• General Information

Listing of Required Fields From CMS (formerly HCFA)1500
Listing of Required Fields From UB92, Inpatient Hospital
Listing of Required Fields From UB92, Outpatient Hospital


• ODJFS Encounter Data Contacts

• NCPDP Instructions

Appendix 1: Technical Specifications

• NCPDP Format, Version 3.2 (must be purchased from the National Council for Prescription Drug Programs)

• National Standard File Format, Version 1.03

• UB-92 File Format, Version 4

• Encounter Data Payment Reporting Specifications

• CFC Program Delivery Payment Reporting Procedures For ODJFS Managed Care Plans

Appendix 2: Data Submission

• Encounter Data Testing Procedure
  

• ODJFS File Transfer Protocol (FTP) Guidelines

• Encounter Data Letter of Certification

• Instructions for Completing Letter of Certification

• NCPDP Error Messages

• NSF Error Messages

• UB-92 Error Messages

• Application