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Atorvastatin Tablets Ip 10 Mg
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Related post: 2 or Teva Atorvastatin 8 Not Atorvastatin Ppt sent 51 Non-ECCA If all other edits are passed, the transaction will be accepted for issuing service authorizations and/or DVS prior authorizations. - c(C apture (fiel-dAN) 112 and NO CLAIM TO FA (field- 5F30) w3 ill be 2 or 8 Not sent 51 ECCA If all other edits are passed, the claim will be approved for payment.- c (C apture (field 112-AN) and spaces will be returned in (field 0, 1 Rosuvastatin Vs Atorvastatin or 7 Not sent 51 ECCA If all other edits are passed, the claim will be approved for payment.- c (C apture (field 112-AN) and spaces will be returned in (field 0, 1 or 7 Not sent 51 Non-ECCA If all other edits are passed, the transaction will be accepted for issuing service authorizations and/or DVS prior authorizations. - c(C apture (fiel-dAN) 112 and NO CLAIM TO FA (fiel-F3d 5) w0i3ll be 0, 1, 3, 5, 6 Zeros 51 Non-ECCA If all other edits are passed, the transaction or 7 will be accepted for issuing service authorizations and/or DVS prior authorizations. � c(C apture (fiel-dAN) 112 and NO CLAIM TO FA) fiel-F3d 5) w0i3ll be 0, 1 or 7 Zeros 51 ECCA If all other edits are passed, the claim will be approved for payment.� (C capture (field 112-AN) and spaces will be returned in (field 3, 5 or 6 Zeros, blank 51 ECCA If all other edits are passed, the claim will be or not sent approved for Discount Atorvastatin payment.� (C capture (field 112-AN) and spaces will be returned in (field 3, 5 or 6 Atorvastatin And Fenofibrate Not sent 51 Non-ECCA If all other edits are passed, Atorvastatin Spc the transaction will be accepted for issuing service authorizations and/or DVS prior authorizations. Atorvastatin Fenofibrate - c(C apture (fiel-dAN) 112 and NO CLAIM TO FA (fiel-F3d 5) w0i3ll be January 2007 2.5.4 Medicare and Third Party Claims Field 308-C8 Field 431-Field 104-A4 Value DV Value Value 0, 1, 3, 5, 6 Greater than 51 Non-ECCA The transaction will be rejected. or NCPDP Reject Code DV - M/I Other Atorvastatin Calcium Tablets Payor Amount Paid and Response Code 3� 20 Other Insurance Information Inconsistent 4 Greater than 51 Non-ECCA 4 Not sent or 51 Non-ECCA If all other edits are passed, the transaction zeros will be accepted for issuing service authorizations and/or DVS prior authorizations. - c(C apture (fiel-dAN) 112 and NO CLAIM Atorvastatin Tablets Ip 10 Mg TO FA (fiel-F3d 5) w0i3ll be 2 or 8 Greater than 51 Non-ECCA If all other edits are passed, the transaction Zero will be accepted for issuing service authorizations and/or DVS prior authorizations. - c(C apture (fiel-dAN) 112 and NO CLAIM TO FA (fiel-F3d 5) w0i3ll be 2 or 8 Greater than 51 ECCA If all other edits are passed, the transaction Zero will be accepted for paym-e cnat.ptu (C re (field 112-AN) and spaces will be returned in 2 or 8 Zeros 51 Atorvastatin Generic Availability Non-ECCA The claim will reject. NCPDP Reject Code 13 M/I Othr Coe verage Code and Response Code 715 Other Payor Amount ECCA Must Be Greater Than 0 will be returned. January 2007 2.5.5 Medicare and Third Party Claims 2.6 Rebills/Adjustment Information (Rev. 12/08) Rebills will be processed as adjustments to a previously submitted claim that was approved for payment. Rebills cannot be submitted for claims that are pending or were NCPDP standards dictate that a rebill must be submitted with a Transaction Code (103- A3) field value B3 and a Transaction Count (109-A9) field of 1 through 4. The number of claim lines contained within the transaction is indicated by the Transaction Count (109-A9) field. (If one claim line is Atorvastatin Vs Rosuvastatin contained in the transaction, the Transaction Count should be 1. If four claim lines are contained in the transaction, the Transaction Count should be 4). Although you will need to submit all fields required for the original claim transaction, your claims will be matched to the original claim