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Valid Units of Measure for NDC Claim Submissions
7/13/2017 • Posted by Provider Relations

When submitting claims with a National Drug Code (NDC), please be sure to bill your claims with a valid unit of measure abbreviation.  Listed below are the NDC valid units of measure abbreviations and their descriptions:

Note:  ME is also a recognized billing qualifier that may be used to identify milligrams as the NDC unit of measure; however, drug costs are generally created at the UN or ML level.  If a drug product is billed using milligrams, it is recommended that the milligrams be billed in an equivalent decimal format of grams (GR).

Effective 8/1/2017, Fidelis Care will reject any claim submitted with a NDC with an invalid unit of measure.  Rejected claims should be corrected using a valid unit of measure and resubmitted to Fidelis Care as soon as possible to prevent any timely filing issues.   

If you have any questions regarding this matter, please contact the Provider Call Center at 1-888-FIDELIS (1-888-343-3547).

 

 

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