5010 Readiness - AvMed Health Plans


 Last Update: 11/22/11

Timeline 

On January 16, 2009, Health and Human Services (HHS) published two final rules to adopt updated HIPAA standards; these rules are available at the Federal Register. Health plans may elect to provide additional options to providers, like dual mode for a period of time or end to end provider testing period. Post-n-Track will publish such timelines and plans in this section when the information is available.

HIPAA Compliance Dates:
  • January-December 2011; Partner testing and implementation of the new ASC X12 5010 transaction version.
  • Until December 31, 2011; The final rule allows dual use of either the previous version 4010A1, or the new version 5010.
  • January 1, 2012; Compliance date for 5010. Discontinue use of the previous ASC X12 version 4010A1. Only the updated 5010 ASC X12 version standard may be used.

5010 Transactions Supported

 Transaction

Original IG Value

Adopted Errata

Compliant
GS08
Value on
1/1/2012

835

005010X221

E1, A1

005010X221A1

837P

005010X222

E1, A1

005010X222A1

999

005010X231

A1

005010X231A1

 277CA 005010X214  005010X214

 

Testing/Production Status

Testing:
AvMed Health Plans is currently performing vendor testing with Post-n-Track for the following transactions:
  • 837P - Complete
  • 999 - Complete
  • 835 - Complete
  • 277CA - Complete

Production:

  • No transactions are in production at the moment
  • Cut-over date scheduled for 11/28/2011

Companion Guides

No companion guides are available for this payer.
Please check back regularly as this section will be updated as soon as companion guides are available.

Resources

For additional information please consult the payer’s website at: www.avmed.org 
 
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