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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:
| 270/271 | 005010X279 | Health Care Eligibility Benefit Inquiry and Response |
| 276/277 | 005010X212 | Health Care Claim Status Request and Response |
| 278 | 005010X217 | Services Review Request for Review/Response |
| 820 | 005010X218 | Payroll Deducted & Other Premium Payment |
| 834 | 005010X220 | Benefit Enrollment and Maintenance |
| 835 | 005010X221 | Health Care Claim Payment/Advice |
| 837P | 005010X222 | Health Care Claim: Professional |
| 837I | 005010X223 | Health Care Claim: Institutional |
| 837D | 005010X224 | Health 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.
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