Non-Standard Format Code

SAS Name

This data element is used by CMS to identify PDE records that are compiled from non-standard sources.

The National Council for Prescription Drug Program (NCPDP) is the standard format in which plans receive data from pharmacies.


Source: PDE

Code Code value
X X12 837
B Beneficiary submitted claim
C Coordination of Benefits
P Paper claim from provider
Blank NCPDP electronic format