✨ Pharmaceutical Claims Processing Guide
NEW ZEALAND GAZETTE
No. 44
- mandatory status
- resubmission status; this indicates if transaction needs to be resubmitted to the Ministry of Health if field content changes
- security; indicates that extra security needs to be placed on the contents of these fields within system.
3 Information Required
3.1 File Structure
-
The file should be comprised of comma-separated variable width text fields.
-
Each record must be delimited by a Carriage Return/Line Feed. Each field within the record should be terminated by a comma except the last field which should be terminated by the end-of-record CR/LF.
-
All fields with the type “CHAR” should be surrounded by quotation marks (“”).
-
The file should be organised according to the following structure:
- File Header
- Transaction Record
- File Trailer
-
An example of the record sequence of the file is as follows:
- 19229
- 05
- 09
The file is opened by the File Header, followed by as many transaction records as apply to that File Header. The last record is then the File Trailer.
3.2 Mandatory Fields
The requirements as to mandatory and non-mandatory fields are as follows:
- P Mandatory
- P/A Mandatory where provided to the pharmacy or where available
- P/D Proposed Delay
- D Delete
- F/U Future Use.
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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
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Pharmaceutical Claims Processing Guide
(continued from previous page)
🏥 Health & Social Welfare27 April 2001
Pharmaceutical Claims, Health Benefits Limited, File Formats, Data Processing