What types of claims does the Uninsured Program (UIP) accept? Are National Council for Prescription Drug Programs (NCPDP) claims accepted?

The UIP provides reimbursements to eligible providers/pharmacies for claims attributed to the testing, treatment, or vaccine administration for COVID-19 for uninsured individuals. NCPDP claims are not accepted. Pharmacy providers need to enroll in the UIP portal. Once enrolled, claims should be submitted for reimbursement electronically outside of the program portal through the medical EDI 837 process (PDF) using Payer ID 95964 (COVID19 HRSA Uninsured Testing and Treatment Fund). This is similar to billing COVID-19 vaccines to the Medicare medical benefit instead of the pharmacy benefit.