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Medical Billing Software
WPC | EDI | HIPAA | XML

WPC is a leading provider of services, publications and products to entities that develop or consume Electronic Data Interchange Standard Transactions

WPC’s competencies and assets include a focus on high-quality, low-risk solutions, and intellectual capital which is based on a thorough understanding of not just how EDI is supposed to work, but how EDI standards were intended to be used for complete end-to-end business processes.

 ASC X12 5010 HIPAA Guides


AUGUST 15, 2008 – CMS released the text of a Notice of Proposed Rulemaking expected to be published in The Federal Register on August 22nd. That text proposes to adopt updated versions for electronic transactions originally mandated under HIPAA in 2000 — including X12 Version 5010 Technical Reports.

The NPRM text names nine 5010 counterparts to the 4010A1 Implementation Guides currently mandated under HIPAA. All nine 5010 Technical Reports are Available Here as a package for a discounted price.

The package price is for the nine PDFs, listed below, downloaded or shipped on a CD:

270/271005010X279Health Care Eligibility Benefit Inquiry and Response
276/277005010X212Health Care Claim Status Request and Response
278005010X217Services Review Request for Review/Response
820005010X218Payroll Deducted & Other Premium Payment
834005010X220Benefit Enrollment and Maintenance
835005010X221Health Care Claim Payment/Advice
837P005010X222Health Care Claim: Professional
837I005010X223Health Care Claim: Institutional
837D005010X224Health Care Claim: Dental

 What Changed With 5010?


WPC developed an electronic product to answer the question. Containing all of the content from the 005010 documents discussed above, it also contains all of the segments from the 4010A1 guides along with a change description of each segment and element.

WPC Change Description Guides closely resemble the official X12 documents available as bound books or as a PDF. Those documents are Page-based, while this electronic-only presentation is Topic-based. Each topic is generated from the same databases as the page-based presentation.

Read more about WPC's Change Description Guides, including pricing options.

  New Course - August 20 & 21 FirstPass HIPAA EDI Testing Tool

Consulting, Publications, Products & Tools

WPC is a leading provider of services, publications and products to entities that develop or consume Electronic Data Interchange Standard Transactions

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