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ANSI v5010A1 & v5010A2: What are the Differences Between ANSI 5010 'Base' and 'Errata' Versions

5010 Base Version
In the final rule published on January 16, 2009, the secretary of DHHS adopted ASC X12N v5010 also known as the ’Base’ version, as the next standard for HIPAA covered transactions.

5010 with Errata
Several errors were identified in the 5010 ’Base’ version of the ANSI transactions that were adopted by the DHHS in January 2009. The Standards Development Organizations have made corrections to the 5010 ’Base’ versions of certain ANSI transactions. As a result, X12N released the ’Errata’ versions, which were adopted by DHHS to replace the ’Base’ versions for HIPAA compliance.

5010A1
5010A1 is new ’Errata’ version for the ANSI ASC X12N 837P Professional Health Care Claim transaction. The ANSI 837P v5010A1 crosswalks to the CMS-1500 claim form.

5010A2
5010A1 is new ’Errata’ version for the ANSI ASC X12N 837I Institutional Health Care Claim transaction. The ANSI 837I v5010A2 crosswalks to the CMS-1450 claim form. Below is a list of the ANSI transactions and version numbers:

ANSI Transaction Description Base Version Errata Version
270/271 Health Care Eligibility Benefit Inquiry and Response 005010X279 005010X279A1
837P Health Care Claim: Professional 005010X222 005010X222A1
837I Health Care Claim: Institutional 005010X223 005010X223A2
999 Implementation Acknowledgment For Health Care Insurance 005010X231 005010X231A1
835 Health Care Claim Payment/Advice 005010X221 005010X221A1
276/277 Status Inquiry and Response 005010X212 N/A
277CA Claim Acknowledgement 005010X214 N/A

Published by XIFIN
INDUSTRY NEWS TAGS: CMS


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