims to be rejected

CPS, C-EMR, PM

Last Post by Anonymous 1 second ago

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clmoe

(@clmoe)

Posts: 53

Estimable Member

Topic starter

We are having claims being returned as rejected due to missing NDC numbers. Are other sites encountering this issue and if so, how do you work around this if the NDC number is not presented face up in the system? I don't think it is realstic to have the front office staff identify the NDC number for a medication and manually add that to the ticket.

Also, how/why would NDC numbers be missing all togehter? Wouldn't that be a defect in the KB/Medispan content?

Posted : May 10, 2018 5:47 am

pdangelo

(@pdangelo)

Posts: 140

Estimable Member

We edit procedure codes and put in the NDC number of the product that we are using. It would not be appropriate for GE to assign them as you and I might use different brands of the same drug - even though that drug might have the same CPT code. If you edit the CPT code, and put the NDC number there, then the NDC will populate every time you bill that CPT code. We use 5-4-2 format, which seems to be preferred by our insurers in NY.

Posted : May 10, 2018 6:48 am

lkeith

(@lkeith)

Posts: 457

Honorable Member

What would be really nice is if GE would update their HL7 format to incorporate the field that was created for the NDC# a couple of years ago. That way it could pass from Med Administration which requires the NDC# in the chart to billing.

Posted : May 10, 2018 8:00 am

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