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Blue Cross & Blue Shield of Rhode Island 834 Health Care Benefit Enrollment and Maintenance Companion Guide HIPAA version 5010 Version 2.3 Status: Published October 13, 2016, Blue Cross & Blue Shield
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Step 1: Determine if you need to fill out the HIPAA version 5010 form.
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Healthcare providers, such as hospitals, physicians, and clinics, who handle electronic transactions involving health information.
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Health plans, including insurance companies and government programs like Medicare and Medicaid.
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Healthcare clearinghouses that process healthcare transactions electronically.
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Business associates, such as billing companies or IT services, that handle protected health information.
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Anyone involved in the electronic exchange of health information and transactions within the United States healthcare system.
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HIPAA version 5010 refers to the updated electronic transaction standards for healthcare transactions.
All healthcare providers, health plans, and healthcare clearinghouses are required to comply with HIPAA version 5010.
To fill out HIPAA version 5010, entities must use the updated electronic transaction standards specified by the regulation.
The purpose of HIPAA version 5010 is to improve the efficiency and effectiveness of electronic healthcare transactions.
HIPAA version 5010 requires reporting of various healthcare transactions, such as claims, remittance advice, and eligibility inquiries.
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