The NCPDP standards have been used successfully for over 20 years. The NCPDP Telecommunication Standard Version 5.1 (and equivalent Batch Standard Version 1.1) should be designated as HIPAA-compliant standards for billing and authorization of supplies.The industry requests that when supplies are billed by the dispensing retail pharmacy: The billing for professional pharmacy services is a different subject and not related to this paper.) (The topic of billing of supplies should not be confused with the topic of billing for professional pharmacy services. It is requested that the billing of supplies that are consumed or used during, or as a consequence of, the administration of a drug therapy, or commonly dispensed via a retail pharmacy use the NCPDP standards. Representatives of the industry including pharmacies, vendors, as well as payers, do not agree with this interpretation. The Center for Medicare and Medicaid (CMS) interpretation of the HIPAA Transactions and Code Sets regulation is that when retail pharmacies bill supplies, they should use the ASC X12N 837. NCVHS Subcommittee on Standards and Security
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