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Santa Rosa, CA 95407
Phone: (800) 763-8484

5010 Readiness Information

With January, 2012 right around the corner and the need for the industry to be 5010 compliant, you may want to know where ClaimRemedi stands with a readiness strategy. Rest assured, ClaimRemedi will be fully HIPAA compliant for processing ASC X12 v. 5010 transactions following the timeline established by the U.S. Department of Health and Human Services (HHS) and CMS (Centers for Medicaid and Medicare Services).

ClaimRemedi has assembled the following information, links, and resources to assist you with this transition.

5010 deadline is near ... Let’s get testing!

Please email support@claimremedi.com to get started with your 5010 testing process.

5010 Important Dates

January 2011–Claimremedi prepared its system to begin Internal testing of 5010 standards for electronic claims. External Based version testing began with Trading Partners/Payers.

April 2011–Claimremedi began the External end to end testing with Trading Partners in Errata version. Although there were recommendations to begin testing starting January 2011, many Testing Partners placed testing on hold for Errata version until April 29, 2011. This phase of testing and processes will continue throughout 2011 to ensure compliance by January 1, 2012.

June 2011–5010 testing environment available for Customers.

January 1, 2012–ClaimRemedi will be in 5010 compliance with our trading partners and payers. Continued acceptance of all current formats including 4010A1, NSF and Print Image formats as well as the new ANSI 5010 standards for incoming claims, inquiries, outgoing payer files, and remittances. Files will be sent in the supported format specified by our trading partners and payers.

October 1, 2013–The ICD-10 code set replaces the ICD-9 code set, following 5010 implementation.

Note on ICD-10-CM–The implementation of ANSI 5010 is a prerequisite for implementing the new ICD-10 codes. While the new claim format accommodates the ICD-10 codes, ICD-10 codes will not be accepted as part of the 5010 project.