Electronic Data Interchange

Electronic Data Interchange (EDI) is the computer-to-computer transfer of transactions and information. We encourage you to submit your claims electronically for improved productivity and cost efficiency.

Contact us at 877-350-6074 if you have any questions about EDI or the upcoming HIPAA 5010 implementation.

5010

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is the federal regulation that requires the use of standard X12 transactions to report and inquire about health care services. If you use electronic transactions, the current version is 4010A1. The new version of the standards is called 5010. You must implement HIPAA 5010 by January 1, 2012. Given the complexities of the conversion, you must begin preparing for the transition now. After January 1, 2012, version 4010A1 will no longer be valid.

Welcome to 5010
We are pleased to provide a page dedicated to communications specific to 5010. Visit this page frequently as updates are made to help you prepare for the compliance date of 1/1/2012.

1. 5010 Readiness Statement
2. 5010 Frequently Asked Questions
3. Trading Partner Migration Frequently Asked Questions
4. What's Changing for 5010
5. 5010 Companion Guide