With regard to the following thread:

   Kevin wrote:
   I agree that 5+4+2=11, but in the VA database, they seem to be
storing
   12 digits, with a leading 0.

   Ruben wrote:
   I could be wrong but I believe that the programmers added a digit on
   accident.

   Mark Amundson wrote:
   As far as the 12 digit field in VistA for the NDC number it is
because the
   National Drug file stores both NDC's and UPC's in the same field for
a
   product, the UPC used is a 12 digit code. So what they do in the NDF
with
   NDC's is put one more leading zero one the 11 digit code to make it a
12
   digit.

I worked on this issue in VistA several years ago.  Several VA sites
were requesting that the 11 digit NDC fields in VistA be lengthened to
12 with a leading zero because one or more insurance companies were
requiring it to be 12 digits on claims forms or electronic billing
records, I forget which.  So Mark may be right about the UPC code but at
least part of the motivation came from insurance companies.  
Over the years, I have written code to do the "wrong" thing simply
because insurance companies misinterpreted UB and HIPAA standards or
were unable to implement them (due to poor choice of database or
programming language) and I had to make my system talk to theirs in
order to collect payment.

Thom H.


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