GHP Family drug billing reminder
NDC requirement for drug vs. administration codes
This notice serves as a reminder to all GHP Family providers regarding correct billing procedures when submitting drug and drug administration codes.
When billing medications and related services:
- An NDC (National Drug Code) is required only on the drug (HCPCS or CPT) code.
- Do not report an NDC on the administration code.
- Do not add an NDC to both the drug code and the administration code
Why this matters
Submitting NDCs incorrectly may result in:
- Claim processing delays
- Claim denials
- Need for resubmission or corrected claims
Following these guidelines helps ensure accurate reimbursement and timely adjudication.
Have a question about your claims?
Call 844-GHP-PROV (844-447-7768).
Have other questions? See who to call to get the right answer quickly.
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