Pharmacies can now use updated electronic standards for insurance claims

The US Department of Health and Human Services has updated the electronic standards that pharmacies use to send insurance claims. This means pharmacies can now use more modern systems to process prescriptions and get paid by health plans.

For years, pharmacies and health plans have been stuck using outdated electronic transaction standards, making it harder to process claims efficiently. This change allows the healthcare system to adopt more current technology, which should speed up how quickly pharmacies get reimbursed. It also updates how Medicaid handles pharmacy claims, which could streamline payments for low-income patients.