Attention All Common Electronic Data Interchange (CEDI) Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

National Council for Prescription Drug Programs, NCPDP 5.1, Implementation Documentation Sent to Common Electronic Data Interchange Vendors

 

Currently, all durable medical equipment Medicare administrative contractors' (DME MAC) National Council for Prescription Drug Programs (NCPDP) claims are received by CEDI, but are not edited or translated within CEDI. Instead, CEDI passes the NCPDP claims to the DME MACs based on the contractor code in the file and the editing and translation are performed at the DME MACs. The DME MACs also assign the Claim Control Number (CCN) to accepted NCPDP claims. 

 

The current NCPDP front-end process will be transitioning from the DME MACs to CEDI. To prepare for the upcoming changes that will occur in November and December, CEDI is currently working on their front-end system and educational documentation needed.

 

The CEDI recently forwarded documentation on the NCPDP technical changes to the CEDI Vendor Community. CEDI is working closely with the vendors to ensure they are preparing for these upcoming changes.

 

Updates will also be made to the NCPDP Error Code Manual. Sample reports and the updated manual will be provided to the DME MAC supplier community once available. Watch the CEDI Listserv for notification on when the documentation is in production on the Web site.

 

If you are a software vendor that submits NCPDP claims to CEDI and did not receive the NCPDP technical documentation on the new edits, please send an e-mail to the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com.

 

Thank you,
National Government Services, Inc.
Corporate Communications

 

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