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NCPDP Forms

Things move fast in your organization. NCPDP Forms let you confirm the accuracy of practice settings and information before submitting a Bill.

Step 1. On the navigation bar, click ‘Billing Providers’, then select ‘Manage Billing Providers’

The Manage Billing Providers feature is limited to users with the Role of Organization Admin.

Step 2. Click the ‘Billing Provider’ name

For DaisyBill accounts with multiple Billing Providers, DaisyBill maintains separate NCPDP Forms for each Billing Provider.

Step 3. Click the ‘NCPDP Forms’ card

A green ‘Checkmark’ icon in the lower right corner of the card indicates NCPDP Forms have been previewed for the Billing Provider.  A red ‘X’ icon indicates no NCPDP Form has been previewed.

Step 4. From each drop-down list, select the ‘Prescribing Provider’ and ‘Place of Service’

The information selected will be used to populate the NCPDP Form preview using dummy bill information.

Step 5. Select ‘Compound’ or ‘Dispensed’

Compound and Dispensed Bills populate differently.

Step 6. Click the ‘Preview NCPDP’ button

This downloads a sample claim form in PDF format. Take a look and make sure your information is correct.

All set? Happy billing!

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