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Call: Status of Version 5010

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The document outlines the preparations and status updates regarding the transition to HIPAA Version 5010 for Medicare Fee-for-Service, scheduled for cutover on July 1, 2012. It discusses the purpose of a national provider call, clarifies enforcement timelines, presents transition statistics, highlights operational concerns, and emphasizes the importance of communication during this process. Additionally, it provides contact information for EDI help desks and details future communication plans including webinars and meetings.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the difference between 999 and 277?

Whereas the 999 - Acknowledgement confirms receipt of a transaction (in this case the 837), the 277CA provides more specific information about the claims that were contained in the 837, e.g. the unique identifier assigned by the health plan to their claims (i.e. per the TR3 - the payor claim control number).

What is the ASC X12 standard used for?

Conclusion. The American National Standards Institute Accredited Standards Committee X12 (ANSI ASC X12) plays a crucial role in standardizing electronic data interchange (EDI). These standards provide a common language for business transactions, facilitating seamless communication between trading partners.

What are the 5010 standards?

The 5010 HIPAA transaction standards are a new set of standards that regulate the electronic transmission of specific health care transactions. These include eligibility, claim status, referrals, claims and electronic remittance.

What is the EDI X12 5010 standard?

X12 HIPAA EDI Release 5010 Its used by trading partners to share business documents in an agreed-upon and standard format. X12 HIPAA is a subset of the X12 standard that is used in the healthcare industry. X12 is the most common EDI standard used in the United States. The 5010 release was published in 2004.

What is the HIPAA X12 format?

HIPAA X12 is a set of X12 transactions used within the Healthcare industry to exchange data about health insurance claims and payments. Support for reading, processing and writing all of the legally mandated HIPAA transactions is provided as part of the IBM Integration Bus Healthcare Pack .