ANSI 5010 is an upgraded replacement for the current ANSI 4010A1 EDI (Electronic Data Interchange) transaction sets that our plans use to communicate with hospitals, physicians and other health care providers and business associates about payments, procedures, diagnoses and other health care information. The ANSI 5010 version will support transmission of significantly more information than 4010A1, and will handle greater amounts of detail much more efficiently.
Deadline
All health insurers, providers, and other “covered entities” are required to migrate from the ANSI 4010-A1 standard transaction set to ANSI 5010 byJan. 1, 2012, to be compliant with the U.S. Department of Health and Human Services (HHS) mandate.
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