X12 / EDI

Pharmacy claims, e-prescribing, and transfers

NCPDP Telecommunication, Batch, SCRIPT, and Prescription Transfer definitions for the AnyToAny Engine, for the versions listed below. Validate, convert, and integrate pharmacy EDI with the same single-pass engine that runs Redix X12 processing.

  • Telecommunication D.0
  • Batch 1.1
  • SCRIPT
  • Prescription Transfer
Supported standards

Four NCPDP standards

StandardRedix definitionsPrimary use
Telecommunication5.1, D.0Real-time, point-of-sale pharmacy claims and eligibility
Batch1.1Batch claim submission and response for high-volume adjudication
SCRIPT (e-prescribing)5.0, 8.1, 10.6Prescription routing between prescribers, pharmacies, and PBMs
Prescription Transfer1.0, 2.0Pharmacy-to-pharmacy transfer, fixed and variable formats

Listed definitions versus current standards. The SCRIPT versions listed here are legacy definitions, not a claim of current Medicare Part D e-prescribing coverage. Part D is transitioning from SCRIPT 2017071 to 2023011; 2023011 is required from January 1, 2028. The current adopted pharmacy claim standard pairs Telecommunication D.0 with Batch 1.2, while the Batch 1.1 definition listed here is legacy. Ask Redix to confirm the exact version and transaction coverage for your project; availability of additional definitions must be confirmed.

Conversion

NCPDP to any target format, and back

Format to format (AnyToAny + NCPDP)

  • NCPDP Telecommunication, Batch, SCRIPT, and Prescription Transfer
  • X12 and UN/EDIFACT
  • Fixed-length flat files
  • CSV and proprietary formats

XML generation (AnyToXML + NCPDP)

  • Each NCPDP standard to XML
  • Schema and DTD validation
  • Custom XML structures
Use cases

Built for PBMs, payers, and pharmacy networks

Pharmacy claims

Process real-time and batch pharmacy claims with Telecommunication and Batch support for PBM integration.

E-prescribing

Process prescription messages between prescribers, pharmacies, and PBMs, for the SCRIPT versions listed above.

Prescription transfers

Move prescriptions between pharmacies with Prescription Transfer support.

Data integration

Turn NCPDP data into XML, flat files, or database tables for analytics and reporting.

GUI Mapper

Visual mapping between NCPDP and other formats

  • Drag-and-drop mapping between formats
  • Link NCPDP to X12 transactions
  • Generate conversion maps automatically
  • Test with sample data

See the GUI Mapper.

Licensing

How the module is licensed

AnyToAny Engine

Required. The core engine: single-pass processing, IFD/OFD definitions, and the runtime.

NCPDP Module

This module. Telecommunication, Batch, SCRIPT, and Prescription Transfer definitions, with sample transaction files.

GUI Mapper / HIPAA Package

Recommended. Visual mapping and HIPAA X12 integration for complete pharmacy workflows.

Talk to us about pharmacy EDI

Tell us your standards, versions, and volumes. We confirm coverage and show a working conversion on a de-identified sample.

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