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Back  RFI # 475: 835s and RX numbers for 837s

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Submitter

Not supplied Not supplied

Description

Where in the 835 should the prescription number be reported when the 837 claim has a patient control number and a prescription number? For NCPDP, the prescription number is reported in CLP01.

Submitter Assigned Keywords

CLP01 RX

Response

The 835 does not contain a specific data element for prescription number.
However there are several options available that would return this value, if required. Specifically, if using the NCPDP claim format, the prescription number is returned in CLP01. The same is true if the
prescription number is placed in CLM01, it would be returned in CLP01. If the patient control number is used in CLM01 instead of the prescription number and the prescription number is required, then the line item control number can be submitted and then returned in the 835.
Submission 10/24/2006
Status Date 1/10/2007
Status F - Final
Primary References
Document 004010X091A1
Section3.1
Page90
Set ID004010
Loop2100
Segment Position010
Segment IDCLP
Element Position01
Industry NamePatient Control Number