HIPAA 5010

On January 16, 2009, the U.S. Department of Health and Human Services (HHS) released the final rule under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regarding updated standards for electronic health care transactions: X12 Version HIPAA 5010.

In October 2010, U.S Department of Health and Human Services (HHS) adopted changes to the X12 Version HIPAA 5010 for certain transaction. The HIPAA 5010 final rule applies to all HIPAA covered entities, including health plans, health care clearinghouses, and certain health care providers.

Version 5010 is designed to:

  • Bring a more consistent use of health care transactions to the industry
  • Support pay-for-performance
  • Support ICD-10
  • Streamline reimbursement transactions
  • The compliance date for ASC X12 version 5010 and ICD-10 is January 1, 2012. Anvicare will be fully compliant for processing the ANSI 5010 and ICD-10 by the deadline established by the U.S. Department of Health and Human Services.