5010 Enforcement Begins on July 1, 2012
After a series of CMS-ordered postponements, enforcement of the use of Version 5010 electronic standards for all HIPAA-covered entities will begin on July 1, 2012. As of that date, electronic claims must be filed in the 5010 version.
“Georgia Medicaid has been processing claims using 5010 since the original compliance date of January 1, 2012,” said Sonny Munter, chief information officer for the Georgia Department of Community Health. “At this point, there are very few providers who are not compliant. And as a bonus we’re able to process claims more quickly with the new system.”
Some of the changes that may affect claims processing are:
• ZIP Code + plus 4
• Service location cannot be a P.O. Box
• Billing address cannot be a P.O. Box
For more information, contact the HP Enterprise Services’
Customer Service Call
Center
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