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Official CMS Industry Resources for the ICD10 Transitionwww.cms.gov/ICD10Version 5010: Testing Readiness, What You Need to Know On January 1, 2012, the Version 4010/4010A electronic transaction standards
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Who needs version 5010:
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Healthcare providers, such as hospitals, clinics, and physicians, who handle electronic healthcare transactions.
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Health plans and insurance companies who receive and process electronic healthcare claims.
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Clearinghouses and billing services that handle electronic claims and transactions on behalf of healthcare providers and payers.
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Any other entities involved in the electronic exchange of healthcare information, including pharmacies, laboratories, and medical equipment suppliers.
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What is version 5010?
Version 5010 is an electronic transaction format used in healthcare for submitting claims and other transactions.
Who is required to file version 5010?
Healthcare providers, insurance companies, and clearinghouses are required to file version 5010.
How to fill out version 5010?
Version 5010 can be filled out using electronic data interchange (EDI) software that is compliant with the format.
What is the purpose of version 5010?
The purpose of version 5010 is to standardize and improve the electronic exchange of healthcare transactions.
What information must be reported on version 5010?
Version 5010 requires information such as patient demographics, diagnosis codes, procedure codes, and insurance information.
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