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