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Payment and Eligibility Integration

project 83a8139b6924b807

Normalized: payment and eligibility integration

moreland_contracts

Entity Properties (gold project table)

project_id

83a8139b6924b807

name

Payment and Eligibility Integration

client_id

—

billable_rate

—

canonical_metadata

—

created_at

2026-02-12 05:36:54.288209+00:00

updated_at

2026-02-12 05:36:54.288209+00:00

status

—

billable

—

recurring

—

squad

—

qa_partner

—

project_manager

—

lead_dev

—

description

Integration of CVS's payment and eligibility information system to ensure compliance with NCPDP D.0 pharmacy claim format.

state

—

team_name

—

closedate

—

dealstage

—

contract_type

fixed_fee

contract_hourly_rate

—

contract_estimated_hours

—

contract_total_fee

—

alias_name

MES Integration (3)

project_manager_alias

—

lead_dev_alias

—

qa_partner_alias

—

53%

Moderate — a somewhat similar entity exists

96%

Strong source linkage

Source Mappings (107)

	Source	Source ID	Display Name	Confidence	Method	Status
	moreland_contracts	jwd9W4DnH2Ot6Q	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-06T12:03:36.228255+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	lI0agCMfUb9zoA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system to ensure compliance with NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-03-06T00:03:36.293859+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	bcGeKNhPESQ6aQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-06T02:03:48.568969+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	gxRdwa7v4iJcUg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-03-06T06:03:23.429769+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	+7DPVALQZTxkHQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-03-04T12:03:36.236336+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	Rpy79jvKjQ7gvw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-04T00:03:32.940475+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	QGxH6D6aBlz9og	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information in the NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-03-02T17:46:55.002577+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	np09c1Q1h0f+7g	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-02-26T12:03:50.219481+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	iljaFIuOehRm8Q	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-26T02:04:04.262642+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	HrOZyJDTz47KEQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-02-21T02:04:10.116098+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	G3cPRspJqVk8GQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-22T02:04:01.886774+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	kde5+xWucjBqDQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-21T00:04:04.367805+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	/MNrg7CLT5Fg+A	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system to ensure compliance with NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-02-21T12:03:36.257898+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	6bIPr5ybOFBvqg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-02-20T06:03:36.396324+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	BwW0CRbLm3/YFg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-02-20T00:03:24.910007+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	UGX3axfpOV6kAA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-02-21T06:03:34.356810+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	Q+Lo91+EkHwg/A	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-02-25T18:03:57.261707+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	tWuxQLyr6MHO7Q	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type — hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-05T02:03:54.697157+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	pHI2XTdU1U8yXw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-03-19T21:20:19.639189+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	t32uFWg10kdl9g	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-04-06T02:04:04.236511+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	yZLIRZ/n0qcF/w	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-10T02:04:14.851869+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	43AX2n0wjTd8aw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-11T02:03:44.526774+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	rc3O5ff+XnDRYg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-12T02:03:20.691065+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	bJ3WWXic3KQ1VQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-13T02:03:53.480460+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	YkPY++gHNFOiUw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-04-14T02:04:08.739750+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	1gobSWxlUrgJuQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-04-23T02:03:54.038524+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	JsEdaSJpgKLDBg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information in the NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-04-16T02:03:54.095804+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	ok4JXWQSgOPX5g	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-04-17T02:03:42.094932+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	VT4JL41BdAW62w	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-04-18T02:03:55.285294+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	23FUu2hEUxSRrg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-19T02:03:31.053360+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	UWffyvttOkkvug	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of payment and eligibility information in the NCPDP D.0 format for CVS. start_date — extracted_at 2026-04-20T02:03:57.626003+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	KCYliv7r4Xeerw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system to ensure compliance with NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-04-21T02:03:39.293052+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	nsUlPop6bdYefQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of payment and eligibility information in the NCPDP D.0 format for CVS. start_date — extracted_at 2026-04-22T02:04:38.785332+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	AllX+WRCvnOXVA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-04-25T02:04:01.189100+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	KrjG8z683d0MMw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-04-09T02:03:42.760035+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	3NvSFyyKXRXprQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system to ensure compliance with NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-04-27T02:04:03.795803+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	LM6s/htWKeQPig	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-28T02:04:21.418689+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	DBSGRTDKV5xpKw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-04-29T02:03:57.798610+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	u4W/M/ubqkZiZA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system to ensure compliance with NCPDP D.0 pharmacy claim format. start_date — extracted_at 2026-04-30T02:04:13.460333+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	