HIPAA > 4010

004010A1 X12N guides and EDI schemas for use under the current HIPAA mandate.

Implementation Guides

XML Schemas

HIPAA > 5010

EDI transaction sets to replace 4010 for HIPAA compliance, effective January 1, 2012.

Consolidated Guides

Original Guides

Change Description Guides

Table Data

XML Schemas

Code Lists

Code lists are viewable on-line at no cost.

Code lists are also available as electronic files, printed lists or email alerts:

Code Lists

Test 5010 HIPAA Transactions Without Sending PHI over the Internet

A Windows desktop application that validates X12 EDI data for adherence to X12 syntax and other requirements as specified in the 5010 X12 Type 3 Technical Reports (TR3) adopted under HIPAA. Whether you are implementing HIPAA for the first time, testing new maps, or managing a help desk on the front line — FirstPass is a simple, cost-effective solution.

FirstPass HIPAA Transaction Testing Tool