ANSI 5010 defines the new standards for HIPAA transactions
• Replaces 4010A = HIPAA Accredited Standards Committee (ASC) X12 Version 4010A
• Implements more than 500 changes requested by the healthcare industry.
• Improves healthcare data transaction efficiency.
• Affected transactions include claims, remittance, eligibility, claims status requests, and response.
• Affects many health care entities including Suppliers/Providers, Health Plans, Clearinghouses, Billing Services, and Software Vendors.
• Will require changes to software, systems and procedure.
• This change will be implimented in conjunction with National Council for Prescription Drug Programs (NCPDP) version D.0.
• Full compliance required by January 1, 2012