d3cca38c78e40b46d57b2b82e20122c6	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/CVS%20Caremark%20Integration/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-10-21T02:12:33.826118+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	t54CbqlevdpFJA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-02-25T00:03:25.891615+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	w2eHXrnWLfWLYA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-19T15:15:11.125021+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	cnTy5/s8YmJf9w	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-23T02:04:03.948177+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	Ze/HqrYcDdrpEg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-04-08T21:06:48.546862+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	ii0wmxml1ltwUA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type — hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-02T02:04:03.866429+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	766uOK77dttFkw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-01T02:04:35.301267+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	LOvSwoDeRG5tGA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-03-28T02:04:18.321956+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	kXPvHxiY5vduDw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-03-21T02:04:04.894934+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	pvVz3/WzFd9XDA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system to ensure compliance with NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-03-26T02:04:58.140974+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	UVrVK/eZkK19HA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-02-25T02:03:59.343117+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	UvSSY5zjz0yeMw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system to ensure compliance with NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-02-23T02:04:07.419117+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	BCNWzLhqF/vMwg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-02-19T03:09:58.385493+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	oDjMvxFhvLlQMw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-24T02:04:12.997786+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	wN98ZwpqY+hY0A	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-08T02:04:11.883678+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	viE7UMHSX2fIRw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-07T02:04:06.999140+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	2vR6KsQkWqN5fQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-27T02:04:13.665367+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	D/F9VHDZwNFSRA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-03-05T00:03:04.074246+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	uUjITeeu8SsnKg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-05T06:03:23.327471+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	2XyRMM0j7sy/Gg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-03-04T02:04:18.082618+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	sKxiM8TWpX3yUQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-04T18:03:38.591286+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	UopWBwFxKD8CXw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information in the NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-03-02T17:47:03.196822+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	eCtGZk6U3HdqJw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-03-03T06:03:19.148284+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	BDD4UxYkyn81wQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-26T06:03:59.486651+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	ydL4fhP/fzUFHw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information in the NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-02-25T12:03:38.981602+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	qDrQYIH5YtNtdQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-24T12:03:38.712394+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	OBOOPw1VXa8ksw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-02-23T00:04:03.343286+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	0ipzJ5PWYT4IHw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-20T18:03:32.156567+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	b5S2LtN2+foMjg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-20T02:04:26.688506+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	TQw5wKV7yE6NUQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-19T18:03:48.716709+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	hnifG2s6S32YtQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-25T06:03:45.676892+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	RqwO20r9ddBy5A	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-20T02:03:55.071187+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	VCUYpTFvvGKfsw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-03-25T02:04:40.861918+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	/a1cOi8dw/NjhA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-03T02:03:48.891813+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	LAz+nq2Jw4y6Bw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-31T02:04:22.200467+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	B7BZ6u9v0DGDjQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS payment and eligibility information in the NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-03-05T12:03:40.049110+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	6nUZ6RaKS6Nvow	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-03T18:03:41.053131+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	+EklwABLOeEAVw	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of payment and eligibility information in the NCPDP D.0 format for CVS. start_date — extracted_at 2026-02-26T18:03:31.336145+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	5aBCJzjdYCJlfA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type — hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information in the NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-03-03T12:02:51.591663+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	HOI6YWw1MpvlWA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-02T18:03:17.859019+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	lpei8LE0ElijmA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of payment and eligibility information in the NCPDP D.0 format for CVS. start_date — extracted_at 2026-02-22T12:03:36.188024+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	XWIXrlCUX6rgBA	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-02-19T03:07:52.290872+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	ImHtTW6WYUu4xg	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-02-21T18:03:38.577849+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	373//uPv1VMFpQ	Payment and Eligibility Integration	1.00	exact	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-02-20T12:03:42.781223+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	ZK0FoDrZHcdGWg	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system with Nox to ensure compliance with NCPDP D.0 pharmacy claim format. start_date — extracted_at 2026-02-24T06:03:38.931533+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	OKze43h4ttRzpA	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system