NOTE: Please be sure to check all possibilities when a claim rejects - not all issues are related to D.0.  We have had many calls where data was entered improperly, etc.

What is the latest version of PPC Programs?  The latest version is 12.1F.  It was delivered electronically to customer systems on 1/20/2012.  Click here for more information about this update.

How do I change a PPLAN to send claims using NCPDP vD.0?  Change the ECS field in the PPLAN to 2 (box 3, line 5).  Be sure to enter through the rest of the fields in box 3, checking to make sure the ECS field remains set to 2.

Medco is charging $.99 per claim sent using 5.1.  What can I do to avoid this? Make sure ALL of your Medco PPLANS are set to submit claims using D.0.  THIS IS NOT AUTOMATICALLY DONE FOR YOU!  Included with PPC Version 12.1E is a program that will help you update all PPLANS using the BINs listed below to D.0.  If you are not currently running 12.1E, click here for more information.

Please note that Medco utilizes multiple BINs. Following is a list of the BINs that must be changed, based on information from Medco's payer sheet: 610014, 610031, 610056, and 610084.  For a complete list of all Medco BINs, please contact Medco.  

Why am I receiving an ECS rejection stating "Invalid Certificate ID"?  Although we have certified with CVS/Caremark, we have not yet received a certification code.  If you receive this error message, change the PPLAN settings back to 5.1, and resubmit the claim(s).  Once we receive the certification code, you will be notified.  CVS/Caremark will be accepting 5.1 until March 2012 at no additional charge.

Why am I receiving an ECS rejection indicating "Invalid Prescriber ID" ?  Verify the PPLANS settings.  Make sure that under the ECS settings, Option 1 is set to 20. This insure that the prescriber's NPI number is being submitted in the claim.  You should also verify that the prescriber's NPI number is entered correctly in the Doctor file.

How do I add a multi-ingredient compound drug? Click here for detailed instructions.