Actually the addenda (final, final rule) names the NCPDP 5.1 and 1.1 as the referral, certification and authorization transaction for retail pharmacy ---- not the 278.
Barb Hollerung MN Medicaid Ph. 651-297-7222 Fax 651-297-3230 [EMAIL PROTECTED] -----Original Message----- From: Robert C. Pozniak [mailto:[EMAIL PROTECTED] Sent: Thursday, April 03, 2003 4:16 PM To: WEDI SNIP Transactions Workgroup List Cc: WEDI SNIP Transactions Workgroup List Subject: Re: Transactions question The X12 standards 276 and 278 are the only ones named for those transactions in the final rule. See 162.1301 &162.1302 for referral certification and authorization. Claim status inquiry/response is covered by 162.1401 & 162.1402. Unlike eligibility or claims that allow for the NCPDP standard or X12 to be used only the X12 standards are allowed for the transactions your asking about. Robert C. Pozniak NYS Department of Health HIPAA Practice Group "Jonathan Fox" <[EMAIL PROTECTED] To: "WEDI SNIP Transactions Workgroup List" health.com> <[EMAIL PROTECTED]> cc: 04/03/2003 03:49 Subject: Transactions question PM Please respond to "Jonathan Fox" Two seemingly simple questions that are troubling. Do the 276 and 278 apply to pharmacy claim information and requests for pharmaceutical authorizations respectively? Your thoughts and/or supporting textual references are appreciated. Thanks. Jonathan Fox Independent Health --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
