5010 Transaction Standards and Code Sets

On January 16, 2009, the U.S. Department of Health and Human Services (HHS) released two final rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regarding updated standards for electronic health care transactions: X12 Version 5010 HIPAA Transactions Standards & Code Sets. Compliance date for all covered entities is January 1, 2012, except for small health plans, which will have until January 1, 2013 to achieve compliance.

HealthLink, Inc. has been following the evolution of the Administrative Simplification provisions of HIPAA since its inception in 1996. HealthLink is committed to delivering excellent service and to adopting administrative simplifications for HIPAA transactions and code sets. Effective January 1, 2012, HealthLink complies with using X12 Version 5010 for HIPAA transactions.

HealthLink 5010 Documents

HIPAA 5010 FAQ
 

Version 5010 EDI Companion Guides

837 Claims Transactions
270 Eligibility Benefit Inquiry
271 Eligibility Benefit Response
276 Claim Status Request
277 Claim Status Response
834 Benefit Enrollment and Maintenance
835 Claim Payment/Advice
 
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