Testing for HIPAA 5010 and NCPDP D.0 Is in Progress

Testing for HIPAA 5010 and NCPDP D.O is in Progress

The Indiana Health Coverage Programs (IHCP) began testing 5010 transactions in January 2011. Trading partners are being set up to test on a scheduled basis. Providers should communicate with their software vendor, clearinghouse, or billing service to make sure these entities are scheduled for testing. Please review HIPAA 5010 and NCPDP D.0 FAQs and the February 2011 IHCP Provider Newsletter for additional information.

The Centers for Medicare & Medicaid Services (CMS) has published its final rule adopting updated versions of the standards for electronic healthcare and pharmacy transactions originally adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The mandatory compliance date for American National Standards Institute (ANSI) version 5010 and the National Council for Prescription Drug Programs (NCPDP) version D.0 for all covered entities is January 1, 2012.