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Health Insurance Portability and Accountability Act [HIPAA] - Version D.0 (Pharmacy Claims)

Medically Reviewed by The Medindia Medical Review Team on Sep 06, 2014


Version D.0 (Pharmacy Claims)

Version D.0 specifically addresses business requirements that have evolved with the implementation of the processes in Medical billing or Medicare prescription drug benefit (Part D) and changes within the healthcare industry.


Salient features of Version D.0:

The compliance date for implementing Version 5010 and Version D.0 is January 1, 2012, so as to allow sufficient time to test the proposed HIPAA standards internally, to ensure that the systems have been appropriately updated and switchover or transition to the new formats between trading partners prior to the compliance date for HIPAA. However, the rule has been relaxed for small health insurance plans which need to comply before January 1, 2013.


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