Is the National Drug Code (NDC) rule requirement going forward?
The August 17, 2000 HIPAA Transaction and Code Sets final rule named the NDC as the required code set for reporting all drugs and biologics on all HIPAA transactions. It is anticipated that the final rule will be amended to rescind the initial ruling regarding the NDC. N.C. Medicaid will continue to require the NDC to be billed on retail pharmacy claims. However, N.C. Medicaid will continue to accept HCPCS J-codes on professional and institutional claims. In the event the final rule is not amended or payment policies for N.C. Medicaid change, the NDC may be required on these claim types at a later time. Remittance Advice • What is the difference between the electronic remittance advice (ERA) and the paper remittance advice (RA)? The ERA consists of two transactions: the 835 claim payment/advice transaction and the 277 pending (unsolicitated) claim status transaction. These two transactions provide information on paid claims, adjusted claims, refunds, and pending claims payments. The ER
