|
(877) 682-7482 |
|---|
SuiteMed IMS is preparing for upcoming changes in claims submission standards to ensure the highest level of service to its clients and to continue delivering on its mission to help doctors get paid for what they do. Below are answers to key questions regarding our plan to meet all deadlines for HIPAA 5010 claim submission compliance.
What is the 5010 version of the HIPAA X12 Electronic Data Interchange Standards?
The Department of Health and Human Services (HHS) has issued updated standards for the electronic transmission of healthcare transactions, including: eligibility verification, claims submission, remittances, claim status, and referrals. Covered entities must upgrade from the current X12 4010 A1 version to the 5010 version.
Who is required to update to 5010? When does it need to be implemented?
Covered entities, including healthcare providers, health plans and clearinghouses must update to 5010 by January 1, 2012.
How is IMS preparing for migration to 5010?
We have completed a gap analysis between the 4010 A1 and 5010 standards to determine the impact on our existing IMS software.
ENS — Ingenix (ENS) will begin to accept 5010 production transactions by late October. In the mean time you can test 5010 transactions with ENS which will be required prior to moving into production in any case. Realmed — SuiteMed IMS is working with Realmed for 5010 transmission. Avality — SuiteMed IMS is ready to submit production claims in 5010. Other Clearing Houses — Contact respective clearing house for 5010 transmission. You must send test claims to your clearing house if they are ready for 5010. SuiteMed IMS Timeline
7/14/2011 |
||
|---|---|---|
 Learn More at: CCHIT 2011 Certified |
