December 22, 2025

In accordance with the requirements outlined in the Provider Manual and per Department of Human Services (DHS) guidelines, there will be an immediate enforcement of NDC billing requirements.

All claims with a bill type 837P or 837I Outpatient, and payment based upon a HCPCS code such as a J-code or Q-code, MUST be submitted with the correct NDC code along with the NDC quantity and units dispensed. Drugs should appear on a single claim line with no other services, and the drug administration billed separately.

Claims not billed with the required information will be denied. For more information, please review Chapter 12 - Provider Billing and Reimbursement of our provider manual, located on our website at hpplans.com/providermanual.