Providers and clearinghouses are “5010 ready” when they complete the following items:
• Completion of all practice management system upgrades.
• Confirmation of successful testing with direct submission carriers.
• Confirmation of successful testing with clearinghouses where applicable.
• Confirmation of successful production submission of claims.
• Confirmation of successful retrieval of the claims’ associated remittance.
Payors and clearinghouses are “5010 ready” when they complete the following items:
• Completion of all system upgrades.
• Confirmation of successful testing with direct submitting providers.
• Confirmation of successful testing with clearinghouses where applicable.
• Confirmation of successful acceptance of production claims submission.
• Confirmation of successful return of the claims’ associated remittance.
Related Articles on Version 5010:
National Version 5010 Testing Week: The Good and Bad News
How to Make Sure Your Hospital is Level II Compliant With Version 5010
CMS Reports National Version 5010 Testing Week Had No Significant Errors
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