Glossary of Health Care and Medical Terms
In many cases,
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National Council for Prescription Drug Programs. HIPAA Regulations require electronic health, administrative and financial data to be transmitted in the ANSI X12 and NCPDP formats
The HIPAA Electronic Transaction Standards Final Rule adopted a new standard for Medicaid subrogation for pharmacy claims known as NCPDP 3.0. Before this rule was adopted, no standard existed that allowed State Medicaid agencies to recoup funds for payments made for pharmacy services for Medicaid recipients when a third party payer had primary financial responsibility.
Also see: NCPDP
the National Council for Prescription Drug Programs [NCPDP] Version 5.1 for pharmacy transactions) used in EDI transactions lack certain functionality required by the health care industry. Therefore, it is necessary for providers to prepare for new standards in order to continue submitting claims electronically. January 2012 the standard changes from NCPDP 5.1 to NCPDP D.0.
Also see: NCPDP 3.0