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Status Planned for future release
Created by Guest
Created on Nov 16, 2021

NCPDP Compliance Check Enhancement

Enhance the NCPDP compliance checker to provide situational compliance checking for the entire transaction. Some examples are:

  1. We would expect a transaction to fail compliance when the Compound segment (AM10) is sent and field 436-E1 in the Claim segment (AM07) does not indicate that it is a compound. 436-E1 equal “00” is used to indicate a compound.

  2. We would expect a transaction to fail compliance when the Compound segment (AM10) is missing when field 436-E1 in the Claim segment (AM07) indicates that it is a compound. 436-E1 equal “00” is used to indicate a compound.

  3. We expected a transaction to fail compliance when the transaction count in field 109-A9 did not equal the number of transactions in the file.

What is your industry? Healthcare
How will this idea be used?

To fully compliance check NCPDP transactions.