Last Update 11/16/2011 |
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 |
| 277CA | 005010X214 | | 005010X214 |
Testing/Production Status
Testing:
- Payer testing has been completed. Post-n-Track is accepting MVP test files which will be tested with PNT only upon receipt of your test file you will receive a Post-n-Track 999.
Production:
Effective 11/16/11:
- Post-n-Track will accept 5010 claim files for MVP HealthCare. Your responses (999, 277CA, 835) will come back from MVP in the 5010 version.
- MVP will continue to accept 4010 claims through the end of the year 12/31/2011.
**Please note that the 277CA and the 835 will be returned in 5010 format only.
Companion Guides
MPV 5010 Companion Guides can be accessed at:
https://www.mvphealthcare.com/provider/electronictransactions.html
Resources
For additional information please consult the payer’s website at:
www.mvphealthcare.com