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Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 - MAC Jurisdiction 12 Only

The purpose of this change request (CR) is to provide direction to a specific Part A and Part B (A/B) Medicare Administrative Contractor (MAC) which is, as of this time, in a position to implement Version 5010. Specifically, Jurisdiction 12 (J12) is instructed to prepare their
systems to process ASC X12 Version 005010 transactions as previously issued in Transmittal 518, CR 6475, dated July 17, 2009, Transmittal 518, CR 6475, dated July 17, 2009, Transmittal 518, CR 6475, dated July 17, 2009, Transmittal 516, CR 6476, dated July 17, 2009, Transmittal 579, CR 6575, dated October 19, 2009, Transmittal 579, CR 6575, dated October 19, 2009, Transmittal 579, CR 6575, dated October 19, 2009, and Transmittal 550, CR 6589, September 4, 2009, addressed J1, J3, J4, J5, J10, J13, J14, and the
common electronic data interchange contractor. Other A/B MACs, not currently in a position to implement 5010, currently in corrective action plan, or under a protest condition need not reply. Specifically, J2, J6, J7, J8, J9, J11, and J15 are not affected by this CR. A future CR will address these MAC jurisdictions.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 11, 2009

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.