5010 Readiness - United Healthcare

 Last Update: 12/16/11

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

270/271

005010X279

E1, A1

005010X279A1

276/277

005010X212

E1, E2

005010X212

278N

  

005010X216 

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:
United Healthcare is currently performing vendor testing with Post-n-Track for the following transactions:
  • 837P
  • 837I
  • 999
  • 277CA

Production:
  • 278N

Companion Guides

The following UnitedHealthcare 5010 Companion Guides can be accessed through Post-n-Track:

 Transaction

Companion Guide

 270 / 271

 .pdf

 276 / 277

.pdf
 278N.pdf
835
.pdf
 
 837I.pdf
 837P
 .pdf

UnitedHealthCare Companion Guides can be accesses at: http://www.uhcnational.com/hipaa/companion_docs.html

Resources

For additional information please consult the payer’s website at: www.uniprise.com
 
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