>From the Electronic Transaction Final Rule:

� 162.1102 Standards for health care claims or equivalent encounter
information.
The Secretary adopts the following standards for the health care claims or
equivalent encounter information transaction:

(a) Retail pharmacy drug claims. The National Council for Prescription Drug
Programs (NCPDP) Telecommunication Standard Implementation Guide, Version 5
Release 1, September 1999, and equivalent NCPDP Batch Standard Batch
Implementation Guide, Version 1 Release 0, February 1, 1996. The
implementation specifications are available at the addresses specified in
� 162.920(a)(2).

Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in EDI & Electronic Commerce
39432 North Avenue
Beach Park, IL 60099
Phone: 847-872-8070
Fax: 847-872-6860
http:/www.rfa-edi.com

-----Original Message-----
From: Rob Rust [mailto:[EMAIL PROTECTED]]
Sent: Thursday, March 21, 2002 10:32 AM
To: [EMAIL PROTECTED]
Subject: NCPDP 5.1


I have a question about the relationship between HIPAA and NCPDP 5.1. I have
been told that NCPDP 5.1 is the appropriate transaction to use for pharmacy
claims/reversals, etc. which are compliant with the HIPAA Standards for
Electronic Transactions as specified in the Federal Register (DHHS, August
17, 2000). Is that correct? If so, can someone point me to the part of the
Federal Register that names NCPDP as the standard for electronic
transactions? I can only find references in the Federal Register to
transaction standards such as 837 (which obviously overlaps NCPDP 5.1).
R



Rob Rust
First Health Service Corporation
(804)934-4247

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