Friday, January 6, 2012

BCBS florida announcement on HIPAA 5010

The HIPAA 5010 compliance date has arrived! Are you ready?

Although January 1, 2012 is the official compliance date for submitting claims through the HIPAA 5010 electronic data interchange (EDI) standards, the Centers for Medicare & Medicaid Services' (CMS) Office of E-Health Standards and Services (OESS) will not initiate enforcement action until April 1, 2012.  Nonetheless, it is important to recognize that the 5010 compliance date is upon us and has not changed.

Blue Cross and Blue Shield of Florida, Inc. (BCBSF) is now accepting transactions using the mandated 5010 standards. We are also accommodating the CMS 5010 enforcement grace period and will not reject 4010/4010A transactions until April 1, 2012.

If you are not yet HIPAA 5010 compliant, BCBSF urges you to keep moving forward toward achieving compliance.  Reach out to your vendors and payers to confirm compliance. As you probably now know, conformity to 5010 standards is a crucial prerequisite step toward the greater ICD-10 code set mandate which is rapidly approaching.  The ICD-10 compliance date is October 1, 2013.

Be sure to attend our HIPAA 5010 Open Line Friday teleconferences which will continue to take place weekly until further notice.  For direct access to valuable 5010-related information and resources, visit our website ( or simply click on the 5010 icon below.

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