with Nox to ensure compliance with NCPDP D.0 pharmacy claim format. start_date — extracted_at 2026-03-24T02:04:08.415064+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	nC/gAw2StJELig	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-22T00:03:28.682617+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	1Rt9O6TuonbL/g	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system with Nox to ensure compliance with NCPDP D.0 pharmacy claim format. start_date — extracted_at 2026-03-03T00:03:23.141935+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	GdhQ0p5dV+bzsA	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-03T02:04:05.365127+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	9tjOG1TjolZQVg	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system to ensure compliance with NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-04-05T02:03:54.606378+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	Gv5fdDbJjvXglA	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type — hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system with Nox to ensure compliance with NCPDP D.0 pharmacy claims format. start_date — extracted_at 2026-02-26T00:03:45.483938+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	xkAZ4S8S4WB+pg	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-03-30T02:04:35.925166+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	EKuVtAhU8EoYIQ	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system with Nox to ensure compliance with NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-04-09T13:57:34.718205+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	12fafBEsuAlY7w	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system with Nox to ensure compliance with NCPDP D.0 pharmacy claim format. start_date — extracted_at 2026-04-24T02:03:57.022569+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	fhnrWVtRI72zNg	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-22T06:03:20.857323+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	R8aHekT7tke7Jw	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system with Nox to ensure compliance with NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-04-26T02:03:43.451436+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	IMvk2A78B4VBIA	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-02-24T18:03:55.078011+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	igj352rYJKhUdg	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system with Nox to ensure compliance with NCPDP D.0 pharmacy claim format. start_date — extracted_at 2026-02-19T12:04:05.769892+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	+QcFiVVZiMOYkA	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-02-23T12:03:39.486758+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	pOAmZ9XxxH76Dg	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-03-04T06:04:09.819172+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	eOuXwrrhf4C8rA	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-02-19T06:03:53.112237+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	S+AzFnS4/ENhUw	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system with Nox to ensure compliance with NCPDP D.0 pharmacy claim format. start_date — extracted_at 2026-02-23T18:03:59.277043+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	4cXGj2Ai3jbvDQ	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-03-22T02:03:44.674415+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	PjeohaMkwyN2Ng	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type — hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-03-29T02:03:57.416781+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	+XSGcHNX+4qhwA	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type — hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-02-23T06:04:20.010777+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	jZdDYmiUWH8M/g	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using the NCPDP D.0 format. start_date — extracted_at 2026-02-24T00:03:27.927017+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	Y9d7KGNoAYOLFg	Payment and Eligibility Integration with Nox	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company CVS project_name Payment and Eligibility Integration with Nox contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format for pharmacy claims. start_date — extracted_at 2026-04-04T02:03:58.788425+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —
	moreland_contracts	1AP0tz1VLbBanw	CVS Payment and Eligibility Integration	0.80	fuzzy+embedding	Active
Source Record bronze_moreland_contracts_ma_project_contracts file_hash d3cca38c78e40b46d57b2b82e20122c6 file_name 2025-07 PBM Financial Partner Requirements.pdf file_path https://morelandpartners.sharepoint.com/sites/MorelandConnect-BusinessDevelopment/Shared%20Documents/Internal%20-%20Business%20Development/Nox%20Health/2025-07%20PBM%20Financial%20Partner%20Requirements.pdf company Nox project_name CVS Payment and Eligibility Integration contact_person — contract_type fixed_fee hourly_rate — estimated_hours — total_fee_estimate — brief_project_description Integration of CVS's payment and eligibility information system using NCPDP D.0 format. start_date — extracted_at 2026-04-15T02:03:54.398141+00:00 raw_text_preview CVS Payment and Eligibility Integration ith Nox: What’s Required and How It Works 1. The Big Picture CVS wants all payment and eligibility information to be sent to them in a very specific “pharmacy claims” format—not the format used for medical insurance billing. The industry standard for this is called NCPDP D.0. Think of it as a set of strict instructions (an API “language”) that tells CVS who you are, who the patient is, what medication or service we are billing for, and what the outcome should be. 2. Core Requirements Explained A. Company & Member Information Company Info: Who is submitting the claim? (This is our company’s ID numbers and credentials.) Nox must send a unique ID, known as a NPI (National Provider Identifier), and a Software Certification ID tied to your system. Member Info: Who is the patient? Details needed: patient’s name, date of birth, gender, full address, insurance card number (called the “Cardholder ID”), and their relationship to the main policy holder (like spouse, child, self, etc.). B. BIN/PCN and Group Information BIN and PCN: These are special numbers used by pharmacy benefit managers (like CVS Caremark) to know where to send the claim for processing. The BIN (Bank Identification Number) and PCN (Processor Control Number) are always required and can change based on the patient’s plan. Group ID: This identifies the employer group or insurance plan the patient belongs to. We get this from the patient’s insurance card. C. UPC and NDC Codes (Drug/Service Details) UPC Code: Sometimes products or services have a Universal Product Code (UPC) instead of the usual drug code. Nox must be able to “crosswalk” or convert a UPC code to an NDC (National Drug Code), which is what CVS uses to process claims. NDC Code: Every drug has an NDC code that tells CVS exactly what’s being dispensed or billed. D. Real-Time API Transactions Eligibility Check: When a patient registers, Nox needs to send an electronic request to CVS to see if their cove file_created_at 2025-08-13T03:04:30+00:00 file_modified_at 2025-08-13T03:04:30+00:00 created_by Jeff Kavlick modified_by Jeff Kavlick _dlt_meta —

Payment and Eligibility Integration

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