The NCPDP membership is requesting a new version of the Telecommunication and Batch Standard be named in HIPAA. The Telecommunication Standard Implementation Guide is version DØ. The Batch Standard Implementation Guide is version 1.2, which supports Telecommunication version DØ in a batch mode.
The Telecommunication Standard Implementation Guide supports the following processes
1. Eligibility Verification
4. Information Reporting
5. Prior Authorization
6. Predetermination of Benefits
NCPDP’s SNIP Committee is working with WEDI on the Benefit Analysis Survey. This committee is also planning to provide educational webcasts for the industry.
Changes from version 5.1 to version DØ are provided under separate cover. Changes include the addition of fields to support Medicare Part D functionality, enhancements to coordination of benefits processing, more guidance for balancing and pricing support as business needs have evolved, and the addition of mandatory/situational designations per the HIPAA Privacy regulation.