Published with permission of the American Medical Association (AMA)
If you use the current version of the HIPAA electronic administrative transactions, such as checking a patient's eligibility, filing a claim, or receiving a remittance advice, you are required by federal regulation to use the updated version of these transactions, version 005010 (5010), by Jan. 1, 2012. There are data reporting changes in these transactions that will impact the data that you send and receive. It is important for you to make these changes and test the 5010 transactions to be certain that they will process correctly on Jan. 1, 2012. Be prepared for the 5010 transactions to avoid claim rejections and interrupted cash flow.
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