5010 Readiness - CMO (The Care Management Company)

 Last Update: 12/16/2011

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

837I

005010X223

A1, E1, A2

005010X223A2

999

005010X231

A1

005010X231A1

  • No specific requirements were created for any 5010 transactions. The standard HIPAA TR3 guides are available to download from the Washington Publishing website at www.wpc-edi.com
  • The 999 transaction will implemented post 5010 production date which is 1/1/12. Until then a 997 response will be returned.

Testing/Production Status

Testing:
  • Testing is pending receipt of Provider Test Data
  • The 997 Functional Acknowledgement will be used to acknowledge receipt of test data.
  • Please contact 5010support@post-n-track.com for more information.

Production:
  • No transactions are in production at the moment

Migration:
  • No migration schedule is available at this time.

Submitter Action:
  • If you are not prepared to submit and/or receive 5010 version transactions by this production date please contact Post-n-Track support at 5010support@post-n-track.com or 860-257-2030.

Companion Guides

The following 5010 Standard TR3's are being used:


 Transaction

Companion Guide

837P Inbound

Standard TR3 Guide

837I Inbound

Standard TR3 Guide

835

Standard TR3 Guide



Resources

For additional information please email 5010support@post-n-track.com or call 860-257-2030
 
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