Health Care Claims or Equivalent Encounter Information for Retail Pharmacy Supplies and Professional Services

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Comment

NCPDP - Comment

  • The Standard Listed – NCPDP Version D.0 is incorrect. The Standard and Implementation Guide are not separated. There is no separate standard and the Standard section material should be deleted.
  • Standard Implementation/Specification: incorrectly lists the wrong version of the Telecommunication Standard Implementation Guide. It should be Telecommunication Standard Implementation Guide, Version D, Release 0 (Version D.0), August 2010.
  • Standard Implementation/Specification: The Telecommunication Standard, Implementation Guide Version 5, Release 1, September 1999 should be deleted.

 

  • Add a bullet for Medicaid Pharmacy Subrogation

Type-Implementation Specification

Standard Implementation/Specification- NCPDP Batch Standard Medicaid Subrogation Implementation Guide, Version 3, Release 0 (Version 3.0), July 2007

Standards Process Maturity – Final

Implementation Maturity- Production

Adoption Level – 5

Federally Required – Yes

Cost – $

Test Tool Availability –

  • Add a bullet for Uniform Healthcare Payer Data Standard

Type-Implementation Specification

Standard Implementation/Specification- NCPDP Uniform Healthcare Payer Date Standard Implementation Guide V24

Standards Process Maturity – Final

Implementation Maturity- Production

Adoption Level – 1

Federally Required – No

Cost – $

Test Tool Availability –

NCPDP Comment

  1. Add the following:

Type-Implementation Specification

Standard Implementation/Specification- NCPDP Telecommunication Standard, Implementation Guide, Version F2, March 2018 and Equivalent Batch Standard Implementation Guide, Version 15

Standards Process Maturity – Final

Implementation Maturity- Pilot

Adoption Level – 1

Federally Required – No

Cost – $

Test Tool Availability – No.

Limitations, Dependencies, and Preconditions for Consideration

 

  • The Telecommunication Standard Implementation Guide Version F2 has been requested to be adopted under HIPAA.
  • NCPDP is in the investigative stage of providing a test tool.
  •