✨ Pharmaceutical Claims Processing Guide
27 APRIL
NEW ZEALAND GAZETTE
985
1 Introduction
This document details the file formats and data to be passed to Health Benefits Limited for the purposes of processing pharmaceutical claims.
This version replaces all previous versions.
The specific amendment introduced in this version is that currency values are no longer required to be expressed as positives.
The amendment impacts on fields 78 (claim amount), 79 (CBS subsidy) and 93 (total claim value). They are all currency fields and with the change will accept negative amounts.
2 Document Guide
To help understand this document, detailed below are the standards used throughout.
2.1 Notes/Developers’ Information
Notes or information is specific to aid software developers. This information is contained in boxes throughout the document.
Example
2.2 Field Indicators
All references to extract data fields within text are bracketed with square brackets.
[Data field]
2.3 Transaction Record Summary
The Transaction Record Summary shows:
- all fields required within the transaction lines of the data file
- field numbers and an indication of a new field
- categories of fields — System, Prescriber, Patient, Prescription, Dispensing and Claim fields
- field type and size
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2001, No 44
Gazette.govt.nz —
NZ Gazette 2001, No 44
✨ LLM interpretation of page content
🏥 Pharmaceutical Claims Processing Guide
🏥 Health & Social Welfare27 April 2001
Pharmaceutical Claims, Health Benefits Limited, File Formats, Data Processing