NCPDP SNIP Liaison Special Committee
NCPDP Payer Sheet Template for Telecommunication Version D.0White Paper for HIPAA Implementation of NCPDP Standards
SNIP Committee Activities Update
NPI General Information
White Paper on the Impact of the NPI (National Provider Identifier) on the Pharmacy Services Sector Using the NCPDP Standards
WEDI Guidance for HIPAA (medical info)
NCPDP Payer Sheet Template for Telecommunication Version D.0
In anticipation of the move to the Telecommunication Standard Implementation Guide Version D.0 as the next HIPAA-named version for pharmacy claims, the NCPDP SNIP Committee developed guidance to be used in filling out and creating payer sheets based on Version D.0 and above. Payer Sheets may be used in addition to provider manuals or included in provider manuals. Payers may take the request and response template sections within the guidance document, fill out the template per their usage, and send to their trading partners. The guidance also provides instructional sections to assist the payers in completing their payer sheets. Click here for a copy.
White Paper for HIPAA Implementation of NCPDP Standards
In the May 5, 2008 Federal Register, the Department of Health and Human Services listed the Notice of Proposed Rule Making (NPRM) to Update HIPAA Code Sets and Transactions with a Release Date of 06/2008. Entities should begin their business planning and timelines to support the next transactions and code sets, and to be able to respond to the NPRM request for comments. The NCPDP Strategic National Implementation Process (SNIP) has created an important white paper to assist the industry in preparing. Click here for a copy.
Post Adjudication Standard Survey Results
The NCPDP SNIP Committee developed a survey on the NCPDP Post Adjudication Standard Version 2.0 that has been requested for the next round of HIPAA. The survey requested input from Client Groups, Pharmacy Benefit Managers (PBM’s), Payers, Fiscal Agents, and Insurance Programs that currently implement or plan to implement the NCPDP Post Adjudication Standard. The NCPDP survey to gather cost/benefit analysis on this standard closed on January 11, 2008. Survey results will be provided to the Department of Health and Human Services via testimony at the National Committee on Vital and Health Statistics meeting in late January 2008. Click here for a copy of the NCPDP Post Adjudication Standard Version 2.0 Survey results.
Recommendations for Implementation of Telecom Standard Version 5.1
Payer Template--Updated August 2006
In May 2002, the NCPDP SNIP Committee revised the one Payer Template (created in April 2002) and created two Payer Templates - one for Requests and one for Responses. Coordination Of Benefits processing examples were not included in the Request payer sheet template. An update of the Request Payer Sheet was made in August 2006 to provide additional information regarding the two methods of COB processing when the Secondary is being billed.
These documents are templates to be used by processors/third party programs to convey some of the more important features of supporting NCPDP Telecommunication Standard Version 5.1 to their business partners. The documents can be used as a form to be filled in by the processors, to offer guidelines of the information that is important to pharmacy software vendors, switches, implementation units. The documents are meant to supplement the provider manuals that payers build. The documents are meant to supplement (not replace) the provider manuals that processors/payers/health plans build.
These documents can be downloaded, filled in by processors/payers and sent to their vendors, switches, implementation units of the processor/payer's implementation of Telecommunication Standard Version 5.1 (like Payer Plan Sheets are used today).
Payer Sheet Official (MS Word - WinZipped 40.1 KB)