PACE

Provider Bulletin

February 18, 2005

 

PAYER SPECIFICATIONS NCPDP 5.1

FUTURE EDITS

 

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