5010 Readiness - United Health Care of River Valley

 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

Testing/Production Status

Testing:
River Valley is currently performing end to end with Post-n-Track for the following transactions:
  • 837P
  • 837I
  • 999
  • 835
Please contact 5010support@post-n-track.com to submit your test file.


Production:
  • Production cut-over date: 1/3/2012 

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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