Beginning April 1, 2006 we will begin automatic processing of miscellaneous drugs administered in the office (other than oral methods).

As a result Optima Health will require:

• NDC codes for all miscellaneous drug codes. 
• NDC codes should appear on the claim form in either block 24k or at the top of the form.  
• Electronic submitters should use the 4010 A1 professional version of the 837 and should include the information in loop 2410, with LIN02 = N4 and LIN03 = the NDC number (up to 12 numeric digits).
• Providers who administer chemotherapy mixes should use NDC number 00-000-000-0000 as the primary NDC code, followed by the NDC codes for all drugs used in the mix.

Claims received without a valid NDC code will be denied D95K-DENY-REQUIRED NDC NUMBER MISSING/INVALID. RESUBMIT.

Questions?  Contact Provider Relations.