We are pleased to announce that Emdeon has received notification that we have met the requirements of the EHNAC 5010 Readiness Assessment Program. Emdeon received a score of 100%, which further evidences Emdeon’s commitment to ensure compliance with HIPAA 5010.
In addition to this industry recognition, Emdeon continues to guide our customers successfully through the migration to the X12 5010 and NCPDP D.0 versions of the HIPAA transaction standards. We have updated our gap analysis documents to include the recent 5010 Errata changes and we have enhanced our 5010 systems and products to support the Errata version of HIPAA transactions. The Errata versions of the gap analysis documents are available at the HIPAA simplified website under downloads.
We strive to provide you with the most updated and accurate information regarding our readiness for HIPAA 5010. Please see answers below to the most commonly asked questions regarding HIPAA 5010.
What is Emdeon’s current state and plans for HIPAA 5010 testing?
Emdeon is currently testing and implementing 5010 with submitters and payers. The late release of the Errata changes to the 5010 transaction standards further constricted the already narrow 5010 testing and conversion window. Nevertheless, as you can see in the list below, Emdeon has initiated submitter and payer testing on all 5010 transactions.
Errata Beta testing in process:
• 837 Professional claims
• 837 Institutional claims
• 837 Dental claims
• 835 ERAs
• 270/271 Eligibility verification
Emdeon is also testing the Final Rule version with submitters and payers for the HIPAA X12 transactions that were not included in the Errata revisions:
• 276/277 Claim Status
• 278 Referral/Authorization
What Emdeon solutions are impacted by 5010?
5010 impacts eligibility, claim, claim status and remittance transactions. The associated Emdeon solutions impacted by 5010 include our clearinghouse, as well as:
Emdeon Office:
Effective January 1, 2012, HIPAA requires that you update the manner in which you submit claims, eligibility and other health care transactions to use the new HIPAA 5010 standard format. For status inquiries such as eligibility, Emdeon Office has completed the baseline development needed to be able to convert information entered on our request pages to the new format, and to render responses received in the new format in the familiar display to which you are accustom. We continue to work with each insurance company to update our request screens according to the payers’ needs, as each insurance company becomes ready to handle the new formats.
Similarly, in the case of claim submission, Emdeon Office is already prepared to accommodate the 5010 format for many of our claims customers and very close to completing the necessary enhancements for the remainder. While Emdeon encourages all providers to be ready to submit claims using the new standards in advance of the deadline, we want you to be aware that Emdeon Office can make your claims comply with 5010 standards without requiring you to upgrade your practice management system. As part of our enhancement to convert your claims to the new HIPAA 5010 format, a number of significant new features will become available to you within the Emdeon Office Suite for no additional charge. These enhancements eliminate the need to budget significant amounts of money towards an upgrade specifically or exclusively due to the HIPAA 5010 claim format regulations.
Please be sure to check the Flash Message section of the Office home page for new messages providing detailed guidance on the transition and any actions that may be required of you.
To learn more about the HIPAA 5010 readiness plan for Emdeon Office customers, please email your questions to emdeonoffice5010@emdeon.com.
What is the timeline of events?
Emdeon is committed to fully support 5010 standards prior to the compliance date of January 1st, 2012; however the precise dates on which Emdeon will support 5010 standards will vary based on the product, transaction, payer readiness and client readiness. Our goal is to have all Emdeon products modified with testing completed by the end of 2011 in order to be ready for the January 1st, 2012 compliance date.
Where can I obtain additional information about HIPAA 5010?
Emdeon created a valuable web resource available to all industry stakeholders titled HIPAA Simplified, which may be found at www.hipaasimplified.com. HIPAA Simplified is a one-stop online resource that features gap analyses, business level documentation, webinars, timelines for the transition and testing information for our customers.
Thanks for trusting Emdeon as your source for HIPAA readiness. We are working diligently to deliver solutions that enable our customers to seamlessly meet these industry regulatory requirements.
HIPAA Simplified Update
