Pharmacy Billing (NCPDP)
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NCPDP Custom Settings - Explained

Last update
February 2, 2024

Manage Billing Providers is where it’s at: the driver’s seat.

From Manage Billing Providers, Organization Admins control all account settings from one place, including Billed Charges, Prescribing Providers, Places of Service and more!  

Manage Billing Providers is split into two tabs: Required Billing Information and Custom Settings. For more on Required Billing Information, see the Help Article: NCPDP Settings Required Billing Information - Explained. Read on for more about the Custom Settings.

Here’s how it works.

Step 1. On the navigation bar, click ‘Settings’, then click the name of the Billing Provider

Step 3. Click the ‘Billing Settings - Custom‘ tab

A. To edit ‘Task Preferences,’ click the ‘Task Preferences’ card

B. To add or edit ‘Documents,’ click the ‘Documents’ card

C. To add or edit ‘Bill Write Off Reasons,’ click the ‘Bill Write Off Reasons’ card

D. To add or edit ‘Second Review Reasons,’ click the ‘Second Review Reasons’ card

E. To add or edit ‘Billing Templates,’ click the ‘Billing Templates’ card

F. To add or edit ‘Expected Reimbursements,’ click ‘Expected Reimbursements’ card

H. To set up Automatic Bill Close, click the ‘Bill Close: Automatic’ card

Step 1. On the navigation bar, click ‘Settings’, then click the name of the Billing Provider

This will navigate directly to the specified Billing Provider.

Step 3. Click the ‘Billing Settings - Custom‘ tab

Custom Billing Settings allow Organization Admins to customize their Billing Providers with Task Preferences, Documents, Bill Write Off Reasons, Second Review Reasons, Billing Templates, Expected Reimbursements, and Automatic Bill Close.

A. To edit ‘Task Preferences,’ click the ‘Task Preferences’ card

For help changing Task Preferences see the Help Article: NCPDP Task Preferences.

B. To add or edit ‘Documents,’ click the ‘Documents’ card

For help adding to Documents see the Help Article: NCPDP Documents.

C. To add or edit ‘Bill Write Off Reasons,’ click the ‘Bill Write Off Reasons’ card

For help adding Bill Write Off Reasons see the Help Article: NCPDP Bill Write Off Reasons.

D. To add or edit ‘Second Review Reasons,’ click the ‘Second Review Reasons’ card

For help adding Second Review Reasons see the Help Article: NCPDP Second Review Reasons.

E. To add or edit ‘Billing Templates,’ click the ‘Billing Templates’ card

For help adding Billing Templates see the Help Article: NCPDP Billing Templates.

F. To add or edit ‘Expected Reimbursements,’ click ‘Expected Reimbursements’ card

For help adding Expected Reimbursements see the Help Article: NCPDP Expected Reimbursements.

H. To set up Automatic Bill Close, click the ‘Bill Close: Automatic’ card

For help setting up automatic bill close, see the Help Article: Bill Close: Automatic

You’re all set!

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