Pharmacy Billing - NCPDP
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NCPDP Add Bill Dispensed Product

Last update
February 27, 2024

Need to add a new Pharmacy bill? You’ve come to the right place.

Step 1. From the Injury Page, click ‘Add Bill’

You can either click ‘Add Bill’ from the breadcrumb or from the right side of the injury page.

Step 2. Optional if using a template: Select Template, click ‘Apply’ and skip to Step 6

This option automatically displays if Billing Templates have been created in Custom Settings.

Step 3. Select ‘Dispensed’ Product Type

Step 4. Enter required prescription fields

Date of Service populates on the NCPDP form in field 66

Prescription Date populates on the NCPDP form in field 65

Place of Service populates on the NCPDP form in fields 32-39

Prescribing Provider populates on the NCPDP form in fields 40-48

Fill Number populates on the NCPDP form in field 64

Prescription Number populates on the NCPDP form in field 62

Authorization Number if entered, populates on the NCPDP form in field 74

Step 5. If not using a template, enter required billing fields

Days Supply populates on the NCPDP form in field 72

Dispense as Written Code (DAW) populates on the NCPDP form in field 73

Unit of Measurement populates on the NCPDP form in field 78

NDC Number populates on the NCPDP form in field 69

Units populates on the NCPDP form in field 72

 Enter NDC Numbers in 11-digit format without dashes.

Step 6. Click ‘Create Bill’

All done – nice work!

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