Work Group 1 Telecommunication develops and maintains standards and guidelines to accommodate the collection, transmission, and processing of electronic pharmacy claim information, i.e. administering and certifying eligibility, prior authorization, and prescribing drug benefits for traditional, managed care, and government programs, billing, payment or denial of compensation with explanations, and concurrent drug use review.

1. Promote NCPDP membership attendance and active participation in Work Group 1 Telecommunication meetings and task groups.
2. Promote all standards created by this work group including but not limited to the Telecommunication Standard. Financial Information Reporting Standard, Audit Standard, Post Adjudication Standard, Prior Authorization Transfer Standard, Uniform Healthcare Payer Standard, Retiree Drug Subsidy Standard.
3. Review Data Element Request Forms (DERFs) and ballots pertaining to standards for which this work group is responsible for.
4. Promote the use of the other transactions in the Telecommunication Standard for predetermination of benefits, information reporting, controlled substance reporting, and prior authorizations.
5. Continue support of the Universal Claim Form (UCF), Workers’ Compensation/Property and Casualty UCF, and supporting Reference Implementation Guide for enhancements to the Telecommunication Standard.
6. Provide Health Insurance Portability and Accountability Act (HIPAA) updates.
   • Provide responses to technical questions that may be sent to NCPDP as a result of a Notice of Proposed Rule Making (NPRM) for new transactions or enhancements in HIPAA.
7. Review Designated Standards Maintenance Organizations Change Request System (DSMO CRS) requests as needed.
8. Provide Workgroup for Electronic Data Interchange - Strategic National Implementation Process (WEDI SNIP) and NCPDP SNIP updates.
9. Support the MC Education, Legislation and Regulation Task Group when new legislation is being introduced regarding issues relevant to the work group.
10. Support a forum for the discussion of CMS Medicaid and Medicare pharmacy issues as appropriate to WG1 standards.
11. Continue support for task group in other work groups that may identify enhancements to the Telecommunication Standard or other WG1 standard.
12. Monitor the task groups to ensure they are on track to complete their work. If appropriate, disband task groups that have completed their work.