From the proposed
modifications to the Transaction Standards published on May 31, 2002 in the
Federal Register:
Therefore, we
propose to modify the standard for the health care payment and remittance advice
transaction for retail pharmacy transactions by adopting the ASC X12N 835 in
place of the NCPDP standard. With the implementation of this proposal, the ASC
X12N 835 would be the only standard for health care payment and remittance
advice transactions. All covered entities, including retail pharmacies (Sec.
162.1602), would be required to use ASC X12N 835 when conducting a health care
payment and remittance advice transaction.
Does anyone have any insight on what type of transactions
these would pertain to? Some examples? Most pharmacies deal strictly with
real-time online adjudication. From what I could tell from various docs on this,
this standard deals with moving of funds to a provider's account - as the paying
of Medicare Part A Institutional Claims.
From reviewing the specs and the WG5 Payment Reconciliation
FAQ, this would not affect online claims adjudication. However some practical
examples would be helpful.
Thanks!
Kathleen A. Neugebauer, R.Ph.
Product Manager, High Volume Group
TechRx(tm) Inc.
The
Backbone of Pharmacy Commerce
Voice: 301-590-7740
Fax: 301-590-7764
Email:
[EMAIL PROTECTED]
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