|
As of April, 2011, CMS will be adopting the new X12 HIPAA 270/271 EDI standard, version 5010A1, for the HETS 270/271 application. CMS is actively developing modifications to the HETS 270/271 application to meet this deadline. Below is information outlining the transaction changes and the transition period for this new version of the X12 standard. Note: Testing with version 5010A1 will begin in April 2011, and Production transaction submission will be permitted upon successful completion of testing. All transactions submitted in base 5010 format will be rejected with a syntax error. A list of HETS 270/271 format and element changes for ANSI X12 5010A1 is available in the Downloads section below. This PDF file details preliminary information regarding the changes to HETS 270/271 for the implementation of X12 5010A1 version. This information is subject to change while CMS develops and tests the necessary modifications. Transition Period Submitters will be able to concurrently submit 4010A1 and 5010A1 HETS 270/271 transactions from April, 2011 until December 31, 2011. Table of the Timeframe for Acceptable Extranet Transactions| Timeframe | 4010A1 Transactions | 5010A1 Transactions |
|---|
| Through April, 2011 | Accepted | Not accepted |
|---|
| April, 2011 - December 31, 2011 | Accepted | Accepted |
|---|
| Effective January 1, 2012 | Not accepted | Accepted |
|---|
External Testing
The HIPAA Eligibility Transaction System (HETS) has experienced significant increases in 5010 production transactions during the last few months. However, there are many HETS submitters that have tested but have not taken steps to move into production for 5010. In addition, there are many HETS submitters that have not yet initiated testing or have not been successful in their 5010 testing. Therefore, to ensure that progress continues to be made, CMS is planning to take the following steps for HETS submitters: - All HETS submitters that have successfully tested will be notified that they have 30 days to cut over to 5010.
- HETS submitters that have not yet tested successfully will be notified that they must submit their 5010 transition plan and timeline to MCARE in 30 days.
- HETS submitters have the responsibility to notify the providers they service about these action steps.
Companion Guide The 5010 HETS 270/271 Companion Guide can be found in the Downloads section below. A new, updated, 5010 Companion Guide supporting Errata version 5010A1 of the 270/271 transaction will be forthcoming in the coming months. Format and Element Changes A list of HETS 270/271 format and element changes for ANSI X12 5010A1 is available as a PDF file in the Downloads section below.
Page Last Modified: 01/31/2012 11:43:01 AM
Help with File Formats and Plug-Ins
Submit Feedback
|
