Pharmacy Claim (B1 Transaction) Example
This example includes batch headers and trailers as per the NCPDP batch standard.
NCPDP transactions rely on non-printable separators. See this post for the explanation.
NCPDP source:
␂00T123456789 2021123456789123456P1234567WPS0000000 ␃
␂G11234567890123456D1B101 1234567890123 202108210000000100
␞␜AM04␜C2123456789␜CCJANE␜CDDOE␜FOMYPLAN␜C90␜C1GR1␜C3001␜C62 ␞␜AM01␜C419800225␜C52␜CAJANE␜CBDOE␜CM100 MAIN STR␜CNWASHINGTON␜CODC␜CP100010000␜CQ5551234567␝
␞␜AM07␜EM1␜D2000000123456␜E103␜D700003089421␜E70000030000␜D301␜D5030␜D80␜DE20210701␜DJ3␜C800␜DT3␜28EA ␞␜AM11␜D90000057A␜DC0000027E␜DX0000016B␜DQ00000000␜DU0000084F␜DN07 ␞␜AM03␜EZ01␜DB1234567890␜DREVIL␜PM5557654321␃
␂9920211840000005162END Dyl B1 ␃
Below is the explanation rendered by our NCPDP Viewer. Here is the same file converted to JSON using our EDI/NCPDP converter.
Use our NCPDP Viewer to decipher your NCPDP files. You can also use our EDI/NCPDP converter to programmatically convert your NCPDP files to JSON using our API.
Learn more
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