Deadline Looms for Pharmacy EDI Standard

Less than six months remain for adoption of the HIPAA 5010 standards for electronic claims and related transactions, and also for adoption of the NCPDP Telecommunication Standard D.0. format for pharmacy claims from the National Council for Prescription Drug Programs.


Less than six months remain for adoption of the HIPAA 5010 standards for electronic claims and related transactions, and also for adoption of the NCPDP Telecommunication Standard D.0. format for pharmacy claims from the National Council for Prescription Drug Programs.

D.0. also supports data exchange among payers, eligibility and benefit determination, explaining reimbursement or denials, and concurrent drug use review. More information is available here.

 

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