HIPAA Version 5010

Beginning on January 1, 2012, health plans, clearinghouses, and providers will be required to use new standards to conduct certain electronic transactions.

HIPAA version 5010 will replace the current version that covered entities must use when conducting electronic transactions such as claim submissions, claim status requests and responses, referrals, authorizations, eligibility requests and responses and remittances.

Fallon Health will be working to upgrade and test our systems with the goal of accommodating version 5010 on time and preventing operational disruptions.

We will be refreshing this page periodically with status updates on FCHP’s implementation of version 5010.

For more information