Non-Standard Format Code
This data element is used by CMS to identify PDE records that are compiled from non-standard sources.
The National Council for Prescription Drug Program (NCPDP) is the standard format in which plans receive data from pharmacies.
This variable is coded, and will contain one of the following values.
| Value | Description |
|---|---|
X |
X12 837 |
B |
Beneficiary submitted claim |
C |
Coordination of Benefits |
P |
Paper claim from provider |
Blank |
NCPDP electronic format |
Some additional information on this variable: