ANSI 5010 Update: Payer Transition Status as of 2/20/12

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Gavin Walker
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ANSI 5010 Update: Payer Transition Status as of 2/20/12

Post by Gavin Walker » Mon Feb 20, 2012 11:14 pm

A report from RelayHealth pulled on 2/20/12 shows a significant increase in the number of payers who have gone live on 5010 in the past two weeks. As of 2/3/12, only 468 payers were live on 5010 and only accepting 5010-compliant claims. That number has nearly doubled to 883 as of 2/20/12. That said, more than half of the payers RelayHealth sends claims to are live with 5010 but operating in a “dual state” where the payer accepts both 4010 and 5010 claims. Furthermore, only 28 of 3,215 payers on the report haven’t started the transition to 5010. So, nearly all payers are moving toward 5010 compliance.

We will continue to monitor the transition as we near the March 31, 2012 enforcement deadline and will provide you with a weekly update of the current state.

4010/5010 payer transition status as of 2/20/12:
  • 5010 live/only accepting 5010 = 883
    Approved for 5010/only accepting 5010 = 21
    Testing 5010/only accepting 5010 = 39
    5010 live/accepting both 4010 and 5010 = 1,747
    Approved for 5010/accepting both 4010 and 5010 = 24
    Testing 5010/accepting both 4010 and 5010 = 44
    Ready to test for 5010/accepting both 4010 and 5010 = 429
    Payer not ready for 5010 = 28
Gavin Walker
Walker Tek Solutions, LLC
866-890-6777
417-890-6777

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