12/02/02 - RxTFC® certified for V5 claims submission with AdvancePCS.

BDM had the first user start sending claims to the third party payer, AdvancePCS, last week.

10/16/02 - RxTFC® certified for V5 claims submission with NDC.

7/16/02 - RxTFC® certified for V5 claims submission with WedMD.

HIPAA update - Medi-Cal NCPDP V5

BDM has just received notice from Medi-Cal (California Medicaid) that they will be implementing V5 on April 29,2002. Between April 29 and Oct. 1 they will accept either V3 or V5 claims - after Oct. 1 they will not accept V3 claims.

Just a reminder to upgrade prior to October 1st in order to comply with NCPDP ver 5 formats.

Update on HIPAA release

In order to ensure that the required HIPAA online adjudication NCPDP changes are installed and functional by October 1st, 2002 BDM must receive a signed upgrade quotation by no later than June 1st, 2002. This will allow the correct resources to be scheduled at both BDM and the customer site and provide the proper time period to install the upgrade and train at the customer site. Signed quotations or requests for the upgrade received after June 1st, 2002 will be accepted and will be done on a "best efforts" basis to have it installed and live by October 1st, 2002.

Third Party Payer notes:
- PAID, a 3rd party payer, has announced that they will no longer accept V3 claims starting September 28, 2002. Customers who submit claims to PAID after September 27, 2002 must be live on RxTFC® 4.00 release in order for the claims to be accepted.

HIPAA/Third Party Payer Requirements for OLA

As you know BDM has been monitoring various third party payers for information for their requirements with respect to the HIPAA (Health Insurance Portability and Accountability Act) Standards for Electronic Transactions, the standards for transactions and code sets. BDM has been proceeding with work to make BDM's Online Adjudication Module compliant with the NCPDP 5.1 interface transaction specification as a basic requirement for HIPAA compliance. This week we received information from the first of the third party payers outlining more detailed requirements, and we anticipate others to be sending us their requirements in the very near future. Although the compliance deadline date stated by HIPAA for compliance is October 16, 2002, the deadline dates set out by individual third party payers will be earlier than this date in most cases.

BDM has incorporated these HIPAA-related third party payer requirements in to RxTFC 4.00. For those customers at RxTFC® Release 3.01 or older, the upgrade path will be directly to RxTFC® Version 4.00 due to be released June 1, 2002. BDM requests that its customers be live on these releases by September 15, 2002 to ensure compliance well in advance of mandatory requirements.

Please contact BDM Vice President of Products and Services, Chuck Ingerman, by phone at 306-933-3000 or email charles.ingerman@med.ge.com for further timing and cost information on this matter and to begin planning for the implementation of this software to enable you to comply with these mandatory HIPAA requirements.