using: Medicaid Provider Identification Number, Cardholder ID, Prescription Number, and Date Filled. If by chance these fields do not define uniqueness, meaning Atorvastatin Pharmacokinetics that more than one active claim meeting the criteria resides on the eMedNY contractors claims history file, the most recently submitted Atorvastatin Brand Names claim will be selected for adjustment. If you are trying to adjust the older submission, you will need to submit the rebill via paper where you can supply the Claim Reference Number of a specific claim you are trying to adjust. If a rebill is adjusting an ECCA claim which contains a PA Atorvastatin Ca (Prior Approval) with a PA Status date of over 90 days old and the date of service is over 90 days old, the claim will become non- Sandoz Atorvastatin ECCA. You may submit the adjustment on paper or electronic batch. Rebill transactions can be submitted for service dates up to two years old if the original transaction was submitted directly to the eMedNY contractor. This includes paper and electronic batch as well as online claim submissions. If the rebill is adjusting a paid claim, the rebill will appear on your remittance statement. If the rebill is adjusting a paid claim, you must complete the Processor Control Number field. You cannot adjust a non-ECCA claim to become an Atorvastatin Calcium 10 Mg ECCA claim. The adjustment will apply any updated information, but the adjustment claim will remain a non-ECCA claim and the NO CLAIM TO FA response will be returned to you. If the rebill is adjusting a non- ECCA transaction, the rebill will not appear on your remittance statement. Rebills will not affect previously Atorvastatin Trials established service authorization limits. Rebills will not be allowed for original claims that generated a DVS prior approval. If a change is needed to a paid DVS claim, then you can submit the adjustment on paper or electronic batch. You may also reverse the original claim and then submit another original transaction with the corrected information. December 2008 Atorvastatin Calcium Generic 2.6.1 Rebills Information 2.7 Refills Information (Rev. 10/08) The New York State Department of Health (NYSDOH) only allows a maximum of five (5) refills on a prescription. All of the refills must be dispensed within 180 days from the date the prescription was written. Claims for refills over 180 days from the date the prescription was written will be rejected. The New York State DUR Board has established a standard that if a refill is dispensed too early, you will receive a ER REJECT � DRUG OVERUSE MMDDYY reject in your DUR October 2008 2.7.1 Refills Information 2.8 Health Care Financing Administration Common Procedure Coding System These codes are also referred to as Sickroom Supplies, "Z" codes, or DME item codes and consist of a 5 digit alpha-numeric code. The valid codes can be found in sections 4.2 and 4.3 of the MMIS Pharmacy Provider Manual. For DVS, DME items Atorvastatin Online are only reimbursable under COS 0442. The transaction must be sent through ePACES, Verifone Omni 3750 Terminal or 278 ASC X12N. The Atorvastatin Canada 5 digit alpha-numeric codes must be submitted in the Product/Service ID (407-D7) field along with the Product/Service ID Qualifier (436-E1) field, which identifies the number being sent. A qualifier of �09 must be used in the NCPDP 5.1 format. If the code and the qualifier are not submitted in these fields, your claim will be rejected. When submitting HCPCS codes, ensure that the following fields are correctly completed: Compound Code Must contain a zero or one. Use zero for DVS Product/Service ID Qualifier Must contain a value of 09. Product/Service ID HCPCS 5 characters in length plus 2 blanks A correct entry in the Product/Service ID field would look as follows: Note: Where bb equal two blanks or BO modifier. When submitting HCPCS if a modifier is required, append to the HCPCS code. November 2003 2.8.1 HCPCS Codes
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