NCPDP D.0

NCPDP D.0

Posted by OI-Admin on 23 Jan 2012

NCPDP D.0 is an updated version of the current NCPDP 5.1 telecommunication standard. This telecommunication standard is used for pharmacy claim transmission. The implementation of NCPDP D.0 is a HIPAA requirement and must be in place by January 1, 2012. The changes are complex and affect many providers in healthcare including pharmacies, physicians, hospitals, payers, etc. OPUS-ISM has been working very hard to make this transition as efficient as possible for our users. We have programmed, tested and implemented the changes necessary to process NCPDP D.0 claims on all customer systems.

The table below lists the plans that are currently live with D.0. Please check back frequently, as this list will be updated regularly as more plans become active.

Our PPC Classic users can find the latest D.0 information and updates by clicking here.

Our OpusTouch Rx users can find the latest D.0 information and updates by clicking here.


 

BIN Number Processor
005848 aClaim
010900 ACS
610084 ACS – Colorado Medicaid
610084 ACS – Ohio Medicaid
610084 ACS (formerly Consultec)
610084 ACS (formerly Consultec) – Maryland Medicaid
610501 ACS (formerly Consultec) Massachusetts – Medicaid
009555 ACS (formerly Consultec) Massachusetts – Medicaid
610084 ACS (Just Washington) Washington Medicaid
610490 ADAP
610502 Aetna
012642 Aetna Workers Comp
610600 Alpha Scrip
015178 AmWINS Rx (formerly IdealScripts)
011289 AmWINS Rx (formerly IdealScripts)
610649 Argus
012353 Argus
011834 Argus
600428 Argus
610225 Argus
610622 Argus
610623 Argus
610624 Argus
610631 Argus
610647 Argus
610648 Argus
610141 Argus
014179 Benecard
610237 Bioscrip
610208 Bioscrip
900020 Bioscrip ScripSolutions
900014 BioScrip ScripSolutions
004740 Computer Science Corporation (CSC)
610415 CVS/Caremark
610029 CVS/Caremark
610468 CVS/Caremark
610474 CVS/Caremark
610239 CVS/Caremark
004245 CVS/Caremark
013089 CVS/Caremark
012114 CVS/Caremark
006144 CVS/Caremark
603604 CVS/Caremark
004336 CVS/Caremark
610449 CVS/Caremark
010876 Emdeon
004261 Emdeon
004682 Emdeon
600426 Emdeon
011966 Emdeon
002453 Emdeon
610603 Emdeon
003573 Emdeon
007093 Emdeon
007192 Emdeon
008316 Emdeon
012312 Envision/Rx Options
009893 Envision/Rx Options
004766 eRx Network
003858 Express Scripts
610041 Express Scripts
600568 Express Scripts
610575 Express Scripts
610053 Express Scripts
400004 Express Scripts
610077 Express Scripts
003592 Express Scripts
004541 Express Scripts
011818 Express Scripts
013550 Express Scripts
610061 Express Scripts
610083 Express Scripts
015748 Express Scripts
011529 First Health (Magellan) – Kentucky Medicaid
009704 First Health Services (Magellan)
012345 First Health Services (Magellan)
013352 First Health Services (Magellan)
002286 First Health Services (Magellan)
013898 First Health Services (Magellan)
011925 First Health Services (Magellan)
610678 First Health Services (Magellan)
013766 First Health Services (Magellan) – Nebraska Medicaid
005526 GHS – Maine Medicaid
012874 HealthEsystems
610086 HealthTrans
011867 HealthTrans
004519 HealthTrans
005285 Healthtrans
610550 HealthTrans
009117 HealthTrans
011677 HealthTrans
009992 HealthTrans
014681 HealthTrans
011859 HealthTrans
610467 HP – Indiana Medicaid
610480 HP (Formerly EDS)
610471 HP (Formerly EDS)
600760 HP (Formerly EDS) – Pennsylvania Medicaid
004626 Independent Health (MEDE)
636104 Indian Childrens
014658 Integrated Prescription Management
600518 Laker Software
610641 Laker Software
800004 Laker Software
610524 McKesson Health (Relay)
610500 McKesson Health (Relay)
610014 Medco
610211 Medco
610031 Medco
610056 Medco
610084 Medco from ACS
006053, 006631, 008696 Medical Security Card Co./ScriptSave
610679 Medimpact
610193 Medimpact
010439 Medimpact
013105 Medimpact
013675 Medimpact
015574 Medimpact
003585 Medimpact
610459 Minnesota Medicaid
610515 Molina Medicaid (formerly Unisys)
610164 Molina Medicaid (formerly Unisys)
610602 Navitus Health Solutions
601341 OHCP (OpusHealth)
004303 OmniSYS
400023 OPUS-ISM
013685 OPUS-ISM
013344 OPUS-ISM
011800 OPUS-ISM
010991 OPUS-ISM
013337 OPUS-ISM
010033 OPUS-ISM
006012 Pharmacy Data Management
610020 Pharmacy Data Management
610097 Prescription Solutions
610494 Prescription Solutions
610127 Prescription Solutions
015912 Prescription Solutions
015243 Prescription Solutions
610613 Prescription Solutions
004915 Prime Therapeutics
800001 Prime Therapeutics
014897 Prime/Blue Cross and Blue Shield of Alabama
610455 PRIME/RxClaim
011552 PRIME/RxClaim
012833 PRIME/RxClaim
009430 ProCareRx
014830 ProCareRx
011669 ProCareRx
009265 ProCareRX
610198 ProCareRX
610194 ProCareRX
013824 ProCareRX
012493 ProCareRX
011727 Relay Troop Facilitator
600471 Restat
610709 Restat
012684 Sav-Rx Prescription Services
006558 Sav-Rx Prescription Services/PHI
008324 Sav-Rx Prescription Services/PHI
008563 Sav-Rx Prescription Services/PHI
004410 ScriptCare(SCI)
008259 State Of Illinois Department of Healthcare and Family Services
006524 SXC
012163 SXC
603017 SXC (ComCoTec)
610106 SXC (ComCoTec)
610704 SXC (ComCoTec)
610621 SXC (ComCoTec)
610606 SXC (ComCoTec) / RxClaim
610593 SXC (ComCoTec) InformedRx
610011 SXC (ComCoTec) InformedRx
005947 SXC (ComCoTec) InformedRx
011891 SXC (ComCoTec) InformedRx
003650 SXC (ComCoTec) InformedRx
009803 SXC (ComCoTec) InformedRx
008878 SXC (ComCoTec) InformedRx
013915 SXC (ComCoTec) InformedRx
014211 SXC (ComCoTec) InformedRx
011883 SXC (ComCoTec) InformedRx
001553 SXC (ComCoTec) InformedRx
610210 SXC (ComCoTec) InformedRx
610560 SXC (ComCoTec) InformedRx
012882 SXC (ComCoTec) InformedRx
601577 SXC (ComCoTec) InformedRx
010868 SXC (ComCoTec) InformedRx
004583 SXC (ComCoTec) InformedRx
610527 SXC (ComCoTec) InformedRx
610118 SXC (ComCoTec) InformedRx
610619 SXC (ComCoTec) InformedRx
004469 SXC (ComCoTec) InformedRx
005567 Third Party Solutions
009620 Third Party Solutions
603286 WHI
610652 WHI
015383 WHI
610544
004758
610235
600685
003452
005559
011875
012361
610566
004527
011065
008936
005757
009661
012924
008589
010553
610453
610114
800010
014310
012957
800008
012825
012543
013527
610170
011495
011792
014640
009299
009224
014186
610489
011842
610591