Glossary of Health Care and Medical Terms

In many cases,
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HIPAA 5010 is the latest version of proposed HIPAA’s transaction standards from the ASC X12 standards development organization. All physicians, other health care professionals, payers, and clearinghouses that submit HIPAA transactions will be required to use only the 5010 transactions as of the January 2012 deadline. This includes physicians who electronically submit administrative transactions, such as checking a patient’s eligibility, filing a claim, or receiving a remittance advice, either directly to a health insurance payer or through a clearinghouse.

The Administrative Simplification Compliance Act of 2001 (ASCA) required the use of electronic claims for providers to receive Medicare reimbursement. The current version of the standard current is Version 5010

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