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TIBCO Foresight® HIPAA Validator® Desktop Standards and Guidelines Reference
Manual
51 | Appendix B: NCPDP Standards
X12
NCPDP
Element
Element
Code Set
none
Big Picture
Transaction Sets
Billing
l
B1 – Billing
l
B2 – Billing Reversal
l
B3 – Billing Rebill
Controlled Substance Reporting
l
C1 – Controlled Substance Reporting
l
C2 – Controlled Substance Reversal
l
C3 – Controlled Substance Rebill
Eligibility
l
E1 – Eligibility Verification
Information Reporting
l
N1 – Information Reporting
l
N2 – Information Reversal
l
N3 – Information Rebill
Prior Authorization
l
P1 – Prior Authorization Request and Billing
l
P2 – Prior Authorization Reversal