PACE
Provider Bulletin
February
18, 2005
The fields listed below are contained in the current version of PACE/PACENET NCPDP v5.1 Payer Specifications dated June 1, 2004. Currently these data fields are not edited.
Effective March 22, 2005, PACE will begin editing these fields.
Providers are encouraged to
contact their software vendors to ensure that valid data is being submitted to
PACE in the data fields listed below:
|
Field |
Field Name |
Comments |
|
307-C7 |
Patient Location |
0= Not Specified (This
value will deny as Invalid.) Required Values 1 = Home 2 =
Inter-Care 3 =
Nursing Home 4 = LongTerm
/ Extended Care 5 = Rest
Home 6 =
Boarding Home 7 =
Skilled Care Facility 8 =
Sub-Acute Care Facility 9 = Acute
Care Facility 10 = Outpatient 11 = Hospice |
|
301-C1 |
Group ID |
Required Values PACE = PACE/PACENET CRDP = Chronic Renal Disease Program SPBP = Special Pharmaceutical Benefits Program CF = Cystic Fibrosis SB = Spina Bifida PKU = Phenylketonuria MSUD = Maple Syrup Urine Disease PAP = PA
Lorazepam / Clorazepate Assistance Program |
|
419-DJ |
Prescription Origin Code |
0= Not Specified (This
value will deny as Invalid.) Required Values 1 = Written 2 =Telephone 3 = Electronic 4 = Fax |
Questions may be directed to Provider Services at 1-800-835-4080.
PPB-05-005