5010 Readiness - MVP Health Care


 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.

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
 
 
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