The Switches deliver the following claims to the Facilitator:
Claims with a BIN/PCN listed in the BIN_PCN_Switch_YYYY_MM_DD.txt file for the Date of Service on the claim.
NCPDP Telecommunication vD.0, B1, B2, and B3 transactions with a Response status in Field # 112-AN of:
Note: Duplicates are included to ensure that transaction that timeout are accounted for with the retransmission.
Claims are delivered in a composite format that contains a wrapper and claims detail. Read more information on the wrapper specification.
If multiple Switches are involved in routing a transaction from the pharmacy to a payer, only the Switch that receives the transaction from the pharmacy receives payment for sending the Request/Response.
The Facilitator supports multi-threading (up to 32 transactions at a time) and single threading of transactions. If the Switch sends more than 32 transactions at a time for multithreaded applications, the Facilitator rejects the transactions after 32 and returns those transactions back to the Switch.
If BIN-PCN is on table based on date rules below and date is April 1, 2012 (or later if HIPAA compliance date is changed) only forward transactions (request and response) if response to request is accepted/paid and Claim is D.0.
BIN |
PCN |
Effective date |
Termination date |
File update date |
---|---|---|---|---|
11111 |
SUPPD |
1/1/2012 |
|
1/1/2012 |
BIN |
PCN |
Effective date |
Termination date |
File update date |
---|---|---|---|---|
11111 |
SUPPD |
1/1/2012 |
1/7/2012 |
1/7/2012 |
BIN |
PCN |
Effective date |
Termination date |
File update date |
---|---|---|---|---|
11111 |
SUPPD |
1/1/2012 |
1/7/2012 |
1/7/2012 |
11111 |
SUPPD |
1/14/2012 |
|
1/14/2012 |
Date of Service Driven Logic:
On 4-1-2012: