Beginning January 1, 2012, all providers who use electronic transactions on a daily basis for claims, eligibility determinations, remittances, or referral authorizations will have to be compliant with the new version to receive payments or communication for patient claims.
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In preparation, practices should verify that systems are ready, and have the following resources in place:
- A list of payers, including a contact person and phone number/e-mail address for each;
- A list of your clearinghouse(s), including a contact person and phone number/e-mail address for each, if applicable;
- The system vendor contact person and his or her phone number/e-mail address;
- Assigned staff to monitor the exchange of the 5010 transactions; and
- A process to report any issues identified with the transactions to the appropriate vendor or payer.
Contact ACR staff at [email protected] if you have any questions or need assistance with implementation.
UPCOMING HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT DATES
- • January 1, 2012—Version 5010 transactions compliance
- • October 1, 2013—ICD-10 code sets implementation