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The following sections provide the history of all changes made to this document.
No changes. This is the first published version of the document.
The changes in this cycle address the following comments:
3004, 3005, 3032, 3033, 3047, 3066, 3220, 3221, 3232, 3233, 3244, 3246, 3247
The following changes have been made to the construct:
Reworded overview to clarify usage of construct
Identified UML changes
Made editorial changes based on comments
Defined all constraints for X12N 270/271 transactions
Determined no constraints are needed for NCPDP Telecommunication standard
Changed name of Medication Formulary and Benefits Publisher to Medication Formulary and Benefits Retriever
Reworded pre-condition
Upon approval by the HITSP Panel on March 27, 2008, this document is now Released for Implementation.
This document has been modified to reflect the updated HITSP approach to categorizing standards as Regulatory Guidance, Selected Standards, and Informative References.
The following standards were added as regulatory guidance:
Health Insurance Portability and Accountability Act (HIPAA) -- Administrative Simplification
Medicare Prescription Drug Improvement and Modernization Act of 2003 (Pub.L. 108-173, 117 Stat. 2066, also called Medicare Modernization Act or MMA)
Upon approval by the HITSP Panel on August 27, 2008, this document is now Released for Implementation.
Minor editorial changes were made to this construct.
Upon approval by the HITSP Panel on December 18, 2008, this document is now Released for Implementation.
Minor editorial changes were made to this document. Removed boilerplate text for simplification. The term actor was replaced with interface.
Upon approval by the HITSP Panel on July 8, 2009, this document is now Released for Implementation.
[1] The eligibility constraints also take into account the eligibility request flow between 1) Prescriber system and PBM/Data Source, and 2) Provider to Intermediary to PBM/Data Source.
[2] Optionality = R for Required, R2 for Required if known, O for Optional, or C for Conditional
[3] This HITSP Transaction Package constrains certain portions of the X12N 270/271 implementation guide. The implementation guide contains other capabilities that are outside the scope of this transaction.
[4] Optionality = R for Required, R2 for Required if known, O for Optional, C for Conditional
[5] Optionality = R for Required, R2 for Required if known, O for Optional, C for Conditional
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