Apex EDI Started the journey to being 5010 Compliant years ago. We learned a lot along the way and want to share the lessons we learned form being 5010 compliant every step of the way.
WHAT IS 5010?
5010 is the most current version of the HIPAA electronic transaction standards.
If you submit electronic healthcare transactions, such as filing a claim, checking a patient’s eligibility, or receiving remittance advice you should be aware of the 5010 HIPAA electronic transaction standards. 5010 is the nickname for the Version 005010 specification created by the Accredited Standards Committee (ASC) and approved by the Department of Health and Human Services for Implementation.
WHY DID WE HAVE 5010?
Essentially, 5010 upgraded the way insurance payers can receive information and better exchange information about the patients you see. The upgrade also allows for the larger field size of coming ICD-10 codes as well as other improvements.
WHY WAS THE 5010 TRANSITION DIFFICULT?
Practices reported numerous problems as a result of the transition to Version 5010. The most frequently reported problems have involved:
Some insurance companies were unable to complete the 5010 readiness requirements and are still operating under the old 4010 standards.
Many of these problems resulted from entities across the industry inability to coordinate testing efforts and an unfortunate switchover during a long holiday. The lack of foresight to see that these conditions would result in a breakdown of the healthcare billing system was unprecedented.
WHAT APEX EDI DID RIGHT?
At Apex EDI our foremost goal is to get providers paid fast and easy. Furthermore, we want to be available quickly to help resolve any problems you face. Our goal with the 5010 transition was to make the transition completely transparent to you despite the massive changes required. However, even with all of our preparations, the transition did not meet our standard for being completely transparent. We aggressively worked to provide you the high level of service we aim to provide.
What we did to provide this service?
If you continue to have questions or concerns about 5010, schedule a demo.