Pharmacy claims file definition

Pharmacy claims file means a data set containing service level remittance information from all adjudicated claims including, but not limited to provider information, charge and payment information, and national drug codes for an Oregon resident as defined in ORS 803.355 or a non-Oregon resident who is a member of a PEBB or OEBB group health insurance plan.
Pharmacy claims file means a data file composed of service-level remittance information including, but not limited to, Member demographics, provider information, charge/payment information, and national drug codes from all submitted and non-denied adjudicated claims for each prescription filled.
Pharmacy claims file means a data set containing service level remittance information for all nondenied adjudicated claims for phar- macy services for Washington covered persons including, but not limi- ted to, enrolled member demographics, provider information, charge and payment information including dispensing fees, and national drug co- des.

More Definitions of Pharmacy claims file

Pharmacy claims file means a data set containing ser- vice level remittance information for all nondenied adjudi- cated claims for pharmacy services for Washington covered persons including, but not limited to, enrolled member demo- graphics, provider information, charge and payment informa- tion including dispensing fees, and national drug codes.
Pharmacy claims file means a data file composed of pharmacy
Pharmacy claims file means a data file con- taining service level remittance information from all non-denied adjudicated claims for each prescription including, but not limited to: member demographics; provider information; charge/payment information; and national drug codes.
Pharmacy claims file means a data file composed of service level remittance information from all adjudicated claims for each billed prescription provided to members, including data for services provided under alternative payment arrangements with zero paid amounts.
Pharmacy claims file means a data set containing service level remittance information from all adjudicated claims including, but not limited to provider information, charge and payment information, and national drug codes for an Oregon resident as defined in ORS
Pharmacy claims file means a data file containing service level remittance information from all non-denied adjudicated claims for each prescription including, but not limited to:
Pharmacy claims file means a data file containing service